A Pilot Study of a Cognitive-Behavioral Sleep Intervention Specifically for Adolescents With ADHD and Sleep Problems: A Qualitative and Quantitative Evaluation

IF 2.9 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2023-12-19 DOI:10.1016/j.cbpra.2023.12.001

Lena Keuppens, Finja Marten, Dieter Baeyens, Bianca E. Boyer, Marina Danckaerts, Saskia van der Oord

{"title":"A Pilot Study of a Cognitive-Behavioral Sleep Intervention Specifically for Adolescents With ADHD and Sleep Problems: A Qualitative and Quantitative Evaluation","authors":"Lena Keuppens, Finja Marten, Dieter Baeyens, Bianca E. Boyer, Marina Danckaerts, Saskia van der Oord","doi":"10.1016/j.cbpra.2023.12.001","DOIUrl":null,"url":null,"abstract":"<div><p>The current pilot study evaluates a cognitive behavioral (CBT) sleep intervention specifically developed for adolescents with ADHD – Sleep IntervEntion as Symptom Treatment for ADHD (SIESTA). Based on a qualitative and quantitative evaluation, the final aim is to fine-tune SIESTA and the assessment protocol to the target population. Eight adolescents (13–17 years old) with ADHD and sleep problems completed SIESTA. Separate focus groups with adolescents and parents were conducted to evaluate their experience with SIESTA and the assessment protocol. These were analyzed using thematic analysis. Additionally, individual reliable change indices were computed from pretest to posttest for sleep hygiene practices. Thematic analysis showed that adolescents and parents reported both positive aspects and points of improvement of SIESTA and the assessment protocol during the focus groups. Reliable change indices showed that all adolescents significantly improved on at least one of the subscales of the revised Adolescent Sleep Hygiene Scale. Preliminary qualitative findings indicate satisfaction with SIESTA and the assessment protocol, with some suggestions for further improvements, and quantitative findings indicate significant improvement in sleep hygiene. The next step is to test the effectiveness of SIESTA in a randomized controlled trial, based on the adaptations after this pilot study.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 367-382"},"PeriodicalIF":2.9000,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cognitive and Behavioral Practice","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1077722923000950","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

The current pilot study evaluates a cognitive behavioral (CBT) sleep intervention specifically developed for adolescents with ADHD – Sleep IntervEntion as Symptom Treatment for ADHD (SIESTA). Based on a qualitative and quantitative evaluation, the final aim is to fine-tune SIESTA and the assessment protocol to the target population. Eight adolescents (13–17 years old) with ADHD and sleep problems completed SIESTA. Separate focus groups with adolescents and parents were conducted to evaluate their experience with SIESTA and the assessment protocol. These were analyzed using thematic analysis. Additionally, individual reliable change indices were computed from pretest to posttest for sleep hygiene practices. Thematic analysis showed that adolescents and parents reported both positive aspects and points of improvement of SIESTA and the assessment protocol during the focus groups. Reliable change indices showed that all adolescents significantly improved on at least one of the subscales of the revised Adolescent Sleep Hygiene Scale. Preliminary qualitative findings indicate satisfaction with SIESTA and the assessment protocol, with some suggestions for further improvements, and quantitative findings indicate significant improvement in sleep hygiene. The next step is to test the effectiveness of SIESTA in a randomized controlled trial, based on the adaptations after this pilot study.

查看原文本刊更多论文

专门针对多动症和睡眠问题青少年的认知行为睡眠干预试点研究：定性和定量评估

目前的试点研究评估了专门针对多动症青少年开发的认知行为（CBT）睡眠干预方法--多动症症状治疗睡眠干预（SIESTA）。在定性和定量评估的基础上，最终目的是针对目标人群对 SIESTA 和评估方案进行微调。八名患有多动症和睡眠问题的青少年（13-17 岁）完成了 SIESTA 评估。与青少年和家长分别进行了焦点小组讨论，以评估他们对SIESTA和评估方案的体验。我们采用主题分析法对这些结果进行了分析。此外，还计算了从测试前到测试后睡眠卫生习惯的个人可靠变化指数。主题分析表明，在焦点小组讨论中，青少年和家长对 "睡眠卫生状况评估 "和评估方案既有积极的评价，也有需要改进的地方。可靠的变化指数显示，所有青少年在修订版青少年睡眠卫生量表的至少一个分量表上都有明显改善。初步的定性研究结果表明，青少年对 "青少年睡眠卫生量表 "和评估方案表示满意，并提出了一些进一步改进的建议；定量研究结果表明，青少年的睡眠卫生状况有了明显改善。下一步，我们将根据此次试点研究后的调整结果，在随机对照试验中测试 SIESTA 的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.