Abstract
BackgroundIndividuals with autism spectrum disorder (ASD) experience high rates of sleep problems. Parent-implemented behavioral sleep interventions for young children with ASD are increasingly supported by research. Few studies have evaluated such interventions for older children and adolescents, nor has research investigated the effectiveness of having the young person collaborate in the design and implementation of their intervention (hereafter termed ‘young person-implemented interventions’). MethodFunctional behavioral assessment (FBA) was used to identify putative cognitive-behavioral factors maintaining sleep disturbance in eight 9- to 15-year-old participants with ASD. A series of case studies is presented that investigated the effectiveness of individualized, FBA-informed, young person-implemented sleep interventions, with parent-implemented treatments provided as necessary. ResultsTreatment was effective in reducing sleep disturbance (e.g., extended night wakings, unwanted co-sleeping) for all participants, with results mostly maintained at follow-up. Young people and their parents generally viewed treatments favorably. ConclusionsResults demonstrate the feasibility, effectiveness, and acceptability of treating sleep disturbance in ASD via young person-implemented, parent-assisted, treatment.
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