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Arvidsson, S., Brobeck, E., Nygren, J. M., Jarfelt, M., Aili, K. & Olsson, M. (2024). Adult survivors’ perceptions of their childhood and the influences of being treated for acute lymphoblastic leukaemia with allogeneic hematopoietic stem cell transplantation as a child: A phenomenographic study. European Journal of Oncology Nursing, 70, Article ID 102592.
Open this publication in new window or tab >>Adult survivors’ perceptions of their childhood and the influences of being treated for acute lymphoblastic leukaemia with allogeneic hematopoietic stem cell transplantation as a child: A phenomenographic study
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2024 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 70, article id 102592Article in journal (Refereed) Published
Abstract [en]

Purpose: Adults who had acute lymphoblastic leukaemia (ALL) as children and were treated with allogeneic hematopoietic stem cell transplantation (aHSCT) may have been affected in their lives due to several long-term complications. From a clinical point of view, it is of interest to study how survivors describe their perceptions of their childhood today. The aim was therefore to describe how adults perceived their childhood and the influences of being treated for ALL with aHSCT as a child.

Method: Semi-structured telephone interviews were undertaken with 18 adults who had been treated for childhood ALL with aHSCT and were included in a national cohort of childhood ALL survivors, diagnosed between 1985 and 2007 at an age between 0 and 17 years. A phenomenographic analysis was used.

Results: Three categories emerged: Feeling different, Feeling security and Feeling guilty. The informants felt that they had been different from other children but had felt security with the healthcare professionals and in care. They felt guilty because both their siblings’ and parents’ lives had been affected, but at the same time many perceived that they and their family members had become closer to one another.

Conclusions: The results emphasised that adults who had been treated for childhood ALL with aHSCT were affected both in negative and positive ways during their childhood. This indicates the importance for early psychosocial care interventions directed to children during their treatment, but also the need for person-centred psychological care in long-term outpatient clinics. © 2024 The Authors. Published by Elsevier Ltd.

Place, publisher, year, edition, pages
Oxford: Elsevier, 2024
Keywords
Adult survivors Childhood acute lymphoblastic leukaemia, Allogeneic hematopoietic stem cell transplantation, Perceptions, Phenomenographic, Qualitative
National Category
Nursing
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-53271 (URN)10.1016/j.ejon.2024.102592 (DOI)001236147500001 ()38669953 (PubMedID)2-s2.0-85190949680& (Scopus ID)
Available from: 2024-04-26 Created: 2024-04-26 Last updated: 2024-06-26Bibliographically approved
Lönn, M., Svedberg, P., Nygren, J. M., Jarbin, H., Aili, K. & Larsson, I. (2024). Changed sleep according to weighted blanket adherence in a 16-week sleep intervention among children with attention-deficit/hyperactivity disorder. Journal of Clinical Sleep Medicine (JCSM), 20(9), 1455-1466
Open this publication in new window or tab >>Changed sleep according to weighted blanket adherence in a 16-week sleep intervention among children with attention-deficit/hyperactivity disorder
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2024 (English)In: Journal of Clinical Sleep Medicine (JCSM), ISSN 1550-9389, E-ISSN 1550-9397, Vol. 20, no 9, p. 1455-1466Article in journal (Refereed) Published
Abstract [sv]

Study objectives: To examine differences in sample characteristics and longitudinal sleep outcomes according to weighted blanket adherence.

Methods: Children with attention-deficit/hyperactivity disorder (ADHD) (n =94), mean age 9.0 (sd 2.2, range 6-14) participated in a 16-week sleep intervention with weighted blankets (WB). Children were classified as WB adherent (use of WB ≥ 4 nights/week) or non-adherent (use of WB ≤ 3 nights/week). Changes in objectively measured sleep by actigraphy, parent-reported sleep problems (Children's Sleep Habits Questionnaire (CSHQ)) and child-reported Insomnia Severity Index (ISI) were evaluated according to adherence with mixed effect models. Gender, age, and ADHD subtype were examined as potential moderators.

