{"id":{"repo_id":"brock","oai_identifier":"oai:brocku.scholaris.ca:10464/17570"},"canonical_url":"https://search.dev.ndltd.org/etd/brock/oai:brocku.scholaris.ca:10464/17570","repository":{"repo_id":"brock","name":"Brock University","base_url":"https://brocku.scholaris.ca/server/oai/request"},"display":{"title":"Evaluation of a Telehealth Parent Training Program for Parents of Children with Autism Spectrum Disorder and Sleep Difficulties","abstract":"Many children with autism spectrum disorder (ASD) experience some form of sleep difficulty (e.g., delayed sleep onset, unwanted co-sleeping, prolonged or frequent night wakings). Although research supports parent-implemented behaviour-analytic sleep interventions to address sleep difficulties in children with ASD (e.g., Jin et al., 2013; Linnehan et al., 2022), more research is needed to determine how accurately parents implement behavioural sleep interventions and the effectiveness of parent training and coaching via telehealth. The present study used a concurrent multiple baseline across participants design to evaluate parents’ ability to implement their child’s behaviour-analytic sleep intervention (i.e., treatment fidelity) and a pre-/post-test design to evaluate parents’ ability to monitor and make decisions related to their child’s sleep (i.e., decision-making accuracy). Parent stress levels were evaluated pre- and post-intervention using the Parenting Stress Index 4th Edition Short Form (PSI-4-SF; Abidin, 2012). Child sleep-related outcomes (e.g., sleep onset delay, occurrences of sleep-interfering behaviours, and total sleep duration) were also monitored. Four parent-child dyads participated; mothers were the primary parent participants. Parents received behavioural skills training and nighttime coaching, via telehealth, over a 12-week intervention period. Overall, results indicate that parents’ treatment fidelity remained high throughout intervention (i.e., >80%). Further, parents’ decision-making accuracy increased from pre-test to post-test and remained at post-test levels during intervention. Two of four parents returned the PSI-4-SF. Results indicate that the intervention did not increase or decrease parent stress levels. Additionally, sleep onset delay decreased for two of four child participants. Occurrences of sleep-interfering behaviours remained variable for all child participants. Total sleep duration increased for two of four child participants. All three children who were co-sleeping at the start of the study were sleeping independently by the end of the study. All parents rated the sleep intervention as positive and acceptable. Strengths, limitations, and areas for future research are discussed.","abstract_html":"Many children with autism spectrum disorder (ASD) experience some form of sleep difficulty (e.g., delayed sleep onset, unwanted co-sleeping, prolonged or frequent night wakings). Although research supports parent-implemented behaviour-analytic sleep interventions to address sleep difficulties in children with ASD (e.g., Jin et al., 2013; Linnehan et al., 2022), more research is needed to determine how accurately parents implement behavioural sleep interventions and the effectiveness of parent training and coaching via telehealth. The present study used a concurrent multiple baseline across participants design to evaluate parents’ ability to implement their child’s behaviour-analytic sleep intervention (i.e., treatment fidelity) and a pre-/post-test design to evaluate parents’ ability to monitor and make decisions related to their child’s sleep (i.e., decision-making accuracy). Parent stress levels were evaluated pre- and post-intervention using the Parenting Stress Index 4th Edition Short Form (PSI-4-SF; Abidin, 2012). Child sleep-related outcomes (e.g., sleep onset delay, occurrences of sleep-interfering behaviours, and total sleep duration) were also monitored. Four parent-child dyads participated; mothers were the primary parent participants. Parents received behavioural skills training and nighttime coaching, via telehealth, over a 12-week intervention period. Overall, results indicate that parents’ treatment fidelity remained high throughout intervention (i.e., >80%). Further, parents’ decision-making accuracy increased from pre-test to post-test and remained at post-test levels during intervention. Two of four parents returned the PSI-4-SF. Results indicate that the intervention did not increase or decrease parent stress levels. Additionally, sleep onset delay decreased for two of four child participants. Occurrences of sleep-interfering behaviours remained variable for all child participants. Total sleep duration increased for two of four child participants. All three children who were co-sleeping at the start of the study were sleeping independently by the end of the study. All parents rated the sleep intervention as positive and acceptable. Strengths, limitations, and areas for future research are discussed.","abstract_has_math":false,"creators":["Randhawa, Aman-Preet"],"institution":"Brock University","degree_name":"M.A. Applied Disability Studies","degree_level":"Masters","degree_discipline":"Faculty of Social Sciences","degree_department":"Center for Applied Disability Studies","school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-03-24T18:19:35Z","date_published":"2023-03-24T18:19:35Z","updated_at":"2026-07-24T01:23:04Z","subjects":["parent training","parent coaching","treatment fidelity","behavioural sleep intervention","telehealth"],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/10464/17570","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.department","label":"Department","values":["Center for Applied Disability Studies"]},{"key":"dc:creator","label":"Author","values":["Randhawa, Aman-Preet"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-03-24T18:19:35Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-03-24T18:19:35Z"]},{"key":"dc:date.issued","label":"Date","values":["2023-03-24T18:19:35Z"]},{"key":"dc:type","label":"Dc Type","values":["Electronic Thesis or Dissertation"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Faculty