title: Better Nights/Better Days-Distance Intervention for Insomnia in School-Aged Children With/Without ADHD: A Randomized Controlled Trial.
abstract: Better Nights/Better Days, a distance intervention for insomnia in school-aged children (with and without attention-deficit/hyperactivity disorder [ADHD]), was evaluated to determine its effectiveness on children's sleep and psychosocial functioning.
  
  
  
  A single center, parallel group design randomized controlled trial (stratified on ADHD diagnosis) was conducted. Parents were randomized to intervention (n = 31) or waitlist control (n = 30), and completed questionnaires administered over the phone at baseline, postintervention (2 months), and follow-up (6 months). Actigraphy was also collected. The intervention consisted of a five-session manual and weekly telephone coach support.
  
  
  
  The intervention group demonstrated a significant reduction in sleep problems and improved psychosocial functioning at postintervention and follow-up. Actigraphy results indicated improved sleep onset, but not sleep duration. Children with and without ADHD responded in a similar manner to this intervention. Parents provided high satisfaction ratings.
  
  
  
  This intervention holds promise as an accessible, sustainable, and effective program to address insomnia in school-aged children.
authors.affiliation: Department of Psychology and Neuroscience, Department of Psychiatry, Department of Pediatrics, Dalhousie University, penny.corkum@dal.ca.
authors.forename: Penny
authors.initials: P
authors.lastname: Corkum
authors.affiliation: Department of Psychiatry, Strongest Families Institute, and.
authors.forename: Patricia
authors.initials: P
authors.lastname: Lingley-Pottie
authors.affiliation: Department of Psychology and Neuroscience.
authors.forename: Fiona
authors.initials: F
authors.lastname: Davidson
authors.affiliation: Department of Psychiatry, Department of Pediatrics, Dalhousie University, Strongest Families Institute, and.
authors.forename: Patrick
authors.initials: P
authors.lastname: McGrath
authors.affiliation: Department of Psychology and Neuroscience, Department of Pediatrics, Dalhousie University.
authors.forename: Christine T
authors.initials: CT
authors.lastname: Chambers
authors.affiliation: Department of Psychology and Neuroscience.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Mullane
authors.affiliation: Department of Pediatrics, University of Toronto.
authors.forename: Sheila
authors.initials: S
authors.lastname: Laredo
authors.affiliation: Strongest Families Institute, and.
authors.forename: Kimberley
authors.initials: K
authors.lastname: Woodford
authors.affiliation: Department of Pediatrics, University of Toronto.
authors.forename: Shelly K
authors.initials: SK
authors.lastname: Weiss
mesh_terms: D056044:Actigraphy; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications* / Q000523:psychology; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016037:Single-Blind Method; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome
keywords: ADHD; children; intervention; paraprofessionals; service delivery; sleep; telephone; treatment barriers