title: Case Series.
abstract: To assess the effectiveness and feasibility of behavioral sleep intervention for medicated children with ADHD.
  
  
  
  Six medicated children (five boys, one girl; aged 6-12 years) with ADHD participated in a 4-week sleep intervention program. The main behavioral strategies used were Faded Bedtime With Response Cost (FBRC) and positive reinforcement. Within a case-series design, objective measure (Sleep Disturbance Scale for Children [SDSC]) and subjective measure (sleep diaries) were used to record changes in children's sleep.
  
  
  
  For all six children, significant decrease was found in the severity of children's sleep problems (based on SDSC data). Bedtime resistance and mean sleep onset latency were reduced following the 4-week intervention program according to sleep diaries data. Gains were generally maintained at the follow-up. Parents perceived the intervention as being helpful.
  
  
  
  Based on the initial data, this intervention shows promise as an effective and feasible treatment.
authors.affiliation: 1 Universiti Teknologi MARA, Selangor, Malaysia.
authors.forename: Jayachandran
authors.initials: J
authors.lastname: Vetrayan
authors.affiliation: 1 Universiti Teknologi MARA, Selangor, Malaysia.
authors.forename: Suhana
authors.initials: S
authors.lastname: Othman
authors.affiliation: 1 Universiti Teknologi MARA, Selangor, Malaysia.
authors.forename: Smily Jesu Priya
authors.initials: SJ
authors.lastname: Victor Paulraj
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D000697:Central Nervous System Stimulants / Q000627:therapeutic use; D002648:Child; D003131:Combined Modality Therapy; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D010290:Parents; D012054:Reinforcement, Psychology; D012890:Sleep / Q000502:physiology; D000074361:Sleep Latency / Q000502:physiology; D012893:Sleep Wake Disorders / Q000523:psychology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000697:Central Nervous System Stimulants
keywords: ADHD; children; faded bedtime; positive reinforcement; response cost