{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:43:29Z","timestamp":1774658609445,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health and Aged Care, Australian Government","doi-asserted-by":"publisher","award":["H1617G038"],"award-info":[{"award-number":["H1617G038"]}],"id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Children with foetal alcohol spectrum disorder (FASD) present with significant sleep disturbance. This pilot trial aimed to examine the feasibility of conducting a larger randomised controlled trial (RCT) in this population and the potential effectiveness of melatonin to treat onset insomnia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Children with sleep onset delay and a designation of \u2018at risk\u2019 of FASD or a diagnosis of FASD were recruited to a 10\u2010week, double\u2010blind, placebo\u2010controlled, crossover study of melatonin. Sleep outcomes were assessed using actigraphy. The child sleep habit questionnaire (CSHQ) and measures of executive functioning and carer stress were completed at baseline and after each treatment phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010nine children were assessed for eligibility, 18 were ineligible as they were taking sleep medication, and eight children entered the trial. Four received melatonin for 3\u2009weeks followed by placebo for 3\u2009weeks (arm A) and four received placebo followed by melatonin (arm B). Processes involving data collection and retention were acceptable. However, significant issues regarding recruitment were found. Quantitative measures were appropriate with significant reductions in sleep onset latency (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096) in the melatonin condition relative to the placebo condition (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), and bedtime resistance (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) according to the CSHQ (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). No serious adverse events were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A randomised crossover design was feasible in this population; however, recruitment should be conducted across multiple sites. Melatonin is potentially effective at reducing sleep onset latency and behaviour difficulties at bedtime in children with or \u2018at risk\u2019 of FASD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Australian New Zealand Clinical Trials Registry (12619001360101).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70224","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T08:45:41Z","timestamp":1761122741000},"page":"16-22","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Pilot Randomised Controlled Trial of Sublingual Melatonin for Sleep Onset Insomnia in Children With Foetal Alcohol Spectrum Disorder (\n                    <scp>FASD<\/scp>\n                    )"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2052-3456","authenticated-orcid":false,"given":"Ned","family":"Chandler\u2010Mather","sequence":"first","affiliation":[{"name":"School of Applied Psychology Griffith University  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doug","family":"Shelton","sequence":"additional","affiliation":[{"name":"Child Development Service Gold Coast Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Donovan","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0292-6355","authenticated-orcid":false,"given":"Haydn","family":"Till","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Queensland Australia"},{"name":"Child Development Service Gold Coast Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bronwyn M.","family":"Theroux","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Dawe","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-024-03656-w"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13625"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14598"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108412"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2038"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.10.027"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2016.06.002"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-71023-z"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000001282"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2814"},{"key":"e_1_2_10_12_1","first-page":"1","article-title":"Carer\u2010Reported Sleep Disturbance and Carer\u2010 and Teacher\u2010Rated Executive Functioning in Children With Prenatal Alcohol Exposure and Fetal Alcohol Spectrum Disorder","volume":"12","author":"Chandler\u2010Mather N.","year":"2024","journal-title":"Child Neuropsychology"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01345-8"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/23.8.1d"},{"key":"e_1_2_10_15_1","volume-title":"BRIEF\u20102: Behavior Rating Inventory of Executive Function","author":"Gioia G. 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