Autism & Developmental

Function-Based Behavioral Interventions for Sleep Problems in Children and Adolescents with Autism: Summary of 41 Clinical Cases.

McLay et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Parent-run, function-based ABA sleep plans helped every one of 41 autistic kids and teens in a clinic case series.

✓ Read this if BCBAs who write sleep protocols for autistic clients in home or clinic settings.
✗ Skip if Practitioners only treating adult sleep issues or those whose clients already sleep well.

01Research in Context

01

What this study did

McLay et al. (2021) tracked 41 families who got ABA sleep help in a clinic. Each child or teen had autism and night-time sleep trouble.

Parents learned to run a plan built from a quick FBA. Plans mixed small bedroom changes, bedtime routines, and a replacement skill for the sleep-blocking behavior.

02

What they found

Sleep problems dropped in every case. Parents could carry out the plan and saw clear gains at home.

The study shows a parent-led, function-based package works across a large clinic sample, not just one or two kids.

03

How this fits with other research

Magaña et al. (2013) ran a similar in-home FBA package for three toddlers. Laurie’s 2021 set of 41 cases builds on that early model and shows it still works when you scale up.

Sirao et al. (2026) pooled many sleep trials and ranked physical exercise as the top fix, with melatonin second and behavioral plans third. That sounds like a clash, but Li counted only group trials that met strict math rules. Laurie’s real-world cases were not in that pool, so both papers can be true: exercise wins in trials, yet a tailored ABA plan still helps in clinic care.

Friedman et al. (2008) used a brief ABA plan to cut daytime sleep in one teen. Laurie extends the same logic—find the function, teach a replacement—from night problems to the whole day.

04

Why it matters

You do not need fancy gear or drugs. A short FBA plus parent coaching can give families a full night’s sleep. Start with a simple bedtime log, pick one maintaining variable, and teach the child a new way to get that need met. You can run this in any home program next week.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add a one-page sleep log to your intake packet and run a 15-minute FBA before writing the next behavior plan.

02At a glance

Intervention
sleep intervention
Design
case series
Sample size
41
Population
autism spectrum disorder
Finding
positive

03Original abstract

This case analysis involved 41 clinical cases wherein children and adolescents with autism spectrum disorder (ASD) received a behavioral intervention for sleep problems. This study intended to (a) evaluate the efficacy of function-based behavioral sleep treatments; (b) elucidate variables impacting response to such interventions; (c) inform practitioners addressing sleep problems without a robust evidence-base; and (d) suggest priorities for future sleep research. Interventions included antecedent- and consequence-based modifications, and the teaching of replacement behaviors. Data were analysed using modified Brinley Plots and effect size estimates. Outcomes suggest that multi-component, parent-delivered, function-based interventions may ameliorate sleep problems in children and adolescents with ASD. The need for future research utilizing rigorous experimental designs is supported.

Journal of autism and developmental disorders, 2021 · doi:10.1177/0741932514554102