Practitioner Development

Recommendations for Identifying Sleep Problems and Treatment Resources for Children with Autism Spectrum Disorder

Abel et al. (2017) · Behavior Analysis in Practice 2017
★ The Verdict

Screen sleep first, then run brief behavioral fixes before trying pills or supplements.

✓ Read this if BCBAs treating preschool or early-elementary kids with autism who wake at night.
✗ Skip if Clinicians already using full sleep clinics or medical teams.

01Research in Context

01

What this study did

Abel and colleagues wrote a how-to guide for BCBAs who see tired kids with autism.

They pulled together studies on bedtime battles, night wakings, and early rising.

The paper gives step-by-step ways to screen sleep and pick first-line fixes.

02

What they found

The team says start with behavior tools, not pills.

Bedtime fading, sleep hygiene, and happy bedtime routines top the list.

They hand you a simple sleep log and tell you what red flags to chase.

03

How this fits with other research

Magaña et al. (2013) already showed these same ABA tricks work in real homes.

Sirao et al. (2026) later ranked exercise as the strongest fix, with melatonin second.

The two papers do not clash—Li adds new data, Abel gives the road map.

McLay et al. (2021) then proved function-based parent training helps 41 clinic kids, backing Abel’s advice.

04

Why it matters

You now have a quick script for weary parents at intake.

Hand them the sleep log, teach bedtime fading, and track for two weeks.

If gains stall, loop in mild exercise before melatonin.

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→ Action — try this Monday

Give parents the 7-night sleep log and start 15-minute bedtime fading tonight.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Many young children experience sleep problems that may influence their daytime functioning. These sleep problems are especially prevalent in young children with autism spectrum disorder (ASD). Therefore, general recommendations for identifying and treating sleep problems in children with ASD are needed for behavior analysts to identify potential sleep problems and make empirically informed decisions regarding treatment options. The current paper seeks to provide behavior analysts, who work with children with ASD, with informative research on pediatric sleep problems, sleep measures, and options for behavioral sleep treatment.

Behavior Analysis in Practice, 2017 · doi:10.1007/s40617-016-0158-4