Sleep IntervEntion as Symptom Treatment for ADHD (SIESTA)
SIESTA Sleep IntervEntion as Symptom Treatment for ADHD - Blended CBT Sleep Intervention to Improve Sleep, ADHD Symptoms and Related Problems in Adolescents With ADHD
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Saskia Van der Oord, PhD
- Phone Number: 003216325824
- Email: saskia.vanderoord@kuleuven.be
Study Locations
-
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Vlaams Brabant
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Leuven, Vlaams Brabant, Belgium, 3000
- UPC Leuven
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Attending secondary education and between 13-17 years old
- prior diagnosis of ADHD (any presentation) and confirmation of DSM-5 criteria of ADHD in current study
Displaying sleep problems for at least 3 nights per week for at least 3 months
- sleep onset latency of at least 20-30 minutes
- and/or wake after sleep onset greater than 30 min
- and/or an average sleep time of less than 7 hours
- and at least one poor sleep hygiene practice
- and experienced distress as indicated by parent/guardian and/or adolescent.
- estimated IQ≥80
- stable ADHD medication use at least 4 weeks before start of treatment and no dose or medication type changes planned during active treatment
Exclusion Criteria:
- the following comorbidities: sleep-breathing disorder, restless leg syndrome, narcolepsy, conduct disorder, depressive disorder with suicide risk or active suicidality, autism spectrum disorder, or substance use disorder, with an exception for nicotine
- acute crisis situation at home
- physical problems that interfere with sleep (e.g. pain) or medical disorders and related medication that could affect sleep
- participation in a behaviorally based sleep intervention in the 6 months prior to our study
- currently taking pharmacological medication for sleep (including melatonin), anxiety or depression. Participation will be allowed after a two-week wash-out period of the medication
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SIESTA training + treatment as usual for ADHD
We developed a cognitive behavioral therapy for sleep problems in adolescents with ADHD.
This includes seven individual sessions with the adolescent and two individual sessions with the parent(s)/guardian(s).
Participants receive this CBT training called SIESTA next to their treatment as usual for ADHD symptomatology (mostly ADHD-medication).
|
SIESTA is a CBT sleep training for adolescents with ADHD with a focus on sleep hygiene, motivational interviewing and planning and organization.
Other Names:
Participants continue their treatment as usual for ADHD.
Other Names:
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Active Comparator: Treatment as usual for ADHD only
Participants continue their treatment as usual for ADHD (mostly ADHD-medication).
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Participants continue their treatment as usual for ADHD.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sleep Architecture Objective TST [Total Sleep Time] Pre-test to Post-test
Time Frame: From pre-test to post-test (+/-8 weeks)
|
objective (actigraphy) sleep architecture (specified as TST in hours and minutes)
|
From pre-test to post-test (+/-8 weeks)
|
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Sleep Architecture Objective SOL [Sleep Onset Latency] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
objective (actigraphy) sleep architecture (specified as SOL in hours and minutes)
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Architecture Objective SE [Sleep Efficiency] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
objective (actigraphy) sleep architecture (specified as SE = TST/time in bed in percentage)
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Architecture Objective NoA [Number of Awakenings] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Sleep architecture objective (actigraphy) sleep architecture (specified as Number of Awakenings)
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Architecture Subjective TST [Total Sleep Time] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
subjective (sleep logs) sleep architecture (specified as TST in hours and minutes)
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Architecture Subjective SOL [Sleep Onset Latency] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
subjective (sleep logs) sleep architecture (specified as SOL in hours and minutes)
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Architecture Subjective SE [Sleep Efficiency] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
subjective (sleep logs) sleep architecture (specified as SE = TST/time in bed in percentage)
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Architecture Subjective NoA [Number of Awakenings] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
subjective (sleep logs) sleep architecture (specified as NoA: Number of Awakenings)
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Architecture Objective TST [Total Sleep Time] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
objective (actigraphy) sleep architecture (specified as TST in hours and minutes)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Architecture Objective SOL [Sleep Onset Latency] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
