Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep

Angelika A Schlarb1,2,*, Isabel Brandhorst1,* 1University of Tuebingen, Faculty of Science, Department of Psychology, Tuebingen, 2University of Koblenz-Landau, Department of Psychology, Landau, Germany*The authors contributed equally to this workPurpose: Behavioral sleep problems are highly common i...

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Autores principales: Schlarb AA, Brandhorst I
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Publicado: Dove Medical Press 2012
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spelling oai:doaj.org-article:333e062b61b2483582ab4d24c62894e42021-12-02T06:13:13ZMini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep1179-1608https://doaj.org/article/333e062b61b2483582ab4d24c62894e42012-03-01T00:00:00Zhttp://www.dovepress.com/mini-kiss-online-an-internet-based-intervention-program-for-parents-of-a9461https://doaj.org/toc/1179-1608Angelika A Schlarb1,2,*, Isabel Brandhorst1,* 1University of Tuebingen, Faculty of Science, Department of Psychology, Tuebingen, 2University of Koblenz-Landau, Department of Psychology, Landau, Germany*The authors contributed equally to this workPurpose: Behavioral sleep problems are highly common in early childhood. These sleep problems have a high tendency to persist, and they may have deleterious effects on early brain development, attention, and mood regulation. Furthermore, secondary effects on parents and their relationship are documented. Negative parental cognition and behavior have been found to be important influencing factors of a child's behavioral sleep problems. Therefore, in the current study we examined the acceptance and efficacy of a newly developed Internet-based intervention program called Mini-KiSS Online for sleep disturbances for children aged 6 months to 4 years and their parents.Patients and methods: Fifty-five children (54.54% female; aged 8–57 months) suffering from psychophysiological insomnia or behavioral insomnia participated in the 6-week online treatment. Sleep problems and treatment acceptance were examined with a sleep diary, anamnestic questionnaires, a child behavior checklist (the Child Behavior Checklist 1.5–5), and treatment evaluation questionnaires.Results: The evaluation questionnaires showed a high acceptance of Mini-KiSS Online. Parents would recommend the treatment to other families, were glad to participate, and reported that they were able to deal with sleep-related problems of their child after Mini-KiSS Online. Parental behavior strategies changed with a reduction of dysfunctional strategies, such as staying or soothing the child until they fell asleep, allowing the child to get up again and play or watch TV, or reading them another bedtime story. Frequency and duration of night waking decreased as well as the need for external help to start or maintain sleep. All parameters changed significantly, not only in the questionnaires but also in the sleep diary.Conclusion: Mini-KiSS Online is shown to be a highly accepted and effective treatment to change parental behavior and reduce behavioral sleep problems in early childhood.Keywords: insomnia, childhood, behavioral insomnia of childhood, online treatment, parental behavior Schlarb AABrandhorst IDove Medical PressarticlePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol 2012, Iss default, Pp 41-52 (2012)
institution DOAJ
collection DOAJ
language EN
topic Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
spellingShingle Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
Schlarb AA
Brandhorst I
Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep
description Angelika A Schlarb1,2,*, Isabel Brandhorst1,* 1University of Tuebingen, Faculty of Science, Department of Psychology, Tuebingen, 2University of Koblenz-Landau, Department of Psychology, Landau, Germany*The authors contributed equally to this workPurpose: Behavioral sleep problems are highly common in early childhood. These sleep problems have a high tendency to persist, and they may have deleterious effects on early brain development, attention, and mood regulation. Furthermore, secondary effects on parents and their relationship are documented. Negative parental cognition and behavior have been found to be important influencing factors of a child's behavioral sleep problems. Therefore, in the current study we examined the acceptance and efficacy of a newly developed Internet-based intervention program called Mini-KiSS Online for sleep disturbances for children aged 6 months to 4 years and their parents.Patients and methods: Fifty-five children (54.54% female; aged 8–57 months) suffering from psychophysiological insomnia or behavioral insomnia participated in the 6-week online treatment. Sleep problems and treatment acceptance were examined with a sleep diary, anamnestic questionnaires, a child behavior checklist (the Child Behavior Checklist 1.5–5), and treatment evaluation questionnaires.Results: The evaluation questionnaires showed a high acceptance of Mini-KiSS Online. Parents would recommend the treatment to other families, were glad to participate, and reported that they were able to deal with sleep-related problems of their child after Mini-KiSS Online. Parental behavior strategies changed with a reduction of dysfunctional strategies, such as staying or soothing the child until they fell asleep, allowing the child to get up again and play or watch TV, or reading them another bedtime story. Frequency and duration of night waking decreased as well as the need for external help to start or maintain sleep. All parameters changed significantly, not only in the questionnaires but also in the sleep diary.Conclusion: Mini-KiSS Online is shown to be a highly accepted and effective treatment to change parental behavior and reduce behavioral sleep problems in early childhood.Keywords: insomnia, childhood, behavioral insomnia of childhood, online treatment, parental behavior 
format article
author Schlarb AA
Brandhorst I
author_facet Schlarb AA
Brandhorst I
author_sort Schlarb AA
title Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep
title_short Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep
title_full Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep
title_fullStr Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep
title_full_unstemmed Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep
title_sort mini-kiss online: an internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children's sleep
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/333e062b61b2483582ab4d24c62894e4
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