P028 A model for city-wide implementation of intensive behavioural intervention to improve sleep in vulnerable children. (19th November 2019)

• Record Type: Journal Article
• Authors: Dawson, Vicki; Reynolds, Janine; Kingshott, Ruth; Lawson, Candi; Hall, Lorraine
• Is Part Of: BMJ open respiratory research. Volume 6:(2019)Supplement 1
• Page Start: A17
• Page End: A17
• Publication Date: 2019-11-19
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Diseases -- Treatment -- Periodicals; Respiratory therapy -- Periodicals; 616.2005
• DOI: 10.1136/bmjresp-2019-bssconf.28
• Languages: English
• ISSNs: 2052-4439

Abstract

Abstract : Introduction: A lack of adequate sleep has a large impact on emotional and physical wellbeing, especially in vulnerable children and young people. A partnership involving a Children's Trust, City Council and a Sleep Charity evaluated a behavioural sleep intervention in vulnerable children. Support and education were provided to parent/carers and young people to improve sleep patterns. Methods: The intervention entailed basic sleep education, a one-to-one session with a sleep practitioner to create an individualised sleep programme and ongoing telephone support. NHS ethics 16/YH/0490. Results: 39 children participated, median age 8.56 years (1.82–15.75 years; 79.5% male). 75% had a diagnosis of ADHD or were awaiting assessment, 25% were Looked After or Adopted Children (of whom 10% also had ADHD). Parents' ratings of their child's ability to self-settle to sleep improved from 1.13/10–6.73/10 following intervention (MD 5.62, 95%CI 4.56–6.69, p<0.05). Children gained an average extra 2.4 hours sleep a night. The average sleep hours were 6.27 hours at baseline and 8.62 following intervention (MD 2.35, 95%CI 1.64–3.06, p<0.05). There was a statistically significant improvement in time taken to settle, time to fall asleep, number and duration of night-waking's. The impact of sleep deprivation on the parents' wellbeing improved for all measures. The overall WEMWBS score improved significantly following the intervention (MD 8.84, 95%CI 5.32–12.36, p<0.05). There was a reduction in the number of illnesses in both parent/carers and children following the intervention. Although some parents did not find the programme helpful, 100% said they would recommend it to others. 'Regular telephone calls and support' and 'Learning about sleep' were the main positive factors. Discussion: The success of the evaluation gave us confidence in the sleep delivery model. We have established a strategic group to support local implementation and produced a draft delivery model which we believe is replicable for other areas.