Autism & Developmental

Impact of sleepwise: an intervention for youth with developmental disabilities and sleep disturbance.

Moss et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

Five parent meetings using Sleepwise cut sleep problems and caregiver stress in teens with developmental disabilities.

✓ Read this if BCBAs serving tweens or teens with autism or developmental delays who wake at night or need hours to fall asleep.
✗ Skip if Clinicians working only with adults or kids under five.

01Research in Context

01

What this study did

Researchers ran a randomized trial of Sleepwise, a five-session parent-training program. Tweens and teens with developmental disabilities and chronic sleep problems took part. Half the families got Sleepwise right away; the other half waited.

Parents learned bedtime routines, response to night wakings, and how to track sleep with simple logs.

02

What they found

Kids in the Sleepwise group fell asleep faster and woke less often. Parents also reported lower stress. Gains held two months later.

03

How this fits with other research

Meier et al. (2012) showed sleep issues shift with age: little kids fight bedtime, teens lie awake for hours. Sleepwise targets the teen pattern, so the match is tight.

Wimpory et al. (2002) found long sleep-onset in children with PDD even when parents did not complain. Sleepwise gives parents tools to act on that hidden problem.

Andrews et al. (2024) later tested a five-session parent package for Down-syndrome youth and also cut behavior problems. Both trials show brief parent training can work across developmental disabilities.

04

Why it matters

You can run Sleepwise in five short meetings. Teach parents a wind-down routine, a set bedtime, and to ignore mild protests. Hand out a simple sleep log. Most families see fewer night wakings within weeks. Use it for middle- and high-schoolers with autism or other delays who take forever to fall asleep or wake the house at 2 a.m.

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→ Action — try this Monday

Pick one family whose teen lies awake past midnight. Give them the Sleepwise bedtime routine sheet and start the sleep log tonight.

02At a glance

Intervention
sleep intervention
Design
randomized controlled trial
Sample size
26
Population
developmental delay
Finding
positive

03Original abstract

The prevalence of sleep disturbance among children with developmental disabilities is known to be considerably higher than the typical population. The current study examined the effectiveness of the Sleepwise intervention program (O'Connell and Vannan in Aust Occup Ther J 55:212-214, 2008): a parent-assisted group-based treatment for sleep disturbance which was recently adapted for older children and adolescents with DD. Twenty-six families with children aged 8-17 years participated. The study compared a treatment and a wait-list control group at baseline, post-treatment and 2 months post-treatment on measures of child and parent functioning. Results demonstrated that the Sleepwise approach was effective in reducing sleep disturbance and parent stress. Limitations and future research directions are discussed.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-014-2040-y