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As people progress through each lesson they have access to additional written documents providing supplementary information about techniques such as managing sleep problems, assertiveness and problem solving skills, managing low mood, panic, and other common comorbid symptoms.
As people progress through each lesson they have access to additional written documents providing supplementary information about techniques such as managing sleep problems, panic, and other common comorbid symptoms.
Any strategies which reduce the need for medication would therefore be regarded as desirable [ 4]; identifying and managing sleep problems might be one such strategy.
Clinical management of sleep problems is also restricted by the lack of longitudinal data, which would inform the prognosis and thus the relative importance of managing sleep problems in children with ADHD.
One promising possibility is identifying and managing sleep problems, because of their very high prevalence and the fact that many sleep problems can be very readily treated using brief, parent-oriented behavioural interventions.
Behavioural strategies such as graduated extinction (where the parent returns to check on their crying child at increasing time intervals with brief parental reassurance) and positive bedtime routines [ 41, 42] have been shown to be the most effective strategies for managing sleep problems in children aged 6 months or older.
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To promote health and to prevent and manage sleep problems, the American Academy of Pediatrics (AAP) recommends that parents start promoting good sleep hygiene, with a sleep-promoting environment and a bedtime routine in infancy, and throughout childhood.
Whether a brief, behavioural intervention to manage sleep problems in new school entrants improves psychosocial functioning, sleep and a range of secondary outcomes related to successful school functioning.
We will screen for, recruit and manage sleep problems in children in two waves (each 18 months in duration) beginning 1 year apart to capture the preschool to school transition period of two consecutive cohorts of children.
If we could effectively manage sleep problems in children with ADHD then we may be able to improve child ADHD symptoms, quality of life and school attendance, as well as parent mental health and work attendance.
Therefore, in this translational, population-based trial, delivered in the school setting, we aim to determine Whether a brief, behavioural intervention to manage sleep problems in new school entrants improves psychosocial functioning, sleep and a range of secondary outcomes related to successful school functioning.
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