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

Shanahan, P. J., Palod, S., Smith, K. J., Fife-Schaw, C. and Mirza, N. (2019) Interventions for sleep difficulties in adults with an intellectual disability: a systematic review. Journal of Intellectual Disability Research.

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Abstract

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.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
NameEmailORCID
Shanahan, P. J.p.j.shanahan@surrey.ac.uk
Palod, S.
Smith, K. J.kimberley.j.smith@surrey.ac.uk
Fife-Schaw, C.C.Fife-Schaw@surrey.ac.uk
Mirza, N.
Date : 2019
DOI : 10.1111/jir.12587
Copyright Disclaimer : © 2019. The Authors. Journal of Intellectual Disability Research published by MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disibilities and John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords : Adult; Insomnia; Intellectual disability; Sleep; Treatment
Depositing User : Clive Harris
Date Deposited : 14 Jan 2019 14:29
Last Modified : 12 Feb 2019 15:43
URI: http://epubs.surrey.ac.uk/id/eprint/850134

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