Behavioral Sleep Interventions for Children With ADHD: A Systematic Review and Meta-Analysis.
Maya K Malkani, Carmela F Pestell, Andrew M C Sheridan...
https://pubmed.ncbi.nlm.nih.gov/35758199/Actively Recruiting
Led by Cori Manning · Updated on 2024-11-25
25
Participants Needed
1
Research Sites
4 weeks
Total Duration
Researchers are investigating how changing daily or nightly routines might improve executive functioning and sleep in adolescents with ADHD. This pilot study aims to answer whether these interventions enhance sleep quality and executive functions like working memory, cognitive flexibility, and inhibitory control, while also assessing how acceptable the interventions are to youth with ADHD. Up to 25 participants aged 11 to 17 with a diagnosis of ADHD will take part in this study.
CONDITIONS
Daily Routines, Executive Functioning & ADHD
C
Cori Manning, MA
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Cori Manning
Lead Sponsor
Robert Wood Johnson Foundation
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Sleep Extension | Daytime Routine |
|---|---|---|
| What it is | A behavioral program prescribing set sleep and wake times, based on participant sleep data, with stimulus control strategies. The goal is to extend nightly sleep duration for two weeks, supported by a parent and researcher. | A behavioral program where participants, parents, and a researcher collaborate to change a specific daily routine not focused on sleep. One routine is chosen and modified over two weeks. |
| Role in the trial | Experimental intervention designed to test whether intentionally increasing sleep duration improves sleep outcomes and executive functioning in adolescents with ADHD. | Comparator intervention used to assess the specific benefit of sleep-focused changes versus more general routine improvements. |
| Primary use | Examined as an intervention to improve sleep duration, sleep quality, and executive functioning in adolescents with ADHD. | Serves as an active behavioral comparator to assess routine modification's effect on similar sleep and cognitive outcomes. |
| How it is given or performed | Participants, parents, and a researcher review two weeks of actigraphy data, discuss sleep patterns, then follow a sleep prescription (set bedtime/wake-time, stimulus control) for two weeks at home. | Participants, parents, and a researcher discuss daily family routines and select one to modify collaboratively for two weeks, with ongoing support. |
| Evidence status | Published trials and meta-analyses show that behavioral sleep interventions can modestly improve sleep duration and quality in children and adolescents with ADHD, though individual responses vary and high-quality comparative trials remain limited. | General routine-focused behavioral interventions are less studied in ADHD, with most evidence centered on sleep-specific rather than general routine modification. They are presumed supportive but with limited direct comparative data. |
| Important limitations | Most studies report only modest improvements and considerable variability in outcomes. Parental involvement, adherence, and baseline sleep problems can affect benefit. Effects on executive function outcomes are less well established than on sleep itself. | Little high-quality evidence isolates the effect of changing daytime routines alone versus sleep-focused interventions in ADHD. Generalization from other behavioral approaches is uncertain. Benefits are likely conditional on specific routine, engagement, and family support. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 2 weeks
Participants establish their sleep patterns over two weeks before the intervention.
1 baseline visit
Duration - 2 weeks
Participants follow either a prescribed sleep extension routine or modify a daytime behavioral routine for two weeks.
1 visit to review baseline data and receive instructions; ongoing adherence to assigned routine
Duration - 1 visit approximately 1 month after treatment
Participants complete a booster session approximately one month after the initial consultation to assess progress.
1 follow-up visit (in-person)
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/34738484/Cori Manning
Lead Sponsor
Robert Wood Johnson Foundation
Collaborating Sponsor