Abstract
Several subjective and direct methods have been used to measure and assess sleep patterns and problems among children and youth with autism spectrum disorder (ASD). In this paper, we describe the design, operating functions, and application of a computer-assisted system of sleep monitoring and data recording to improve measurement integrity of overnight care providers at a residential school. Descriptive and longitudinal evaluation conducted over a four-year evaluation period revealed that care providers averaged 91% implementation integrity with the system. A subsequent social validity assessment through survey questionnaire found that care providers uniformly rated the system as easy to learn, understand, and implement. We discuss the advantages of the system for sleep measurement and assessment of children and youth who have ASD and receive services in residential-care settings.
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Carr, J. E., Wilder, D. A., Majdalany, I., Mathisen, D., & Strain, LO. (2013). An assessment based solution to a human service employee performance problem: An initial evaluation of the Performance Diagnostic Checklist-Human Services. Behavior Analysis is Practice, 6, 16–31.
Didden, R., Curfs, L. M. G., Sikkema, S. P. E., & de Moor, J. (1998). Functional assessment and treatment of sleeping problems with developmentally disabled children: Six case studies. Journal of Behavior Therapy & Experimental Psychiatry, 29, 85–97.
Durand, V. M. (2014). Sleep problems. In J. K. Luiselli (Ed.), Children and youth with autism spectrum disorder (ASD): Recent advances and innovations in assessment, education, and intervention (pp. 174–192). New York: Oxford University Press.
Gabriels, R. L., Cuccaro, M. L., Hill, D. E., Ivers, B. J., & Goldson, E. (2005). Repetitive behaviors in autism: Relationships with associated clinical features. Research in Developmental Disabilities, 26, 169–181.
Goldman, S. E., Surdyka, K., Cuevas, R., Adkins, K., Wang, L., & Malow, B. A. (2009). Defining the sleep phenotype in children with autism. Developmental Neuropsychology, 34, 560–573.
Goldman, S. E., McGrew, S., Johnson, K. P., Richdate, A. L., Clemons, T., & Marlow, B. A. (2011). Sleep is associated with problem behaviors in children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 1223–1229.
Hodge, D., Parnell, A. M. N., Hoffman, C. D., & Sweeney, D. P. (2012). Methods for assessing sleep in children with autism spectrum disorders: A review. Research in Autism Spectrum Disorders, 6, 1337–1344.
Hodge, D., Hoffman, C. D., Sweeney, D. P., & Riggs, M. L. (2013). Relationship between children’s sleep and mental health in mothers of children with and without autism. Journal of Autism and Developmental Disorders, 43, 956–963.
Hogan, J. N., & Baucom, B. R. (2016). Behavioral, affective, and physiological monitoring. In J. K. Luiselli & A. J. Fischer (Eds.), Computer-assisted and web based innovations in psychology, special education, and health (pp. 3–31). New York: Elsevier/Academic Press.
Hollway, J. A., & Aman, M. G. (2011). Sleep correlates of pervasive developmental disorders: A review of the literature. Research in Developmental Disabilities, 32, 1399–1421.
Kotagal, S., & Broomall, E. (2012). Sleep in children with autism spectrum disorder. Pediatric Neurology, 47, 242–251.
Lesser, A. D., Luczynski, K. C., & Hood, S. A. (2019). Evaluating motion detection to score sleep disturbance for children: A translational approach to developing a measurement system. Journal of Applied Behavior Analysis, 52, 580–599.
Luiselli, J. K. (2016). Sleep and sleep-related problems. In J. K. Luiselli (Ed.), Behavioral health promotion and intervention in intellectual and developmental disabilities (pp. 163–176). New York: Springer.
Luiselli, J. K., Magee, C., Sperry, J. M., & Parker, S. (2005). Descriptive assessment of sleep patterns among community-living adults with mental retardation. Mental Retardation, 43, 416–420.
Malow, B. A., Crowe, C., Henderson, L., McGrew, S. G., Wang, L., Song, Y., & Stone, W. L. (2009). A sleep habits questionnaire for children with autism spectrum disorders. Journal of Child Neurology, 24, 19–24.
Malow, B. A., MacDonald, L. L., Fawkes, D. B., & Alder, M. L. (2016). Teaching children with autism spectrum disorder how to sleep better: A pilot educational program for parents. Clinical Practice in Pediatric Psychology, 4, 125–136.
Mannion, A., & Leader, G. (2014). Sleep problems in autism spectrum disorder: A literature review. Review Journal of Autism and Developmental Disorders, 1, 101–109.
McKay, D., Przeworski, A., & O’Neill, S. (2016). Emerging technologies for clinical practice. In J. K. Luiselli & A. J. Fischer (Eds.), Computer-assisted and web based innovations in psychology, special education, and health (pp. 365–378). New York: Elsevier/Academic Press.
McLay, L. K., France, K. G., Knight, J., Blampied, N. M., & Hastie, B. (2019). The effectiveness of function-based interventions to treat sleep problems including unwanted co-sleeping in children with autism. Behavioral Interventions, 34, 30–51.
Meltzer, L. J. (2011). Factors associated with depressive symptoms in parents of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 361–367.
Owens, J. A., Nobile, C., McGuinn, M., & Spirito, A. (2000). The Children’s sleep habits questionnaire: Construction and validation of a sleep survey for school-age children. Sleep, 23, 1043–1051.
Richdale, A. L., & Schreck, K. A. (2009). Sleep problems in autism spectrum disorders: Prevalence, nature, and possible biopsychosocial etiologies. Sleep Medicine Reviews, 13, 403–411.
Richdale, A., Gavidia-Payne, S., Francis, A., & Cotton, S. (2000). Stress, behavior, and sleep problems in children with intellectual disability. Journal of Intellectual and Developmental Disability, 25, 147–161.
Rzepecka, H., McKenzie, K., McClure, I., & Murphy, S. (2011). Sleep, anxiety, and challenging behavior in children with intellectual disability and/or autism spectrum disorder. Research in Developmental Disabilities, 32, 2758–2766.
Sadeh, A. (2004). A brief screening questionnaire for infant sleep problems: Validation and findings for an internet sample. Pediatrics, 113, 570–577.
Sadeh, A. (2011). The role and validity of actigraphy in sleep medicine: An update. Sleep Medicine Review, 15, 259–267.
Sadeh, A. (2015). Sleep assessment methods. Monographs of the Society of Research in Child Development, 80, 33–48.
Schreck, K. A., Mulick, J. A., & Rojahn, J. (2003). Development of the behavioral evaluation of disorders of sleep scale. Journal of Child and Family Studies, 12, 349–359.
Schreck, K. A., Mulick, J. A., & Smith, A. F. (2004). Sleep problems as possible predictors of intensified symptoms in autism. Research in Developmental Disabilities, 25, 57–66.
Williams, P., Sears, L. L., & Allard, A. (2004). Sleep problems in children with autism. Journal of Sleep Research, 13, 265–268.
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Shlesinger, A., Duhanyan, K., Bird, F. et al. Description, Implementation Integrity, and Social Validity of a Computer-Assisted Sleep Monitoring System among Residential Care Providers of Students with Autism Spectrum Disorder. J Dev Phys Disabil 32, 365–374 (2020). https://doi.org/10.1007/s10882-019-09698-w
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DOI: https://doi.org/10.1007/s10882-019-09698-w