Service Delivery

Comparison of Online and Face-to-Face Parent Education for Children with Autism and Sleep Problems.

Roberts et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Online parent sleep coaching matches face-to-face results and leaves parents less tired.

✓ Read this if BCBAs helping autistic children with bedtime issues in rural or overloaded clinics.
✗ Skip if Practitioners who only treat daytime behavior or have no internet access.

01Research in Context

01

What this study did

Pitchford et al. (2019) compared two ways to teach parents how to fix sleep problems in kids with autism.

One group met the trainer in person. The other group learned the same lessons through a computer.

Both groups got the same bedtime tips, then the team tracked the kids’ sleep and the parents’ energy for several weeks.

02

What they found

Both sets of families saw better sleep and felt less tired.

The online families kept fewer night wakings and lower parent fatigue at follow-up.

In short, web coaching worked just as well as sitting in a clinic—and saved travel time.

03

How this fits with other research

Dai et al. (2023) later tested a fully self-paced online program. Parents learned more skills, but child social gains needed longer than the study window. Together the papers show online parent training is doable; sleep goals just need fewer sessions than social goals.

Delemere et al. (2017) had parents run bedtime fading in their own homes and saw mixed but mostly good sleep changes. Pitchford et al. (2019) adds that you can teach those same tools just as well on a screen.

Perez et al. (2015) found that weekly Zoom coaching helped parents cut problem behavior by over 90%. Pitchford et al. (2019) mirror that success in a different domain—sleep—proving telehealth parent coaching travels beyond behavior reduction.

04

Why it matters

If your families drive long distances or miss work for clinic visits, offer the sleep-education class online. You keep the gains, drop the commute, and parents finish the course less exhausted.

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Email families a Zoom link, share the same bedtime slides you use in clinic, and track night wakings with a simple log.

02At a glance

Intervention
caregiver coaching
Design
quasi experimental
Sample size
23
Population
autism spectrum disorder
Finding
positive

03Original abstract

Many children with autism spectrum disorder (ASD) have sleep disorders. Face-to-face (F2F) sessions have empowered parents to help their child sleep. Our goal was whether online technologies could provide similar improvements in children's sleep while also improving parents' quality of life. Identical programs were taught in two sessions to F2F and online parents. Measurements were compared from baseline to 4 and 8 weeks post teaching sessions. Twenty-three participants completed the program. Parent quality of life improved for both groups. Parent fatigue scores were improved and sustained for the online group. The total sleep score improved for both groups, while the online group had sustained decreases in night wakings. Online methods can conveniently help improve sleep for children with ASD.

Journal of autism and developmental disorders, 2019 · doi:10.1016/0277-9536(95)00112-K