Short Report: Barriers and facilitators to parents' implementation of a transdiagnostic eHealth sleep intervention for children with neurodevelopmental disorders

Anastasija Jemcov, Lindsay Rosenberg, Kim M. Tan-MacNeill, I. Smith, S. Weiss, P. Corkum
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Abstract

Background Insomnia is highly prevalent in children diagnosed with neurodevelopmental disorders (NDDs) and has negative effects on physical and mental health and wellbeing. Lack of evidence-based intervention programs and barriers to treatment (e.g., time/cost) reduce treatment access. To address these problems, the possibility was explored of modifying the Better Nights, Better Days intervention for typically developing (TD) children (BNBD-TD) to make it appropriate for children with NDD. Aims The current study's aim was to examine qualitative data from exit interviews conducted during a usability study. Parents of children with NDD used BNBD-TD and reported on barriers and facilitators experienced while implementing the intervention. Methods/procedures Participants were 15 Canadian parents of children aged 4 to 10 years who were formally diagnosed with an NDD. Parents implemented the BNBD-TD intervention with their children and participated in a semi-structured exit interview to provide perspectives on their user experience. Results Based on an inductive thematic analysis, key facilitators included increased self-efficacy, positive outcomes for the family (e.g., improved sleep problems, parent validation), improved sleep related beliefs/attitudes, and increased motivation. Key barriers included time challenges, struggles when trying to improve sleep problems, and psychosocial factors with negative effects on implementation (e.g., burnout, stress, and/or exhaustion). Conclusions/implications Barriers and facilitators identified resulted in recommendations to include more program supports, including helping parents to plan for implementation success.
简短报告:父母对神经发育障碍儿童实施跨诊断电子健康睡眠干预的障碍和促进因素
失眠症在被诊断为神经发育障碍(ndd)的儿童中非常普遍,并对身心健康和福祉产生负面影响。缺乏循证干预规划和治疗障碍(如时间/成本)降低了治疗可及性。为了解决这些问题,本研究探讨了对典型发育(TD)儿童(BNBD-TD)的“更美好的夜晚,更美好的日子”干预措施进行修改的可能性,使其更适合NDD儿童。当前研究的目的是检验在可用性研究中进行的离职访谈的定性数据。NDD患儿的父母使用了BNBD-TD,并报告了在实施干预时遇到的障碍和促进因素。研究对象是15名加拿大父母,他们的孩子年龄在4到10岁之间,均被正式诊断为NDD。家长对他们的孩子实施了BNBD-TD干预,并参加了半结构化的离职面谈,以提供他们对用户体验的看法。基于归纳性主题分析,主要促进因素包括自我效能的提高、家庭的积极结果(如改善睡眠问题、父母认可)、睡眠相关信念/态度的改善以及动机的增加。主要障碍包括时间挑战、试图改善睡眠问题时的挣扎以及对实施产生负面影响的心理社会因素(例如,倦怠、压力和/或疲惫)。结论/影响在确定障碍和促进因素后,我们建议增加对项目的支持,包括帮助家长规划项目的成功实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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