Journal Article

Treatment for Sleep Problems in Children with Autism and Caregiver Spillover Effects

Tilford, J. Mick, Payakachat, Nalin, Kovacs, Erica, Frye, Richard E., Bellando, Jayne, Kuhlthau, Karen A., Pyne, Jeffrey M., Williams, D. Keith, Brouwer, Werner B. F.

2015

Overview

Sleep problems in children with autism spectrum disorders (ASD) are under-recognized and under-treated. Identifying treatment value accounting for health effects on family members (spillovers) could improve the perceived cost-effectiveness of interventions to improve child sleep habits. A prospective cohort study (N = 224) was conducted with registry and postal survey data completed by the primary caregiver. We calculated quality of life outcomes for the child and the primary caregiver associated with treatments to improve sleep in the child based on prior clinical trials. Predicted treatment effects for melatonin and behavioral interventions were similar in magnitude for the child and for the caregiver. Accounting for caregiver spillover effects associated with treatments for the child with ASD increases treatment benefits and improves cost-effectiveness profiles.

• Publisher: Springer US,Springer,Springer Nature B.V
• Subject: Adult / Autism / Autism Spectrum Disorders / Autistic children / Autistic Disorder - complications / Autistic Disorder - drug therapy / Autistic Disorder - therapy / Behavior Therapy / Behavioral Science and Psychology / Care and treatment / Caregivers / Caregivers - psychology / Child / Child & adolescent psychiatry / Child and School Psychology / Child Caregivers / Child Health / Children / Children & youth / Childrens health / Clinical research / Clinical trials / Cohort analysis / Cost analysis / Cost Effectiveness / Cost of Illness / Cost-Benefit Analysis / Cross-Sectional Studies / Data quality / Decision making / Departments / Developmental Stages / Disorders / Drug Therapy / Emotional distress / Emotional regulation / Emotional-Behavioural problems / Emotions / Families & family life / Family (Sociological Unit) / Family Environment / Female / Habits / Health care expenditures / Health care policy / Humans / Intervention / Mail Surveys / Male / Medicine / Melatonin / Melatonin - therapeutic use / Mental health / Neurosciences / Original Paper / Outcomes of Treatment / Pediatrics / Pervasive Developmental Disorders / Pharmacoeconomics / Prospective Studies / Psychological distress / Psychology / Public Health / Quality of Life / Quality-Adjusted Life Years / Registries / Relatives / Self control / Sleep / Sleep apnea / Sleep disorders / Sleep Wake Disorders - complications / Sleep Wake Disorders - drug therapy / Sleep Wake Disorders - therapy / Surveys and Questionnaires / Systematic review / Treatment methods / Treatment outcomes / Value accounting / Young Adult