Child Clinical Trial
Official title:
Use of an Educational Story to Prepare Children With Developmental Disabilities for Overnight Polysomnography
The investigators hypothesize that use of an educational story with pictures illustrating overnight sleep study procedure (also called polysomnography or PSG)accompanied by simple narrative will be a cost-effective, readily accepted intervention that will contribute to successful completion of sleep studies among children with disabilities. Children who have been referred for a clinical sleep study at Kennedy Krieger Institute (KKI) will be enrolled and randomized to either recieve usual care (discussion of polysomnography with referring clinicians) or educational story intervention. Both groups of participants will be asked to complete questionnaries before and after the sleep study. Set-up for the sleep study will be videotaped so that behavior of the child can be evaluated. The investigators will evaluate whether successful study completion differs between the two groups.
Status | Completed |
Enrollment | 26 |
Est. completion date | June 2016 |
Est. primary completion date | June 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 4 Years to 17 Years |
Eligibility |
Inclusion Criteria: - Clinical recommendation for polysomnography to be performed at KKI Clinical Neurophysiology Laboratory - age 4 -17 years - adequate health to tolerate procedure without additional nursing care - English speaking caregiver, over 18 years of age - Caregiver must have full guardianship of child participant - Caregiver must be able to complete written questionnaires and read the educational story to their child - Caregiver must be able to accompany child participant to the sleep study Exclusion Criteria: - non-english speaking children - children in foster care or wards of the state - child with absence of developmental disability - child with presence of severe-profound intellectual disability - child with severe disruptive or aggressive behaviors - recommended for titration study (CPAP and/or supplemental oxygen) - children requiring behavioral desensitization prior to sleep study. - Caregivers that are non-English Speaking - Caregivers that are under 18 years of age - foster parents or temporary guardians - cargivers with inability to reach educational story and/or complete questionnaires. - caregiver is unable to accompany the child to the sleep study |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
United States | Kennedy Krieger Institute | Baltimore | Maryland |
Lead Sponsor | Collaborator |
---|---|
Jennifer Accardo | American Academy of Sleep Medicine |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Educational Story Questionnaire | Evaluation pf the parent's use and beliefs regarding the effectiveness of the educational story | Morning after PSG (Treatment Group Only) 3-4 weeks after enrollment. | No |
Primary | Task Analysis and Pediatric Behavior Adjustment Scale | Task Analysis: Quantification of number of PSG steps technician was able to complete during setup Pediatric Behavior Adjustment Scale: Quantification of child escape behaviors during PSG equipment setup based on standardized review of audio and video recording |
PSG Set-UP 2- 3 weeks after enrollment | No |
Secondary | Parent Completed Questionnaires | Demographic Questionnaire: Parent and child demographics Pre-PSG Knowledge Questionnaire: Baseline parent knowledge about PSG Pediatric Symptom Checklist: Cognitive, emotional and behavioral symptoms in child Modified PSG Parent Beliefs Scale: Parent perceptions of parent ability to help child cope with procedure as well as child ability to cope with procedure Post-PSG Knowledge Questionnaire: Post-intervention parent knowledge about PSG Post-PSG Qualitative Questionnaire: Qualitative parent feedback on child and parent PSG experience and on educational intervention if applicable |
2-3 weeks prior to PSG, and night of Sleep Study | No |
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