Changed sleep according to weighted blanket adherence in a 16-week sleep intervention among children with attention-deficit/hyperactivity disorder
(2024) In Journal of Clinical Sleep Medicine 20(9). p.1455-1466- Abstract
Study Objectives: To examine differences in sample characteristics and longitudinal sleep outcomes according to weighted blanket (WB) adherence. Methods: Children with attention-deficit/hyperactivity disorder (n = 94), mean age 9.0 (standard deviation 2.2, range 6-14) participated in a 16-week sleep intervention with WBs. Children were classified as WB adherent (use of WB ≥ 4 nights/wk) or nonadherent (use of WB ≤ 3 nights/wk). Changes in objectively measured sleep by actigraphy, parent-reported sleep problems (Children's Sleep Habits Questionnaire) and child-reported Insomnia Severity Index were evaluated according to adherence with mixed effect models. Sex, age, and attention-deficit/hyperactivity disorder subtype were examined as... (More)
Study Objectives: To examine differences in sample characteristics and longitudinal sleep outcomes according to weighted blanket (WB) adherence. Methods: Children with attention-deficit/hyperactivity disorder (n = 94), mean age 9.0 (standard deviation 2.2, range 6-14) participated in a 16-week sleep intervention with WBs. Children were classified as WB adherent (use of WB ≥ 4 nights/wk) or nonadherent (use of WB ≤ 3 nights/wk). Changes in objectively measured sleep by actigraphy, parent-reported sleep problems (Children's Sleep Habits Questionnaire) and child-reported Insomnia Severity Index were evaluated according to adherence with mixed effect models. Sex, age, and attention-deficit/hyperactivity disorder subtype were examined as potential moderators. Results: Children adherent to WBs (48/94) showed an early response in sleep outcomes and an acceptance of the WB after 4 weeks of use as well as a decrease in parent-reported (Children's Sleep Habits Questionnaire) (-5.73, P = .000) and child-reported (Insomnia Severity Index) (-4.29, P = .005) sleep problems after 16 weeks. The improvement in sleep was larger among WB adherent vs nonadherent (between-group difference: Children's Sleep Habits Questionnaire: -2.09, P = .038; Insomnia Severity Index: -2.58, P = .007). Total sleep time was stable for children adherent to WB but decreased for nonadherent (between-group difference: +16.90, P = .019). Conclusions: An early response in sleep and acceptance of the WB predicted later adherence to WBs. Improvements in sleep were more likely among WB adherents vs nonadherents. Children with attention-deficit/hyperactivity disorder may thus benefit from using WBs to handle their sleep problems.
(Less)
- author
- Lönn, Maria ; Svedberg, Petra ; Nygren, Jens ; Jarbin, Håkan LU ; Aili, Katarina and Larsson, Ingrid
- organization
- publishing date
- 2024-09
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- actigraphy, attention deficit disorder with hyperactivity, longitudinal studies, sleep disorders, weighted blankets
- in
- Journal of Clinical Sleep Medicine
- volume
- 20
- issue
- 9
- pages
- 12 pages
- publisher
- American Academy of Sleep Medicine
- external identifiers
-
- scopus:85203028436
- pmid:38656790
- ISSN
- 1550-9389
- DOI
- 10.5664/jcsm.11186
- language
- English
- LU publication?
- yes
- id
- 0ce458c1-ebff-4fe9-90d1-e5341a913371
- date added to LUP
- 2024-11-25 13:52:11
- date last changed
- 2025-07-08 08:16:28
@article{0ce458c1-ebff-4fe9-90d1-e5341a913371,
abstract = {{<p>Study Objectives: To examine differences in sample characteristics and longitudinal sleep outcomes according to weighted blanket (WB) adherence. Methods: Children with attention-deficit/hyperactivity disorder (n = 94), mean age 9.0 (standard deviation 2.2, range 6-14) participated in a 16-week sleep intervention with WBs. Children were classified as WB adherent (use of WB ≥ 4 nights/wk) or nonadherent (use of WB ≤ 3 nights/wk). Changes in objectively measured sleep by actigraphy, parent-reported sleep problems (Children's Sleep Habits Questionnaire) and child-reported Insomnia Severity Index were evaluated according to adherence with mixed effect models. Sex, age, and attention-deficit/hyperactivity disorder subtype were examined as potential moderators. Results: Children adherent to WBs (48/94) showed an early response in sleep outcomes and an acceptance of the WB after 4 weeks of use as well as a decrease in parent-reported (Children's Sleep Habits Questionnaire) (-5.73, P = .000) and child-reported (Insomnia Severity Index) (-4.29, P = .005) sleep problems after 16 weeks. The improvement in sleep was larger among WB adherent vs nonadherent (between-group difference: Children's Sleep Habits Questionnaire: -2.09, P = .038; Insomnia Severity Index: -2.58, P = .007). Total sleep time was stable for children adherent to WB but decreased for nonadherent (between-group difference: +16.90, P = .019). Conclusions: An early response in sleep and acceptance of the WB predicted later adherence to WBs. Improvements in sleep were more likely among WB adherents vs nonadherents. Children with attention-deficit/hyperactivity disorder may thus benefit from using WBs to handle their sleep problems.</p>}},
author = {{Lönn, Maria and Svedberg, Petra and Nygren, Jens and Jarbin, Håkan and Aili, Katarina and Larsson, Ingrid}},
issn = {{1550-9389}},
keywords = {{actigraphy; attention deficit disorder with hyperactivity; longitudinal studies; sleep disorders; weighted blankets}},
language = {{eng}},
number = {{9}},
pages = {{1455--1466}},
publisher = {{American Academy of Sleep Medicine}},
series = {{Journal of Clinical Sleep Medicine}},
title = {{Changed sleep according to weighted blanket adherence in a 16-week sleep intervention among children with attention-deficit/hyperactivity disorder}},
url = {{http://dx.doi.org/10.5664/jcsm.11186}},
doi = {{10.5664/jcsm.11186}},
volume = {{20}},
year = {{2024}},
}