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Behavioural interventions for sleep problems in people with an intellectual disability : a systematic review and meta-analysis of single case and group studies
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Priday, Lee, Byrne, Christopher and Totsika, Vasiliki (2017) Behavioural interventions for sleep problems in people with an intellectual disability : a systematic review and meta-analysis of single case and group studies. Journal of Intellectual Disability Research, 61 (1). pp. 1-15. doi:10.1111/jir.12265 ISSN 0964-2633.
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Official URL: http://dx.doi.org/10.1111/jir.12265
Abstract
Background
Behavioural interventions are frequently used to address sleep problems in people with intellectual disabilities (ID). The current study aimed to systematically review evidence on the efficacy of behavioural interventions for children and adults with ID and sleep problems.
Method
Electronic and hand searches identified seven studies for inclusion (N=169). Standardized mean difference effect sizes (d) were calculated for group studies (N=4). Non-overlap effect sizes (Tau-U) were calculated for single case experimental design studies (SCEDs; N=3).
Results
A large effect size (weighted d = 0.923, CI: 0.705 to 1.151) across group studies indicated large improvements in sleep problems following behavioural intervention. Effect size across SCEDs (weighted Tau-U: 0.528, CI: 0.351 to 0.705) indicated a 53% improvement compared to baseline. Sleep initiation and sleep maintenance problems showed significant improvements post-intervention. Follow-up effects were less consistent across study designs, and suggested that some sleep problems maintain gains better than others.
Conclusion
Meta-analytic evidence from group and SCEDs can provide complementary information about efficacy. Findings propose that behavioural interventions are a promising evidence-based practice for improving sleep problems in people with ID.
Item Type: | Journal Article | ||||||||||
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Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > R Medicine (General) R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) | ||||||||||
Library of Congress Subject Headings (LCSH): | Mental retardation , Meta-analysis, Sleep disorders | ||||||||||
Journal or Publication Title: | Journal of Intellectual Disability Research | ||||||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||||
ISSN: | 0964-2633 | ||||||||||
Official Date: | January 2017 | ||||||||||
Dates: |
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Volume: | 61 | ||||||||||
Number: | 1 | ||||||||||
Page Range: | pp. 1-15 | ||||||||||
DOI: | 10.1111/jir.12265 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||
Date of first compliant deposit: | 20 January 2016 | ||||||||||
Date of first compliant Open Access: | 7 March 2018 |
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