Results: Children adherent to WBs (48/94) showed an early response in sleep outcomes and an acceptance of the WB after four weeks of use as well as a decrease in parent- (CSHQ) (-5.73, P = .000) and child-reported sleep problems (ISI) (-4.29, P = .005) after 16 weeks. The improvement in sleep was larger among WB adherent vs. non-adherent (between-group difference: CSHQ: -2.09, P = .038; ISI: -2.58, P =.007). Total sleep time was stable for children adherent to WB but decreased for non-adherent (between-group difference: +16.90, P = .019).

Conclusions: An early response in sleep and acceptance of the WB predicted later adherence to WBs. Improvements in sleep were more likely among WB adherents vs. non-adherents. Children with ADHD may thus benefit from using WBs to handle their sleep problems.

© 2024 American Academy of Sleep Medicine

Place, publisher, year, edition, pages
Darien: The American Academy of Sleep Medicine, 2024
Keywords
actigraphy, attention deficit disorder with hyperactivity, longitudinal studies, sleep disorders, weighted blankets
National Category
Psychiatry
Research subject
Health Innovation
Identifiers
urn:nbn:se:hh:diva-54109 (URN)10.5664/jcsm.11186 (DOI)38656790 (PubMedID)2-s2.0-85203028436& (Scopus ID)
Available from: 2024-06-26 Created: 2024-06-26 Last updated: 2024-10-01Bibliographically approved
Nygren, J. M., Aili, K., Arvidsson, S., Olsson, M. & Jarfelt, M. (2024). Charting Health Challenges for Digital Preventive Interventions Among Adult Survivors of Childhood Acute Lymphoblastic Leukemia: National Long-Term Follow-Up Survey of Self-Rated Health Outcomes. JMIR Formative Research, 8, 1-18, Article ID e54819.
Open this publication in new window or tab >>Charting Health Challenges for Digital Preventive Interventions Among Adult Survivors of Childhood Acute Lymphoblastic Leukemia: National Long-Term Follow-Up Survey of Self-Rated Health Outcomes
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2024 (English)In: JMIR Formative Research, E-ISSN 2561-326X, Vol. 8, p. 1-18, article id e54819Article in journal (Refereed) Published
Abstract [en]

Background: Acute lymphoblastic leukemia (ALL) is the most common malignancy in childhood, but the prognosis has remarkably improved over the last 50 years in high-income countries, and thus, there is a focus on long-term health outcomes following survival and how to best provide health care support to adult long-term survivors of childhood ALL to prevent and handle potential health problems. Digital health interventions are promising to deliver feasible health promotion and prevention programs. This is particularly relevant for ensuring long-term follow-up in cases where continuous contact with oncology care may be disrupted. Moreover, these interventions are beneficial in reaching geographically dispersed target groups and overcoming the time constraints of everyday life that often hinder participation in such programs. Objective: This study aimed to fill the gaps in existing research on adult long-term survivors of childhood ALL and provide formative data that can inform the development of formalized follow-up services designed to meet the needs of these survivors in ways that align with their preferences for digital health interventions. Methods: In this cross-sectional national study, adult survivors (aged ≥18 years) of childhood ALL for over 10 years after diagnosis were compared to their siblings in terms of mental and physical health-related factors, including sleep, stress, anxiety, and depression (Depression Anxiety and Stress Scale 21 [DASS-21]); several dimensions of fatigue (Multidimensional Fatigue Inventory 20 [MFI-20]); work ability (Work Ability Index); chronic pain; and prevalences of diabetes, cardiovascular disease, headache or migraine, and rheumatic disease. Results: Overall, 426 of 855 eligible ALL survivors responded (mean age 30.9, SD 7.7 years), and they participated at an average of 24 (SD 6.9) years after ALL diagnosis. Siblings (n=135; mean age 31.5, SD 7.7 years) acted as controls. Sleep quality, sleep quantity, and mean work ability scores were significantly lower, and physical fatigue, reduced motivation, and reduced activity scores were higher in ALL survivors than in siblings. There were no significant differences between the groups in terms of BMI and prevalence of chronic pain, depression, anxiety, or stress. Physical and psychological complications were more frequent among adult ALL survivors who had received hematopoietic stem cell transplantation (HSCT) than among those who had not received HSCT. Conclusions: Our nationwide cross-sectional study addressed the scarcity of knowledge regarding the self-reported health outcomes of adult long-term survivors of childhood ALL. We highlighted significant disparities within this population and emphasized the potential of comprehensive digital interventions that target vitality, sleep quality, fatigue, and psychosocial well-being to enhance well-being and bolster the capacity for managing chronic health conditions in this target group. Such an intervention would align with the needs of this target group, which is a prerequisite for successfully incorporating technology into the daily lives of survivors of childhood ALL. © 2024 JMIR Publications Inc.. All rights reserved.

