Function-Based Behavioral Interventions for Sleep Problems in Children and Adolescents with Autism: Summary of 41 Clinical Cases.
Parent-run, function-based ABA sleep plans helped every one of 41 autistic kids and teens in a clinic case series.
01Research in Context
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.
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.
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.
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.
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02At a glance
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