objective (actigraphy) sleep architecture (specified as SOL in hours and minutes)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Architecture Objective SE [Sleep Efficiency] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
objective (actigraphy) sleep architecture (specified as SE = TST/time in bed in percentage)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Architecture Objective NoA [Number of Awakenings] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
objective (actigraphy) sleep architecture (specified as NoA: Number of Awakenings)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Architecture Subjective TST [Total Sleep Time] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective (sleep logs) sleep architecture (specified as TST in hours and minutes)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Architecture Subjective SOL [Sleep Onset Latency] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective (sleep logs) sleep architecture (specified as SOL in hours and minutes)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Architecture Subjective SE [Sleep Efficiency] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective (sleep logs) sleep architecture (specified as SE = TST/time in bed in percentage)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Architecture Subjective NoA [Number of Awakenings] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective (sleep logs) sleep architecture (specified as NoA: Number of Awakenings)
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Problems SSHS [School Sleep Habits Survey] [ Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
subjective sleep problems assessed by questionnaires (SSHS) School Sleep Habits Survey: questions are scored on a 5-point Likert scale, with higher scores indicating a worse outcome, minimum 10 - maximum 50
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Problems CSRQ [Chronic Sleep Reduction Questionnaire] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
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subjective sleep problems assessed by questionnaires (CSRQ) Chronic Sleep Reduction Questionnaire: questions are scored on a 3-point Likert scale, with higher scores indicating a worse outcome, minimum 20 - maximum 60
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Problems CSHQ [Children Sleep Habits Questionnaire] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
subjective sleep problems assessed by questionnaires (CSHQ) Children Sleep Habits Questionnaire: questions are scored on a 3-point Likert scale, with higher scores indicating a worse outcome, minimum 33 - maximum 99
|
From pre-test to post-test (+- 8 weeks)
|
|
Sleep Problems SSHS [School Sleep Habits Survey] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective sleep problems assessed by questionnaires (SSHS) School Sleep Habits Survey: questions are scored on a 5-point Likert scale, with higher scores indicating a worse outcome, minimum 10 - maximum 50
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Problems CSRQ [Chronic Sleep Reduction Questionnaire] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective sleep problems assessed by questionnaires (CSRQ) Chronic Sleep Reduction Questionnaire: questions are scored on a 3-point Likert scale, with higher scores indicating a worse outcome, minimum 20 - maximum 60
|
From pre-test to follow-up (+-3 months after posttest)
|
|
Sleep Problems CSHQ [Children Sleep Habits Questionnaire] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective sleep problems assessed by questionnaires (CSHQ) Children Sleep Habits Questionnaire: questions are scored on a 3-point Likert scale, with higher scores indicating a worse outcome, minimum 33 - maximum 99
|
From pre-test to follow-up (+-3 months after posttest)
|
|
ASHSr [Revised Adolescent Sleep Hygiene Scale] Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
subjective sleep hygiene assessed by questionnaires (ASHSr) Revised Adolescent Sleep Hygiene Scale: questions are scored on a 6-point Likert scale, with higher scores indicating a better outcome, minimum 1 - maximum 6
|
From pre-test to post-test (+- 8 weeks)
|
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ASHSr [Revised Adolescent Sleep Hygiene Scale] Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
subjective sleep hygiene assessed by questionnaires (ASHSr) Revised Adolescent Sleep Hygiene Scale: questions are scored on a 6-point Likert scale, with higher scores indicating a better outcome, minimum 1 - maximum 6
|
From pre-test to follow-up (+-3 months after posttest)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
DBDRS [Disruptive Behavior Disorders Rating Scale] ADHD Symptoms Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Assessed by parents (DBDRS) Disruptive Behavior Disorders Rating Scale: questions are scored on a 4-point Likert scale, with higher scores indicating a worse outcome, minimum 0 - maximum 54
|
From pre-test to post-test (+- 8 weeks)
|
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DBDRS [Disruptive Behavior Disorders Rating Scale] ADHD Symptoms Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
Assessed by parents (DBDRS) Disruptive Behavior Disorders Rating Scale: questions are scored on a 4-point Likert scale, with higher scores indicating a worse outcome, minimum 0 - maximum 54