Place, publisher, year, edition, pages
Toronto, ON: JMIR Publications, 2024
Keywords
adult survivors, childhood acute lymphoblastic leukemia, digital preventive interventions, long-term follow-up, self-rated health outcomes
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health Innovation; Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-54548 (URN)10.2196/54819 (DOI)2-s2.0-85201789544 (Scopus ID)
Available from: 2024-09-03 Created: 2024-09-03 Last updated: 2024-09-04Bibliographically approved
Törnblom, M., Bremander, A., Aili, K., Andersson, M. L. .., Nilsdotter, A. & Haglund, E. (2024). Development of radiographic knee osteoarthritis and the associations to radiographic changes and baseline variables in individuals with knee pain: a 2-year longitudinal study. BMJ Open, 14(3), Article ID e081999.
Open this publication in new window or tab >>Development of radiographic knee osteoarthritis and the associations to radiographic changes and baseline variables in individuals with knee pain: a 2-year longitudinal study
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2024 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 14, no 3, article id e081999Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim was to study the development of radiographic knee osteoarthritis (RKOA) in individuals with knee pain over 2 years, and the associations between radiographic changes and baseline variables.

Design: Longitudinal cohort study.

Participants and setting: This study is part of the Halland Osteoarthritis cohort. The included 178 individuals, aged 30-67, had knee pain, without cruciate ligament injury or radiographic findings and 67% were women. The presence of RKOA was defined as Ahlbäck score of ≥1 in ≥1 knee. (Ahlbäck grade 1: joint space narrowing in the tibiofemoral joint <3 mm). Diagnosis of clinical KOA was based on the clinical guideline from the National Institute for Health and Care Excellence (NICE). Knee injury and Osteoarthritis Outcome Score (KOOS), pain intensity, physical function, body mass index (BMI) and visceral fat area (VFA) were measured. Associations to RKOA were analysed with logistic regression (OR).

Results: In all, 13.8% (n=24) developed RKOA in 2 years whereof all had clinical KOA at baseline, as defined by NICE. Deterioration to RKOA was significantly associated with higher BMI, OR 1.119 (95% CI 1.024 to 1.223; p=0.013), and VFA, 1.008 (95% CI 1.000 to 1.016; p=0.049), worse knee pain intensity, 1.238 (95% CI 1.028 to 1.490; p=0.024), worse scores for KOOS Pain, 0.964 (95% CI 0.937 to 0.992; p=0.013) and KOOS Symptoms, 0.967 (95% CI 0.939 to 0.996; p=0.027), KOOS Activities of daily living 0.965 (95% CI 0.935 to 0.996; p=0.026) and KOOS Quality of Life 0.973 (95% CI 0.947 to 0.999; p=0.044), at baseline.

Conclusions: One out of seven individuals with clinical KOA developed RKOA in only 2 years. Baseline variables associated with RKOA after 2 years may possibly be detected early by using the NICE guideline, assessment of obesity and self-reported data of symptoms to support first-line treatment: education, exercise and weight control. © Author(s) (or their employer(s)) 2024.

