ABA Fundamentals

Behavior management of infant sleep disturbance.

France et al. (1990) · Journal of applied behavior analysis 1990
★ The Verdict

Graduated extinction plus a bedtime cue quickly cuts infant night wakings and the effect lasts years.

✓ Read this if BCBAs helping families of typically developing babies who wake more than three times a night.
✗ Skip if Clinicians serving only older youth or kids with autism who need different sleep tools.

01Research in Context

01

What this study did

Seven babies who woke often at night were taught to sleep longer.

Parents used graduated extinction plus stimulus control.

They waited longer each night before picking the baby up.

A night-light and soft toy signaled bedtime only.

The team tracked wakings across homes for many months.

02

What they found

All babies cut night wakings by a lot.

The gains lasted up to two years.

Parents also slept more and felt less stress.

03

How this fits with other research

Lejuez et al. (2001) used the same extinction logic on attention-based tantrums.

Both studies show that withholding reinforcement drops the behavior fast.

Sobsey et al. (1983) warned that parent-training gains often fade.

The 1990 sleep study answers that worry by tracking 24-month follow-up.

It adds long-term proof that parents can keep results when you build clear steps.

04

Why it matters

You can give exhausted parents a simple plan tonight.

Pair a short wait-time ladder with a special bedtime cue.

Track wakings on a phone app and review each week.

The study says gains stick, so your brief coaching can save months of call-backs.

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→ Action — try this Monday

Teach one parent to wait 2, then 4, then 6 minutes before check-ins and turn on the same night-light only at bedtime—graph the wakings for one week.

02At a glance

Intervention
extinction
Design
multiple baseline across participants
Sample size
7
Population
neurotypical
Finding
positive
Magnitude
large

03Original abstract

Using a nonconcurrent multiple baseline design, we evaluated the effects of extinction and stimulus control on nighttime sleep disturbances exhibited by 7 infants. Results showed that frequency and duration of night wakings decreased for all subjects, with corresponding improvements reflected through changes in responses to the sleep behavior scale. Observed improvements maintained at 3 and 24 months posttreatment.

Journal of applied behavior analysis, 1990 · doi:10.1901/jaba.1990.23-91