|
From pre-test to follow-up (+-3 months after posttest)
|
|
CBQ [Conflict Behavior Questionnaire] Parent-adolescent Conflict Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Assessed by parents (CBQ) Conflict Behavior Questionnaire: rated true-false, minimum 0 - maximum 20, higher scores indicate worse outcome
|
From pre-test to post-test (+- 8 weeks)
|
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CBQ [Conflict Behavior Questionnaire] Parent-adolescent Conflict Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
Assessed by parents (CBQ) Conflict Behavior Questionnaire: rated true-false, minimum 0 - maximum 20, higher scores indicate worse outcome
|
From pre-test to follow-up (+-3 months after posttest)
|
|
HPC [Homework Problems Checklist] Homework Problems Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Assessed by parents (HPC) : rated on a 4-point Likert scale, minimum 0 - maximum 60, higher scores indicate worse outcome |
From pre-test to post-test (+- 8 weeks)
|
|
CPS [Classroom Performance Scale] Academic Competence Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Assessed by teacher (CPS) Classroom Performance Scale: rated on a 5-point Likert scale, minimum 13 - maximum 65, higher scores indicate worse outcome
|
From pre-test to post-test (+- 8 weeks)
|
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HPC [Homework Problems Checklist] Homework Problems Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
Assessed by parents (HPC) Homework Problems Checklist: rated on a 4-point Likert scale, minimum 0 - maximum 60, higher scores indicate worse outcome |
From pre-test to follow-up (+-3 months after posttest)
|
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CPS [Classroom Performance Scale] Academic Competence Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
Assessed by teacher (CPS) Classroom Performance Scale: rated on a 5-point Likert scale, minimum 13 - maximum 65, higher scores indicate worse outcome
|
From pre-test to follow-up (+-3 months after posttest)
|
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DBDRS [Disruptive Behavior Disorders Rating Scale] Oppositional-defiant Disorder Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Assessed by parents (DBDRS) Disruptive Behavior Disorders Rating Scale: rated on a 4-point Likert scale, minimum 0 - maximum 24, higher scores mean worse outcome
|
From pre-test to post-test (+- 8 weeks)
|
|
SCARED-R [Screen for Child Anxiety Related Emotional Disorders Comorbidities] Anxiety Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Assessed by adolescent (SCARED-R) Screen for Child Anxiety Related Emotional Disorders: rated on a 3-point Likert scale, minimum 0 - maximum 82, higher scores indicate worse outcome
|
From pre-test to post-test (+- 8 weeks)
|
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CDI [Children's Depression Inventory] Depression Pre-test to Post-test
Time Frame: From pre-test to post-test (+- 8 weeks)
|
Assessed by adolescent (CDI-2) Children's Depression Inventory, Second Edition: rated on a 3-point Likert scale, minimum 0 - maximum 56, higher scores indicate worse outcome
|
From pre-test to post-test (+- 8 weeks)
|
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DBDRS [Disruptive Behavior Disorders Rating Scale] Oppositional-defiant Disorder Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
Assessed by parents (DBDRS) Disruptive Behavior Disorders Rating Scale: rated on a 4-point Likert scale, minimum 0 - maximum 24, higher scores mean worse outcome
|
From pre-test to follow-up (+-3 months after posttest)
|
|
SCARED-R [Screen for Child Anxiety Related Emotional Disorders] Anxiety Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
Assessed by adolescent (SCARED-R) Screen for Child Anxiety Related Emotional Disorders: rated on a 3-point Likert scale, minimum 0 - maximum 82, higher scores indicate worse outcome
|
From pre-test to follow-up (+-3 months after posttest)
|
|
CDI [Children's Depression Inventory] Depression Pre-test to Follow-up
Time Frame: From pre-test to follow-up (+-3 months after posttest)
|
Assessed by adolescent (CDI-2) Children's Depression Inventory, Second Edition: rated on a 3-point Likert scale, minimum 0 - maximum 56, higher scores indicate worse outcome
|
From pre-test to follow-up (+-3 months after posttest)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Saskia Van der Oord, PhD, KU Leuven
Publications and helpful links
General Publications
- Keuppens L, Marten F, Baeyens D, Boyer B, Roose A, Becker S, Danckaerts M, Van der Oord S. Effectiveness of a cognitive-behavioral sleep hygiene intervention for adolescents with ADHD: a randomized controlled trial. Eur Child Adolesc Psychiatry. 2025 Nov;34(11):3415-3426. doi: 10.1007/s00787-025-02755-0. Epub 2025 May 27.
- Keuppens L, Marten F, Baeyens D, Boyer B, Danckaerts M, van der Oord S. Sleep IntervEntion as Symptom Treatment for ADHD (SIESTA)-Blended CBT sleep intervention to improve sleep, ADHD symptoms and related problems in adolescents with ADHD: Protocol for a randomised controlled trial. BMJ Open. 2023 Apr 13;13(4):e065355. doi: 10.1136/bmjopen-2022-065355.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- UZ Leuven (UZ leuven)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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