Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders: Parent and health care professional perspectives

Kim M. Tan-MacNeill; Isabel M. Smith; Anastasija Jemcov; Laura Keeler; Jill Chorney; Shannon Johnson; Shelly K. Weiss; Esmot Ara Begum; Cary A. Brown; Evelyn Constantin; Roger Godbout; Ana Hanlon-Dearman; Osman Ipsiroglu; Graham J. Reid; Sarah Shea; Penny V. Corkum

doi:10.1016/j.ridd.2020.103792

Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders: Parent and health care professional perspectives

Kim M. Tan-MacNeill, Isabel M. Smith, Anastasija Jemcov, Laura Keeler, Jill Chorney, Shannon Johnson, Shelly K. Weiss, Esmot Ara Begum, Cary A. Brown, Evelyn Constantin, Roger Godbout, Ana Hanlon-Dearman, Osman Ipsiroglu, Graham J. Reid, Sarah Shea, Penny V. Corkum

Medicine

Research output: Contribution to journal › Article › peer-review

17 Citations (Scopus)

Abstract

Background/aims: Insomnia is highly prevalent in children with neurodevelopmental disorders (NDDs), yet little research exists on sleep treatment access, utilization, and provision in this population. This study explores barriers and facilitators to access, use, and provision of treatment for sleep problems as experienced by parents of children with NDDs, including Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Cerebral Palsy (CP) and Fetal Alcohol Spectrum Disorder (FASD), and health care professionals who work with children with these conditions. Method: Transcripts from online focus groups and interviews, conducted separately with parents of children with NDDs (n = 43) and health care professionals (n = 44), were qualitatively analyzed using content analysis for key themes. Results: Barriers included limited access to/availability of treatment, lack of knowledge/training, NDD-specific factors (e.g., symptoms, medications, and comorbidities), parent factors (e.g., capacity to implement treatment, exhaustion), and the challenging, intensive nature of sleep treatment. Facilitators included positive beliefs and attitudes, education, support, and ability to modify treatments for NDD symptoms. Barriers and facilitators were similar across all four NDDs. Conclusions: Results highlight a need for more education about sleep in NDDs and to develop accessible interventions, as well as the potential of a transdiagnostic approach to sleep treatment in this population.

Original language	English
Article number	103792
Journal	Research in Developmental Disabilities
Volume	107
DOIs	https://doi.org/10.1016/j.ridd.2020.103792
Publication status	Published - Dec 2020

Bibliographical note

Funding Information:
This research was supported in part by scholarships and funding to Kim Tan-MacNeill from the Social Sciences and Humanities Research Council (SSHRC), the Nova Scotia Health Research Foundation (NSHRF), the Nova Scotia Graduate Research (NSGS) program, the Autism Research Training (ART) Program, and the Better Nights, Better Days Trainee Program. Dr. Isabel Smith was supported by the Joan & Jack Craig Chair in Autism Research. The study falls under the umbrella of both the Better Nights, Better Days (BNBD) study (supported by the Canadian Institutes of Health Research Team Grant FRN-TGS 109221), and the Better Nights, Better Days for Children with Neurodevelopmental Disorders (BNBD-NDD) project, supported by the Kids Brain Health Network (formerly NeuroDevNet), a Canadian Network of Centres of Excellence.

Funding Information:
This research was supported in part by scholarships and funding to Kim Tan-MacNeill from the Social Sciences and Humanities Research Council (SSHRC) , the Nova Scotia Health Research Foundation (NSHRF) , the Nova Scotia Graduate Research (NSGS) program , the Autism Research Training (ART) Program , and the Better Nights, Better Days Trainee Program . Dr. Isabel Smith was supported by the Joan & Jack Craig Chair in Autism Research . The study falls under the umbrella of both the Better Nights, Better Days (BNBD) study (supported by the Canadian Institutes of Health Research Team Grant FRN-TGS 109221 ), and the Better Nights, Better Days for Children with Neurodevelopmental Disorders (BNBD-NDD) project , supported by the Kids Brain Health Network (formerly NeuroDevNet), a Canadian Network of Centres of Excellence .

Publisher Copyright:
© 2020 Elsevier Ltd

ASJC Scopus Subject Areas

Developmental and Educational Psychology
Clinical Psychology

PubMed: MeSH publication types

Journal Article

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10.1016/j.ridd.2020.103792

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Tan-MacNeill, K. M., Smith, I. M., Jemcov, A., Keeler, L., Chorney, J., Johnson, S., Weiss, S. K., Begum, E. A., Brown, C. A., Constantin, E., Godbout, R., Hanlon-Dearman, A., Ipsiroglu, O., Reid, G. J., Shea, S., & Corkum, P. V. (2020). Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders: Parent and health care professional perspectives. Research in Developmental Disabilities, 107, Article 103792. https://doi.org/10.1016/j.ridd.2020.103792

Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders: Parent and health care professional perspectives. / Tan-MacNeill, Kim M.; Smith, Isabel M.; Jemcov, Anastasija et al.
In: Research in Developmental Disabilities, Vol. 107, 103792, 12.2020.

