This trial is evaluating whether Sleep Health in Preschoolers (SHIP) will improve 15 primary outcomes and 9 secondary outcomes in patients with Dyssomnias. Measurement will happen over the course of Change from baseline to one month post-intervention.
This trial requires 500 total participants across 4 different treatment groups
This trial involves 4 different treatments. Sleep Health In Preschoolers (SHIP) is the primary treatment being studied. Participants will be divided into 3 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
Patients with dyssomnias present with an intermittent, often alarming and recurrent insomnia with symptoms including restlessness, headaches, increased sweating and decreased appetite. These are often accompanied by sleep-related and other disturbances. Patients should be evaluated for sleep disorders particularly when their sleep habits are abnormal. Sleep disorders should be included in the differential diagnosis of hypersomnia.
The majority of prescribed medications are used only when symptoms are severe or for the treatment of secondary symptoms such as agitation, which are not the primary purpose of the medication and therefore may not be required, even though they have proven effectiveness in alleviating such symptoms.
Dysfunctions of sleep-wake states can be assessed objectively and adequately treated. Although some patients are able to sleep again without symptoms, many need to learn to sleep independently or to sleep for longer periods.
The prevalence of dyssomnias was low. In the large majority of cases, the cause was unknown. In these cases, a nonclinical genetic basis was unlikely. Only small-or moderate-size studies are needed before excluding an important genetic risk factor.
It is estimated that there are more than 5 million patients with an undiagnosed and untreated sleep-wake disorder in the United States. These patients are, however, not adequately recognized or studied. This project is intended to highlight the importance of sleep medicine among neurology and general medicine doctors. Results from a recent clinical trial could also be used to make future recommendations and plans for conducting better studies of sleep disorders among the medical community.
Diagnosis of dyssomnias can be challenging and may require special diagnostic consideration. Sleep researchers, clinicians, and researchers in mood disorders are encouraged to seek appropriate diagnostic evaluation.
Findings from this project demonstrate the positive impacts that a sleep intervention can produce for children by fostering improved sleep structure and processes and reducing sleep complaints.
Sleep patterns were less uniform and more complex than would normally be expected in preschooler and older children. A significant proportion of preschooler sleep patterns are different from that in older children. Sleep patterns did not differ by age or sex. However, sleep disturbances did differ.
Although we used a small sample size, [this study confirms studies that have found that a variety of factors seem to be associated with the development of a chronic pain disorder and that may also play a role in the initiation of symptoms, particularly in the case of idiopathic dyssomnias. These factors include a past stressful experience or traumatic life event, which can modify the activity of NREM sleep generating centers in the brain; other factors include neurological risk factors, genetic traits, and lifestyle factors. The effects that these factors have on the development of dyssomnias are not clear.
Dyssomnias happen more commonly in childhood than in old age. The onset of dyssomnias often occurs around age 6, and it is rarely mentioned in the literature. Recent findings are important when clinicians discuss the diagnosis of dyssomnias with patients.
We found evidence that the effect of sleep is age and sex specific. While we found no statistically significant relationship between sleep and health behaviors, sleeping habits, and circadian rhythm, our results did show no increase of problems in sleep, and sleep quality was worse in the daytime.
In a recent study, findings demonstrated the effectiveness of the Sleep Health Project as an educational and motivational strategy in changing the attitudes and knowledge of parents toward sleep in young children. The Sleep Health Project was also effective with improving parents' attitudes and intentions within the pediatric setting to implement sleep patterns and strategies in their children. It was also successfully adopted by the staff of the NICU. In a recent study, findings demonstrated that the Sleep Health Project can be administered as an educational intervention at the nursery and that it may be a tool to reduce sleep problems in the preschool age, and to increase caregivers' knowledge and acceptance of sleep problems in young children.