Interventions for sleep difficulties in adults with an intellectual disability: a systematic review.

Background: Current literature highlights higher prevalence rates of sleep difficulties amongst adults with an intellectual disability. However, no synthesis has been conducted to assess the effectiveness of existing interventions in this population. Thus, the aim of this review was to assess the ef...

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Publicado en:Journal of Intellectual Disability Research Vol. 63; no. 5; pp. 372 - 386
Autores principales: Shanahan, P. J., Palod, S., Smith, K. J., Fife‐Schaw, C., Mirza, N.
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell May2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Interventions for sleep difficulties in adults with an intellectual disability: a systematic review.
      aug:
        au:
          Shanahan, P. J.
          Palod, S.
          Smith, K. J.
          Fife‐Schaw, C.
          Mirza, N.
        affil: Department of Psychological Sciences, School of Psychology, Faculty of Health and Medicine, University of Surrey, Guildford UK
      sug:
        subj:
          Sleep Disorders Therapy
          Intellectual Disability
          Human
          Systematic Review
          Sleep Evaluation
          Outcome Assessment
          Risk Assessment
          Melatonin
          Actigraphy
          Adult
          Adult: 19-44 years
      ab: Background: Current literature highlights higher prevalence rates of sleep difficulties amongst adults with an intellectual disability. However, no synthesis has been conducted to assess the effectiveness of existing interventions in this population. Thus, the aim of this review was to assess the effectiveness of sleep interventions in adults with an intellectual disability (ID). Method: Eight databases were searched to identify interventions for sleep difficulties amongst adults with an ID. The study quality was assessed with the Risk Of Bias In Non‐randomised Studies – of Interventions. Nine studies (n = 97) were eligible for inclusion in the review. Results: There was a notable study on heterogeneity in terms of the population, study design, intervention studied, sleep assessment and outcome assessments used. Eight of the nine studies reported improvement in sleep following intervention. However, these findings need additional support as only 97 participants involving a variety of interventions and measurement systems were used across all studies. Furthermore, eight of the nine studies had serious to critical risk of bias. The only study identified as having low risk of bias was a placebo‐controlled randomised controlled trial for the use of melatonin. Conclusions: This review highlights the need for objective measures such as actigraphy and studies with greater experimental control investigating sleep interventions in adults with ID.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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