of Social Sciences"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Masters"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M.A. Applied Disability Studies"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["Brock University"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["parent training","parent coaching","treatment fidelity","behavioural sleep intervention","telehealth"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/10464/17570"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Many children with autism spectrum disorder (ASD) experience some form of sleep difficulty (e.g., delayed sleep onset, unwanted co-sleeping, prolonged or frequent night wakings). Although research supports parent-implemented behaviour-analytic sleep interventions to address sleep difficulties in children with ASD (e.g., Jin et al., 2013; Linnehan et al., 2022), more research is needed to determine how accurately parents implement behavioural sleep interventions and the effectiveness of parent training and coaching via telehealth. The present study used a concurrent multiple baseline across participants design to evaluate parents’ ability to implement their child’s behaviour-analytic sleep intervention (i.e., treatment fidelity) and a pre-/post-test design to evaluate parents’ ability to monitor and make decisions related to their child’s sleep (i.e., decision-making accuracy). Parent stress levels were evaluated pre- and post-intervention using the Parenting Stress Index 4th Edition Short Form (PSI-4-SF; Abidin, 2012). Child sleep-related outcomes (e.g., sleep onset delay, occurrences of sleep-interfering behaviours, and total sleep duration) were also monitored. Four parent-child dyads participated; mothers were the primary parent participants. Parents received behavioural skills training and nighttime coaching, via telehealth, over a 12-week intervention period. Overall, results indicate that parents’ treatment fidelity remained high throughout intervention (i.e., >80%). Further, parents’ decision-making accuracy increased from pre-test to post-test and remained at post-test levels during intervention. Two of four parents returned the PSI-4-SF. Results indicate that the intervention did not increase or decrease parent stress levels. Additionally, sleep onset delay decreased for two of four child participants. Occurrences of sleep-interfering behaviours remained variable for all child participants. Total sleep duration increased for two of four child participants. All three children who were co-sleeping at the start of the study were sleeping independently by the end of the study. All parents rated the sleep intervention as positive and acceptable. Strengths, limitations, and areas for future research are discussed."]},{"key":"dc:title","label":"Title","values":["Evaluation of a Telehealth Parent Training Program for Parents of Children with Autism Spectrum Disorder and Sleep Difficulties"]}]}],"canonical_facts":{"dc:contributor.department":["Center for Applied Disability Studies"],"dc:creator":["Randhawa, Aman-Preet"],"dc:date.accessioned":["2023-03-24T18:19:35Z"],"dc:date.available":["2023-03-24T18:19:35Z"],"dc:date.issued":["2023-03-24T18:19:35Z"],"dc:description.abstract":["Many children with autism spectrum disorder (ASD) experience some form of sleep difficulty (e.g., delayed sleep onset, unwanted co-sleeping, prolonged or frequent night wakings). Although research supports parent-implemented behaviour-analytic sleep interventions to address sleep difficulties in children with ASD (e.g., Jin et al., 2013; Linnehan et al., 2022), more research is needed to determine how accurately parents implement behavioural sleep interventions and the effectiveness of parent training and coaching via telehealth. The present study used a concurrent multiple baseline across participants design to evaluate parents’ ability to implement their child’s behaviour-analytic sleep intervention (i.e., treatment fidelity) and a pre-/post-test design to evaluate parents’ ability to monitor and make decisions related to their child’s sleep (i.e., decision-making accuracy). Parent stress levels were evaluated pre- and post-intervention using the Parenting Stress Index 4th Edition Short Form (PSI-4-SF; Abidin, 2012). Child sleep-related outcomes (e.g., sleep onset delay, occurrences of sleep-interfering behaviours, and total sleep duration) were also monitored. Four parent-child dyads participated; mothers were the primary parent participants. Parents received behavioural skills training and nighttime coaching, via telehealth, over a 12-week intervention period. Overall, results indicate that parents’ treatment fidelity remained high throughout intervention (i.e., >80%). Further, parents’ decision-making accuracy increased from pre-test to post-test and remained at post-test levels during intervention. Two of four parents returned the PSI-4-SF. Results indicate that the intervention did not increase or decrease parent stress levels. Additionally, sleep onset delay decreased for two of four child participants. Occurrences of sleep-interfering behaviours remained variable for all child participants. Total sleep duration increased for two of four child participants. All three children who were co-sleeping at the start of the study were sleeping independently by the end of the study. All parents rated the sleep intervention as positive and acceptable. Strengths, limitations, and areas for future research are discussed."],"dc:identifier.uri":["http://hdl.handle.net/10464/17570"],"dc:language.iso":["eng"],"dc:subject":["parent training","parent coaching","treatment fidelity","behavioural sleep intervention","telehealth"],"dc:title":["Evaluation of a Telehealth Parent Training Program for Parents of Children with Autism Spectrum Disorder and Sleep Difficulties"],"dc:type":["Electronic Thesis or Dissertation"],"thesis:degree_discipline":["Faculty of Social Sciences"],"thesis:degree_level":["Masters"],"thesis:degree_name":["M.A. Applied Disability Studies"],"thesis:institution_name":["Brock University"]},"updated_at":"2026-07-24T01:23:04Z"}