Research output: Contribution to journal › Article › peer-review

Tan-MacNeill, KM, Smith, IM, Jemcov, A, Keeler, L, Chorney, J, Johnson, S, Weiss, SK, Begum, EA, Brown, CA, Constantin, E, Godbout, R, Hanlon-Dearman, A, Ipsiroglu, O, Reid, GJ, Shea, S & Corkum, PV 2020, 'Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders: Parent and health care professional perspectives', Research in Developmental Disabilities, vol. 107, 103792. https://doi.org/10.1016/j.ridd.2020.103792

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title = "Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders: Parent and health care professional perspectives",

abstract = "Background/aims: Insomnia is highly prevalent in children with neurodevelopmental disorders (NDDs), yet little research exists on sleep treatment access, utilization, and provision in this population. This study explores barriers and facilitators to access, use, and provision of treatment for sleep problems as experienced by parents of children with NDDs, including Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Cerebral Palsy (CP) and Fetal Alcohol Spectrum Disorder (FASD), and health care professionals who work with children with these conditions. Method: Transcripts from online focus groups and interviews, conducted separately with parents of children with NDDs (n = 43) and health care professionals (n = 44), were qualitatively analyzed using content analysis for key themes. Results: Barriers included limited access to/availability of treatment, lack of knowledge/training, NDD-specific factors (e.g., symptoms, medications, and comorbidities), parent factors (e.g., capacity to implement treatment, exhaustion), and the challenging, intensive nature of sleep treatment. Facilitators included positive beliefs and attitudes, education, support, and ability to modify treatments for NDD symptoms. Barriers and facilitators were similar across all four NDDs. Conclusions: Results highlight a need for more education about sleep in NDDs and to develop accessible interventions, as well as the potential of a transdiagnostic approach to sleep treatment in this population.",

author = "Tan-MacNeill, {Kim M.} and Smith, {Isabel M.} and Anastasija Jemcov and Laura Keeler and Jill Chorney and Shannon Johnson and Weiss, {Shelly K.} and Begum, {Esmot Ara} and Brown, {Cary A.} and Evelyn Constantin and Roger Godbout and Ana Hanlon-Dearman and Osman Ipsiroglu and Reid, {Graham J.} and Sarah Shea and Corkum, {Penny V.}",

note = "Funding Information: This research was supported in part by scholarships and funding to Kim Tan-MacNeill from the Social Sciences and Humanities Research Council (SSHRC), the Nova Scotia Health Research Foundation (NSHRF), the Nova Scotia Graduate Research (NSGS) program, the Autism Research Training (ART) Program, and the Better Nights, Better Days Trainee Program. Dr. Isabel Smith was supported by the Joan & Jack Craig Chair in Autism Research. The study falls under the umbrella of both the Better Nights, Better Days (BNBD) study (supported by the Canadian Institutes of Health Research Team Grant FRN-TGS 109221), and the Better Nights, Better Days for Children with Neurodevelopmental Disorders (BNBD-NDD) project, supported by the Kids Brain Health Network (formerly NeuroDevNet), a Canadian Network of Centres of Excellence. Funding Information: This research was supported in part by scholarships and funding to Kim Tan-MacNeill from the Social Sciences and Humanities Research Council (SSHRC) , the Nova Scotia Health Research Foundation (NSHRF) , the Nova Scotia Graduate Research (NSGS) program , the Autism Research Training (ART) Program , and the Better Nights, Better Days Trainee Program . Dr. Isabel Smith was supported by the Joan & Jack Craig Chair in Autism Research . The study falls under the umbrella of both the Better Nights, Better Days (BNBD) study (supported by the Canadian Institutes of Health Research Team Grant FRN-TGS 109221 ), and the Better Nights, Better Days for Children with Neurodevelopmental Disorders (BNBD-NDD) project , supported by the Kids Brain Health Network (formerly NeuroDevNet), a Canadian Network of Centres of Excellence . Publisher Copyright: {\textcopyright} 2020 Elsevier Ltd",

year = "2020",

month = dec,

doi = "10.1016/j.ridd.2020.103792",

language = "English",

volume = "107",

journal = "Research in Developmental Disabilities",

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T1 - Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders

T2 - Parent and health care professional perspectives

AU - Tan-MacNeill, Kim M.

AU - Smith, Isabel M.

AU - Jemcov, Anastasija

AU - Keeler, Laura

AU - Chorney, Jill

AU - Johnson, Shannon

AU - Weiss, Shelly K.

