The Efficiency of a Sleep Hygiene Intervention to Improve Sleep Problems in Children with Attention Deficit/Hyperactivity Disorder and Maternal Mental Health

Aim: Pediatric sleep problems can result in negative consequences for both mothers and children. Considering the relatively high prevalence of sleep disorders among children with ADHD (Attention Deficit/Hyperactivity Disorder), this study was designed to investigate the impact of a sleep hygiene intervention to promote sleep problems in children with ADHD and maternal mental health. Methods: This randomized controlled trial was conducted on 62 children aged 7-13 years with the diagnosis of ADHD and comorbid sleep disorders accompanied by their mothers. Children's Sleep Habits Questionnaire (CSHQ) and Depression, Anxiety and Stress Scale (DASS) were completed by the children's mothers, and then the participants were allocated randomly into experimental and control groups. Mothers of the children in the experimental group received a sleep hygiene educational intervention, which was delivered through a training session and a booklet followed by two telephone calls and educational text messages. Participants in the control group received usual clinical care. The post-test was performed two months after intervention. Findings: 56 participants (experimental group: n=28, control group: n=28) completed the survey. Data analysis showed that, compared with the control group, the experimental group had a significant reduction in mean scores of CSHQ (P=0.001) and stress subscale scores (F= 0.106, P= 0/015), after controlling pre-test. Besides, the mothers' stress was correlated with the children's CSHQ overall scores (r= 0.52, P= 0.001). Conclusion: Implementing a sleep hygiene intervention in a sample of children with ADHD could result in improved children sleep problems and maternal well-being.