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2024
Keywords
Musculoskeletal disorders, Primary Health Care, Rheumatology
National Category
Clinical Medicine Rheumatology and Autoimmunity Medical and Health Sciences
Research subject
Health Innovation, M4HP
Identifiers
urn:nbn:se:hh:diva-52896 (URN)10.1136/bmjopen-2023-081999 (DOI)38458788 (PubMedID)2-s2.0-85187507759 (Scopus ID)
Funder
Swedish Rheumatism Association, R-967899
Available from: 2024-03-18 Created: 2024-03-18 Last updated: 2024-05-31Bibliographically approved
Lindholm, A., Jarbin, H., Aili, K., Nygren, J. M., Svedberg, P. & Larsson, I. (2024). Sex Differences in Children with Uncomplicated Attention Deficit/Hyperactivity Disorder and Sleep Problems. Children, 11(6), Article ID 636.
Open this publication in new window or tab >>Sex Differences in Children with Uncomplicated Attention Deficit/Hyperactivity Disorder and Sleep Problems
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2024 (English)In: Children, E-ISSN 2227-9067, Vol. 11, no 6, article id 636Article in journal (Refereed) Published
Abstract [en]

Background: Approximately 7.6% of children are diagnosed with attention deficit/hyperactivity disorder (ADHD), and sleep impairments affect 25–85%. There is a noticeable lack of research on girls and sex differences. The aim of this study was to examine sex differences in children with uncomplicated ADHD and sleep problems. Methods: Cross-sectional baseline data were retrieved from a randomized controlled trial with weighted blankets (55 boys and 41 girls, 6–14 years) on a cohort recently diagnosed with uncomplicated ADHD and sleep problems. Differences between boys and girls in ADHD symptoms, objectively and subjectively measured sleep, anxiety, and functioning were examined via parent- or self-reported validated instruments. Results: Girls reported significantly lower (worse) satisfaction with well-being, life overall, and school, but not for family. Parents reported more sleep anxiety and night-time wakings among boys, but no sex differences in other measures and also not in self-reported measures or objective sleep measures. Children who reported worry, sadness, or unhappiness had more sleep problems. Conclusions: Boys with ADHD and sleep problems may need support with sleep-related anxiety and night-time wakings, while girls may require support with overall functioning. Additionally, children who express feelings of worry, sadness, or unhappiness alongside their ADHD symptoms should have attention given to their sleep. © 2024 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
Basel: MDPI, 2024
Keywords
attention deficit/hyperactivity disorder, ADHD, paediatrics, sleep problems in children
National Category
Psychiatry
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-53698 (URN)10.3390/children11060636 (DOI)001254719800001 ()2-s2.0-85196880538 (Scopus ID)
Funder
Knowledge Foundation, 20200012Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-00664
Available from: 2024-06-12 Created: 2024-06-12 Last updated: 2025-01-13Bibliographically approved
Lönn, M., Svedberg, P., Nygren, J. M., Jarbin, H., Aili, K. & Larsson, I. (2024). The efficacy of weighted blankets for sleep in children with attention-deficit/hyperactivity disorder—A randomized controlled crossover trial. Journal of Sleep Research, Article ID e13990.
Open this publication in new window or tab >>The efficacy of weighted blankets for sleep in children with attention-deficit/hyperactivity disorder—A randomized controlled crossover trial
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2024 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, article id e13990Article in journal (Refereed) Published
Abstract [en]