AU - Begum, Esmot Ara

AU - Brown, Cary A.

AU - Constantin, Evelyn

AU - Godbout, Roger

AU - Hanlon-Dearman, Ana

AU - Ipsiroglu, Osman

AU - Reid, Graham J.

AU - Shea, Sarah

AU - Corkum, Penny V.

N1 - Funding Information: This research was supported in part by scholarships and funding to Kim Tan-MacNeill from the Social Sciences and Humanities Research Council (SSHRC), the Nova Scotia Health Research Foundation (NSHRF), the Nova Scotia Graduate Research (NSGS) program, the Autism Research Training (ART) Program, and the Better Nights, Better Days Trainee Program. Dr. Isabel Smith was supported by the Joan & Jack Craig Chair in Autism Research. The study falls under the umbrella of both the Better Nights, Better Days (BNBD) study (supported by the Canadian Institutes of Health Research Team Grant FRN-TGS 109221), and the Better Nights, Better Days for Children with Neurodevelopmental Disorders (BNBD-NDD) project, supported by the Kids Brain Health Network (formerly NeuroDevNet), a Canadian Network of Centres of Excellence. Funding Information: This research was supported in part by scholarships and funding to Kim Tan-MacNeill from the Social Sciences and Humanities Research Council (SSHRC) , the Nova Scotia Health Research Foundation (NSHRF) , the Nova Scotia Graduate Research (NSGS) program , the Autism Research Training (ART) Program , and the Better Nights, Better Days Trainee Program . Dr. Isabel Smith was supported by the Joan & Jack Craig Chair in Autism Research . The study falls under the umbrella of both the Better Nights, Better Days (BNBD) study (supported by the Canadian Institutes of Health Research Team Grant FRN-TGS 109221 ), and the Better Nights, Better Days for Children with Neurodevelopmental Disorders (BNBD-NDD) project , supported by the Kids Brain Health Network (formerly NeuroDevNet), a Canadian Network of Centres of Excellence . Publisher Copyright: © 2020 Elsevier Ltd

PY - 2020/12

Y1 - 2020/12

N2 - Background/aims: Insomnia is highly prevalent in children with neurodevelopmental disorders (NDDs), yet little research exists on sleep treatment access, utilization, and provision in this population. This study explores barriers and facilitators to access, use, and provision of treatment for sleep problems as experienced by parents of children with NDDs, including Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Cerebral Palsy (CP) and Fetal Alcohol Spectrum Disorder (FASD), and health care professionals who work with children with these conditions. Method: Transcripts from online focus groups and interviews, conducted separately with parents of children with NDDs (n = 43) and health care professionals (n = 44), were qualitatively analyzed using content analysis for key themes. Results: Barriers included limited access to/availability of treatment, lack of knowledge/training, NDD-specific factors (e.g., symptoms, medications, and comorbidities), parent factors (e.g., capacity to implement treatment, exhaustion), and the challenging, intensive nature of sleep treatment. Facilitators included positive beliefs and attitudes, education, support, and ability to modify treatments for NDD symptoms. Barriers and facilitators were similar across all four NDDs. Conclusions: Results highlight a need for more education about sleep in NDDs and to develop accessible interventions, as well as the potential of a transdiagnostic approach to sleep treatment in this population.

AB - Background/aims: Insomnia is highly prevalent in children with neurodevelopmental disorders (NDDs), yet little research exists on sleep treatment access, utilization, and provision in this population. This study explores barriers and facilitators to access, use, and provision of treatment for sleep problems as experienced by parents of children with NDDs, including Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Cerebral Palsy (CP) and Fetal Alcohol Spectrum Disorder (FASD), and health care professionals who work with children with these conditions. Method: Transcripts from online focus groups and interviews, conducted separately with parents of children with NDDs (n = 43) and health care professionals (n = 44), were qualitatively analyzed using content analysis for key themes. Results: Barriers included limited access to/availability of treatment, lack of knowledge/training, NDD-specific factors (e.g., symptoms, medications, and comorbidities), parent factors (e.g., capacity to implement treatment, exhaustion), and the challenging, intensive nature of sleep treatment. Facilitators included positive beliefs and attitudes, education, support, and ability to modify treatments for NDD symptoms. Barriers and facilitators were similar across all four NDDs. Conclusions: Results highlight a need for more education about sleep in NDDs and to develop accessible interventions, as well as the potential of a transdiagnostic approach to sleep treatment in this population.

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Barriers and facilitators to treating insomnia in children with autism spectrum disorder and other neurodevelopmental disorders: Parent and health care professional perspectives

Abstract

Bibliographical note

ASJC Scopus Subject Areas

PubMed: MeSH publication types

Access to Document

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