# A pilot randomized controlled trial of the ABCs of SLEEPING mHealth intervention for parents of school-aged children with insomnia symptoms

## TL;DR

This study tests a mobile app to help parents improve sleep in school-aged children with insomnia, finding some promise but needing further development.

## Contribution

The ABCs of SLEEPING app is a novel mHealth intervention targeting insomnia in school-aged children through parental involvement.

## Key findings

- The app showed small improvements in sleep habits and daytime functioning.
- No significant changes were observed in objectively measured sleep outcomes.
- Recruitment and dropout rates provided insights for planning a larger trial.

## Abstract

Sleep is important for overall functioning; thus, parents should have access to effective sleep intervention for their children's insomnia. Mobile health interventions (mHealth) are increasingly popular partly due to their accessibility. Currently, no evidence-based sleep intervention apps are available for parents and their school-age children. Our research team developed the ABCs of SLEEPING intervention to address this gap.

The current study used a modified version based on feedback from a feasibility study which found reasonable acceptability and promising preliminary effectiveness but lower fidelity than expected (i.e., not daily use). The current study examined preliminary effectiveness using randomized controlled trial (RCT) methodology for subjective (sleep habits, insomnia severity, behavioral functioning) and objective sleep variables, and examined recruitment data to inform practices for a future RCT. Participants were 28 parents of typically developing children with parent-reported sleep problems, randomized to a treatment or control group. Data were analyzed using descriptive statistics and analysis of covariance (ANCOVA).

Recruitment rate was 70%, dropout rate was 30%, and estimated sample size for an RCT was 118. A small effect of the intervention improving sleep habits, daytime functioning, and insomnia severity, and no statistically significant effect for objectively measured sleep were demonstrated.

These results can be used to modify the intervention and to prepare for a large-scale effectiveness study. As an accessible mHealth intervention for parents of school-aged children with insomnia, the ABCs of SLEEPING app has the potential to address an existing treatment gap.