Weighted blankets are a non-pharmacological intervention for treating sleep and anxiety problems in children with attention-deficit/hyperactivity disorder. However, research on the efficacy of weighted blankets is sparse. The aim of this randomized controlled trial with a crossover design (4 + 4 weeks) was to evaluate the efficacy of weighted blankets on sleep among children with attention-deficit/hyperactivity disorder and sleeping problems. Children diagnosed with uncomplicated Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition attention-deficit/hyperactivity disorder with verified sleep problems were randomized to start with either a weighted blanket or a lighter control blanket. Data collection was performed at weeks 0, 4 and 8 using actigraphy, questionnaires and a daily sleep diary. T-tests were used to evaluate efficacy. The study included 94 children with attention-deficit/hyperactivity disorder (mean age 9.0 [sd 2.2] years; 54 [57.4%] boys). Weighted blankets had a significant effect on total sleep time (mean diff. 7.72 min, p = 0.027, Cohen's d = 0.24), sleep efficiency (mean diff. 0.82%, p = 0.038, Cohen's d = 0.23) and wake after sleep onset (mean diff. −2.79 min, p = 0.015, Cohen's d = −0.27), but not on sleep-onset latency (p = 0.432). According to our exploratory subgroup analyses, weighted blankets may be especially beneficial for improving total sleep time in children aged 11–14 years (Cohen's d = 0.53, p = 0.009) and in children with the inattentive attention-deficit/hyperactivity disorder subtype (Cohen's d = 0.58, p = 0.016). Our results suggest that weighted blankets may improve children's sleep and could be used as an alternative to pharmacological sleep interventions. © 2023 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2024
Keywords
actigraphy, attention-deficit/hyperactivity disorder, randomized controlled trial, sleep intervention, sleep problems
National Category
Psychiatry Medical and Health Sciences
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-51406 (URN)10.1111/jsr.13990 (DOI)001028827400001 ()37452697 (PubMedID)2-s2.0-85165257033 (Scopus ID)
Funder
Knowledge Foundation, 20200012Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-00664Region Halland
Note

Funding: This work was supported by external grants from The Knowledge Foundation [number 20200012], Swedish Research Council for Health Working Life and Welfare (Forte) [number 2021-00664]; Majblomman foundation and different grants from Region Halland.

Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2024-07-11Bibliographically approved
Lönn, M., Aili, K., Svedberg, P., Nygren, J. M., Jarbin, H. & Larsson, I. (2023). A sleep intervention with weighted blankets - promoting sleep and well-being for children with ADHD. In: : . Paper presented at Nordic Health Promotion Research Conference 2023, Halmstad, June 14–16, 2023.
Open this publication in new window or tab >>A sleep intervention with weighted blankets - promoting sleep and well-being for children with ADHD
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Sleep is critical to child development and health. Reaching the United Nations Sustainable Development Goal 3 regarding good health and well-being for all ages, sustainable and long-lasting interventions should be a priority for children. Purpose of the study: The aim was to evaluate the efficacy of weighted blankets on sleep and well-being among children with ADHD and sleeping difficulties. Methods: A randomised controlled trial (RCT) with a cross-over design included 94 children with ADHD and sleeping difficulties. Children were randomised to start with either a weighted blanket or a lighter control blanket. The children used the blankets during 4+4 weeks. Sleep was evaluated objectively with actigraphy and subjectively with child- and parent-rated questionnaires. Findings: Weighted blankets had a significant effect on total sleep time (mean diff: 8.05 min, p<0.05), sleep efficiency (mean diff: 0.83%, p<0.05) and parent-rated sleeping difficulties (mean diff: -1.05, p<0.05), but no significant effect on sleep initiation or child-rated insomnia severity or well-being (p>0.05) when evaluating weighted blankets compared to control blankets. Conclusion: This RCT showed that children with ADHD and sleep problems experienced improved sleep time and parent-rated sleep while using weighted blankets. Thus, weighted blankets are likely effective and an alternative to sleep medication. Good sleep is a significant determinant of health and well-being, especially for children with mental health problems. Consequences on child well-being may be more relevant in a long-term perspective and is yet to be determined.

