{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:45:42Z","timestamp":1791546342776,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T00:00:00Z","timestamp":1560211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1058827"],"award-info":[{"award-number":["1058827"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1110688"],"award-info":[{"award-number":["1110688"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1136222"],"award-info":[{"award-number":["1136222"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We have demonstrated the efficacy of a brief behavioral intervention for sleep in children with ADHD in a previous randomized controlled trial and now aim to examine whether this intervention is effective and cost\u2010effective when delivered by pediatricians or psychologists in community settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Translational, cluster\u2010randomized trial of a behavioral intervention versus usual care from 19th January, 2015 to 30th June, 2017. Participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0361) were children aged 5\u201313\u00a0years with ADHD and parent report of a moderate\/severe sleep problem who met criteria for American Academy of Sleep Medicine criteria for chronic insomnia disorder, delayed sleep\u2013wake phase disorder, or were experiencing sleep\u2010related anxiety. Participants were randomized at the level of the pediatrician (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a061) to intervention (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0183) or usual care (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0178). Families in the intervention group received two consultations with a pediatrician or a psychologist covering sleep hygiene and tailored behavioral strategies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In an intention\u2010to\u2010treat analysis, at 3 and 6\u00a0months respectively, the proportion of children with moderate to severe sleep problems was lower in the intervention (28.0%, 35.8%) compared with usual care group (55.4%, 60.1%; 3\u00a0month: risk ratio (RR): 0.51, 95% CI 0.37, 0.70,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001; 6\u00a0month: RR: 0.58; 95% CI 0.45, 0.76,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Intervention children had improvements across multiple Children's Sleep Habits Questionnaire subscales at 3 and 6\u00a0months. No benefits of the intervention were observed in other domains. Cost\u2010effectiveness of the intervention was AUD 13 per percentage point reduction in child sleep problem at 3\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A low\u2010cost brief behavioral sleep intervention is effective in improving sleep problems when delivered by community clinicians. Greater sample comorbidity, lower intervention dose or insufficient clinician supervisions may have contributed to the lack benefits seen in our previous trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13083","type":"journal-article","created":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T05:58:41Z","timestamp":1560232721000},"page":"1230-1241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Impact of a behavioral intervention, delivered by pediatricians or psychologists, on sleep problems in children with ADHD: a cluster\u2010randomized, translational trial"],"prefix":"10.1111","volume":"60","author":[{"given":"Harriet","family":"Hiscock","sequence":"first","affiliation":[{"name":"Centre for Community Child Health The Royal Children's Hospital Parkville VIC Australia"},{"name":"Health Services Murdoch Children's Research Institute Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-6481","authenticated-orcid":false,"given":"Melissa","family":"Mulraney","sequence":"additional","affiliation":[{"name":"Health Services Murdoch Children's Research Institute Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Heussler","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Rinehart","sequence":"additional","affiliation":[{"name":"Deakin Child Study Centre School of Psychology Deakin University Geelong VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Schuster","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics Unit and Melbourne Children's Trials Centre Murdoch Children's Research Institute Parkville VIC Australia"},{"name":"Department of Family Medicine McGill University Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneke C.","family":"Grobler","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne Parkville VIC Australia"},{"name":"Clinical Epidemiology and Biostatistics Unit and Melbourne Children's Trials Centre Murdoch Children's Research Institute Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Gold","sequence":"additional","affiliation":[{"name":"School of Health and Social Development Deakin University Geelong VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalika","family":"Bohingamu Mudiyanselage","sequence":"additional","affiliation":[{"name":"School of Health and Social Development Deakin University Geelong VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Hayes","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Sciberras","sequence":"additional","affiliation":[{"name":"Centre for Community Child Health The Royal Children's Hospital Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne Parkville VIC Australia"},{"name":"Deakin Child Study Centre School of Psychology Deakin University Geelong VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/22.3.389"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e31811ff87d"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000189134.97436.e2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.2174\/157488607779315444"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2015.00602"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00241"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsw031"},{"key":"e_1_2_7_9_1","volume-title":"ADHD rating scale\u2014IV. 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