About this trial
In this proposal a brief web-based cognitive behavioral treatment for insomnia (CBT-I) for children with oppositional defiant disorder (ODD) and their parents is iteratively adapted and tested for acceptability, feasibility, and preliminary efficacy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Child ages 8-17 with ODD (prior diagnosis) and insomnia
Child and parent English proficiency.
complaints of difficulties falling asleep, staying asleep, or early morning awakening by child report or parent observation for 3+ mos
daytime dysfunction (mood, cognitive, social, academic) due to insomnia
Disqualifiers
Parent unable to provide informed consent or child unable to provide assent
Family unwilling to accept random assignment
Child/parent participation in another randomized research project
Parent unable to complete forms or implement treatment procedures due to cognitive impairment
Trial design
Single group
Treatments tested in this trial
NiteCAPP SINCC
BehavioralStandard CBT-I techniques along with modules targeting noncompliance in children with ODD and their parents.
Treatment groups
Trial outcomes
Primary outcomes
Child Daily Sleep Diaries
Daily diaries filled out by children with parent assistance that measure sleep efficiency, sleep onset latency, and total sleep time. Diaries also measure child behavior.
Parent Daily Sleep Diaries
Daily diaries filled out by parent that measure sleep efficiency, sleep onset latency, and total sleep time. Diaries also measure child behavior.
Secondary outcomes
Child Actigraphy
Physiological measure of sleep efficiency, sleep onset latency, and total sleep time
Parent Actigraphy
Physiological measure of sleep efficiency, sleep onset latency, and total sleep time
Child Heartrate Variability
Child heartrate variability will be measured during the following: 1) resting state, 2) cold pressor stimulation to hand (place hand to bottom of 4° Celsius ice water) for 30 secs, 3) 3 min recovery, 4) cold pressor stimulation to other hand for 30secs, 5) resting state
Parent Heartrate Variability
Parent heartrate variability will be measured during the following: 1) resting state, 2) cold pressor stimulation to hand (place hand to bottom of 4° Celsius ice water) for 30 secs, 3) 3 min recovery, 4) cold pressor stimulation to other hand for 30secs, 5) resting state
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