0901 A SYSTEMATIC REVIEW TO EXPLORE THE FEASIBILITY OF A SLEEP INTERVENTION FOR INSOMNIA IN CHILDREN WITH NEURODEVELOPMENTAL DISORDERS: A TRANSDIAGNOSTIC APPROACH
Bibliographic record
Abstract
Children with neurodevelopmental disorders (NDD) are at high risk for sleep problems, especially insomnia. Insomnia can result in excessive daytime sleepiness, impairments in daytime functioning, and contribute to increased NDD symptoms. Many children do not receive what is believed to be the first line treatment - behavioural intervention. One important barrier is that it is currently not known whether behavioural interventions developed for typically developing children work for children with NDD, and if interventions need to be modified for each diagnostic group. This systematic review aimed to establish commonalities in sleep problems experienced across NDD populations, and evaluate the effectiveness of behavioural sleep treatments for children with NDD. Nine databases were searched. The search strategy focused on four semantic groups: children; sleep; intervention terminologies; and NDD, specifically Attention-Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Cerebral Palsy (CP), and Fetal Alcohol Spectrum Disorder (FASD). Eligible studies needed to include both children with a NDD and a pre-post measure of a sleep variable, employed a behavioural intervention, and be written in English or French. A total of 8763 citations were identified, which was reduced to 4602 following the removal of duplicates. A further 4414 citations were removed following title and abstract screening. Full-text articles were retrieved for 188 studies, 146 were excluded, leaving 42 studies. The majority of studies were conducted with ASD and ADHD populations. Common sleep problems were evident across the NDD populations; those most frequently reported included bedtime resistance, night-waking, early morning awakening, and co-sleeping. The most common interventions used were implementation of healthy sleep practices, reinforcement, graduated extinction, and faded bedtime, all of which are standard treatments in typically developing children with insomnia. All studies reported at least one behavioural treatment component as effective. Behavioural sleep interventions can be effective in NDD populations. Commonalities across NDD populations for both sleep problems reported and behavioural interventions implemented suggest the feasibility of developing a transdiagnostic behavioural sleep intervention suitable for children with a range of NDD. This research is funded by NeuroDevNet, a Centre of Excellence of Canada.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".