|Assessment and Treatment of Sleep Problems for Children With Autism Spectrum Disorder
|Sunday, May 29, 2022
|11:00 AM–11:50 AM
|Meeting Level 2; Room 255
|Area: AUT/DEV; Domain: Service Delivery
|Chair: Jacqueline Mery (Kennedy Kreiger Institute, Johns Hopkins Children's Center)
|Discussant: Annette Estes (University of Washington)
|CE Instructor: Katerina Monlux, M.S.
Sleep problems affect between 45 and 86% of children with autism spectrum disorder (ASD) and occur at significantly higher rates than in other populations. Without effective intervention, these sleep problems can persist throughout childhood and into?adolescence and?adulthood?for individuals with ASD.? Children’s sleep problems also impact the sleep and general wellbeing of family members. Accordingly, there?is a critical need to identify effective?and?feasible?methods for assessment and parent-mediated intervention for sleep problems in children with ASD. This symposium will discuss practical forms of home sleep assessment and treatment for children from 2-11 years of age with ASD. The first presentation will discuss subjective and objective measures to assess sleep problems in the home across a range of domains, including actigraphy, environmental assessment, caregiver reported sleep diaries, and caregiver report questionnaires. The second presentation will discuss a tiered model for addressing sleep problems for use in parent coaching.
|Instruction Level: Intermediate
|Keyword(s): parent coaching, sleep
This presentation is targeted toward licensed practitioners including Board Certified Behavior Analysts working with families of children with ASD.
|Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) Recognize common sleep problems that affect children with ASD; (2) Discuss common methods for home sleep assessment; (3) Identify evidence-based parent-mediated interventions for children's sleep problems
|Assessment of Behavioral Sleep Problems
|KATERINA MONLUX (University of Washington/Oslo Metropolitian ), Annette Estes (University of Washington)
|Abstract: Children with autism spectrum disorder (ASD) are 2-3 times more likely than typically developing children to have sleep problems. Moreover, children with ASD are likely to develop sleep problems early in development, which persists across the lifespan. Direct behavioral assessment paired with targeted behavioral intervention is an effective solution to address sleep problems such as night wakings, short nightly sleep duration, variable sleep schedules, long latency to falling asleep, and more. However, not many behavior analysts have had training or support in assessing sleep problems. This presentation will discuss common medical and behavioral sleep assessments including subjective and objective measures that can be used in your practice to assess behavioral sleep problems for children aged 2-11 with ASD in the home. Evidence-based practical tools for behaviorally assessing sleep problems will be discussed such as actigraphy, caregiver-reported sleep diaries, caregiver report questionnaires and open-ended parent interviews.
|Parent-Mediated Behavioral Intervention for Sleep Problems
|ROBIN FINLAYSON (University of Washington), Annette Estes (University of Washington)
|Abstract: Sleep problems affect between 45 and 86% of children with ASD and occur at 2-3 times the rate as in typically developing populations. Without effective intervention, these sleep problems can persist throughout childhood and into adolescence and adulthood for individuals with ASD. Children’s sleep problems also impact the sleep and general well-being of family members. Accordingly, there is a critical need to identify evidence-based and feasible parent-mediated interventions for sleep problems in pre-pubescent children with ASD. Prior studies have demonstrated improved child sleep using individual and group parent coaching to teach parents to deliver behavioral sleep interventions; however, selecting and providing support on sleep interventions can be challenging in practice. This presentation will present a tiered model for addressing sleep problems in children aged 2-11 for use in parent coaching.