Keywords
ADHD, Children, RCT, Sleep
National Category
Pediatrics
Identifiers
urn:nbn:se:hh:diva-54823 (URN)
Conference
Nordic Health Promotion Research Conference 2023, Halmstad, June 14–16, 2023
Available from: 2024-11-02 Created: 2024-11-02 Last updated: 2024-11-22Bibliographically approved
Aili, K., Svartengren, M., Danielsson, K., Johansson, E. & Hellman, T. (2023). Active engagement of managers in employee RTW and manager-employee relationship: managers’ experiences of participating in a dialogue using the Demand and Ability Protocol. Disability and Rehabilitation, 45(26), 4394-4403
Open this publication in new window or tab >>Active engagement of managers in employee RTW and manager-employee relationship: managers’ experiences of participating in a dialogue using the Demand and Ability Protocol
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2023 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 45, no 26, p. 4394-4403Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe how managers of employees on sick-leave, due to chronic pain conditions, experience participating in a three-party meeting using the Demand and Ability Protocol (DAP) in the return-to-work process.

Materials and methods: This study is based on individual semi-structured interviews with 17 managers of employees with chronic pain. Interviews were conducted after participating in a three-party meeting including the employee, manager, and a representative from the rehabilitation team. The data were analyzed using thematic analysis with an inductive approach.

Results: Two main themes were identified–“to converse with a clear structure and setup” and “to be involved in the employee’s rehabilitation.” The first theme describe experiences from the conversation, and the second theme reflected the managers’ insights when being involved in the employee’s rehabilitation. The themes comprise 11 sub-themes describing how the DAP conversation and the manager′s involvement in the rehabilitation may influence the manager, the manager-employee relationship, and the organization.

Conclusions: This study show, from a manager's perspective, how having a dialogue with a clear structure and an active involvement in the employee’s rehabilitation may be beneficial for the manager-employee relationship. Insights from participating in the DAP may also be beneficial for the organization.

IMPLICATIONS FOR REHABILITATION

* A structured dialogue between the employee, employer, and rehabilitation supports the return to work (RTW) process

* A structured dialogue and collaboration may strengthen the relationship between the manager and employee

* An active engagement of managers in the employeès RTW process is beneficial for the manager-employee relationship, and for the organisation

* Healthcare professionals should collaborate with the workplace to promote participation of managers. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2023
Keywords
chronic pain, qualitative method, rehabilitation, return to work, Workplace intervention
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hh:diva-48956 (URN)10.1080/09638288.2022.2151654 (DOI)000910541700001 ()36453588 (PubMedID)2-s2.0-85143441697 (Scopus ID)
Funder
AFA Insurance, 190071
Available from: 2022-12-19 Created: 2022-12-19 Last updated: 2024-01-17Bibliographically approved
Lönn, M., Aili, K., Svedberg, P., Nygren, J. M., Jarbin, H. & Larsson, I. (2023). Experiences of Using Weighted Blankets among Children with ADHD and Sleeping Difficulties. Occupational Therapy International, 2023, 1-12, Article ID 1945290.
Open this publication in new window or tab >>Experiences of Using Weighted Blankets among Children with ADHD and Sleeping Difficulties
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2023 (English)In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 2023, p. 1-12, article id 1945290Article in journal (Refereed) Published
Abstract [en]

Introduction. Sleeping difficulties are common in children with attention deficit hyperactivity disorder (ADHD). A sleep intervention with weighted blankets was designed to increase current understanding of using weighted blankets to target children’s individual needs in connection with sleep and daytime functioning. Aim. To explore how children with ADHD and sleeping difficulties experience the use of weighted blankets. Methods. An explorative qualitative design in which 26 children with ADHD and sleeping difficulties, 6-15 years old, were interviewed about a sleep intervention with weighted blankets. Four categories emerged from qualitative content analysis. Results. Children’s experiences revealed that the use of weighted blankets 1) requires a commitment, by adjusting according to needs and preferences and adapting to the environment; 2) improves emotional regulation by feeling calm and feeling safe; 3) changes sleeping patterns by creating new routines for sleep and improving sleep quality; and 4) promotes everyday participation by promoting daily function and balancing activity and sleep. Conclusions. Using weighted blankets promoted children’s management of daily life with ADHD and sleeping difficulties. Occupational therapists can improve the assessment and delivery of weighted blankets tailored to individual needs based on increased knowledge from the children themselves. Copyright © 2023 Maria Lönn et al.

