Autism & Developmental

The sleep problems in individuals with Rett syndrome and their caregivers.

Huang et al. (2024) · Autism : the international journal of research and practice 2024
★ The Verdict

Sleep loss is common in Rett syndrome, but new telehealth studies prove these clients can still learn communication skills.

✓ Read this if BCBAs serving Rett syndrome clients in home or clinic.
✗ Skip if Clinicians who only treat high-functioning verbal clients.

01Research in Context

01

What this study did

The team looked at sleep in 29 people with Rett syndrome.

Parents filled out forms about their own sleep and their child’s sleep.

The paper is a simple description, not a treatment test.

02

What they found

Most of the 29 patients had sleep trouble.

Caregivers also said they slept poorly.

The study only tells us the problem exists; it does not try to fix it.

03

How this fits with other research

de Jonge et al. (2025), Howard et al. (2023), and EScior et al. (2023) all show the same group can learn new skills.

These three studies used parent coaching over Zoom to teach AAC use, requests, and page-linking.

The 2024 sleep paper shows what is wrong; the 2023-2025 papers show we can still teach useful skills.

McGonigle et al. (2014) did this first with voice-output switches, so the idea is not new—just easier now with telehealth.

04

Why it matters

If you work with Rett syndrome, expect tired families.

Screen for sleep issues at intake.

Then remember the same clients can still learn communication skills via remote parent coaching, so do not hold back on AAC trials just because they are sleepy.

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→ Action — try this Monday

Add one question about night sleep to your caregiver intake form.

02At a glance

Intervention
not applicable
Design
case series
Sample size
29
Population
other
Finding
not reported

03Original abstract

Sleep problems are common and impactful among individuals with Rett syndrome (RTT) and their caregivers. We examined the sleep patterns of 29 RTT patients and their primary caregivers using various assessment tools. The study found that a majority of the patients experienced sleep disturbances, with younger patients showing more sleep difficulties. Caregivers also reported poor sleep quality. The findings emphasize the need to address sleep problems in RTT management, as improving sleep quality can positively impact the well-being of individuals with RTT and their caregivers.

Autism : the international journal of research and practice, 2024 · doi:10.1177/13623613241254620