Place, publisher, year, edition, pages
Oxford: John Wiley & Sons, 2023
National Category
Psychiatry
Identifiers
urn:nbn:se:hh:diva-50117 (URN)10.1155/2023/1945290 (DOI)000938743200001 ()36824380 (PubMedID)2-s2.0-85148774514 (Scopus ID)
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2024-07-11Bibliographically approved
Malmborg, J. S., Svedberg, P., Nygren, J. M., Aili, K. & Larsson, I. (2023). Parents' health experiences after their child with ADHD and sleep problems underwent a sleep intervention with a weighted blanket. In: : . Paper presented at Nordic Health Promotion Research Conference, Halmstad, Sweden, 14-16 June, 2023.
Open this publication in new window or tab >>Parents' health experiences after their child with ADHD and sleep problems underwent a sleep intervention with a weighted blanket
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Being a parent of a child with attention deficit hyperactivity disorder (ADHD) and sleep problems can be challenging and stressful. Weighted blankets have the potential to improve sleep and health in these children, but less is known about the potential effects the child's use of a weighted blanket may have on parents' health.

Purpose of the study: To explore parents' health experiences after their child with ADHD and sleep problems underwent a sleep intervention with a weighted blanket.

Methods: This study is a part of a randomized, controlled crossover trial with a 16-week sleep intervention with weighted blankets for children with ADHD and sleep problems. A total of 24 parents of children who preferred sleeping with a weighted blanket were interviewed about how the sleep intervention influenced their health. An inductive qualitative content analysis resulted in seven subcategories and two categories.

Findings: Children's sleep with weighted blankets influenced parents experienced health in terms of 1) coping with everyday life, including finding harmony, nurturing family relationships, and maintaining a sustainable structure, and 2) feeling well-being, including being well rested, sustaining energy, reaching calm, and achieving meaningful leisure time.

Conclusion: A sleep intervention with weighted blankets in children with ADHD and sleep problems influenced parents' health positively by improving management of life and well-being. For parents who struggle to meet the everyday challenges of their child's ADHD, this sleep intervention may contribute to a sustainable health. 

Keywords
parents' health, children with ADHD, weighted blanke, qualitative method
National Category
Other Health Sciences
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-52012 (URN)
Conference
Nordic Health Promotion Research Conference, Halmstad, Sweden, 14-16 June, 2023
Available from: 2023-11-15 Created: 2023-11-15 Last updated: 2023-12-14Bibliographically approved
Projects
Evaluation of health effects and cost effectiveness from a sleep intervention with weight blankets in children with ADHD and sleep problems [2021-00664_Forte]; Halmstad University; Publications
Lindholm, A., Jarbin, H., Aili, K., Nygren, J. M., Svedberg, P. & Larsson, I. (2024). Sex Differences in Children with Uncomplicated Attention Deficit/Hyperactivity Disorder and Sleep Problems. Children, 11(6), Article ID 636. Lönn, M., Svedberg, P., Nygren, J. M., Jarbin, H., Aili, K. & Larsson, I. (2024). The efficacy of weighted blankets for sleep in children with attention-deficit/hyperactivity disorder—A randomized controlled crossover trial. Journal of Sleep Research, Article ID e13990. Larsson, I., Svedberg, P., Nygren, J. M. & Malmborg, J. S. (2024). Validity and reliability of the Swedish version of the Children’s Sleep Habits Questionnaire (CSHQ-SWE). BMC Pediatrics, 24(1), Article ID 378. Harris, U., Svedberg, P., Aili, K., Nygren, J. M. & Larsson, I. (2022). Parents’ Experiences of Direct and Indirect Implications of Sleep Quality on the Health of Children with ADHD: A Qualitative Study. International Journal of Environmental Research and Public Health, 19(22), Article ID 15099.
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4260-7399

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