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Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025

A shared-management web-based intervention for sleep deficiency in school-age children with juvenile idiopathic arthritis and their parents: feasibility and acceptability study.

Shumenghui Zhai, Tonya M Palermo, Susan Shenoi, George Demiris, Waylon Howard, Julie Kientz, Weichao Yuwen, Teresa M Ward

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04066205 (Sleep Shared-Management Intervention for Children With Juvenile Idiopathic Arthritis), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04066205 nacompletednot on this map

Sleep Shared-Management Intervention for Children With Juvenile Idiopathic Arthritis

TypeinterventionalSponsorUniversity of WashingtonRan2019 to 2021Enrolled50ConditionsJuvenile Idiopathic ArthritisArmsSLEEPSAMRT
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shumenghui ZhaiSchool of Nursing, Pacific Lutheran University, Seattle, Washington.
Tonya M PalermoDepartment of Anesthesia and Pain, University of Washington School of Medicine, Seattle, Washington.
Susan ShenoiDivision of Pediatric Rheumatology, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
George DemirisDepartment of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.
Waylon HowardCenter for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington.
Julie KientzDepartment of Human Centered Design Engineering, University of Washington, Seattle, Washington.
Weichao YuwenUniversity of Washington School of Nursing and Healthcare Leadership, Tacoma, Washington.
Teresa M WardCenter for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington.

Funding

Center for Innovation in Sleep Self-Management- Informatics CoreP30NR016585 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN, WARD, TERESA M · 2016 to 2020
$2.4M
NINR NIH HHS P30 NR016585
6 · The paper itself

Abstract

STUDY

objectivesWe aimed to describe the feasibility, acceptability, and preliminary efficacy of a pilot randomized controlled trial of a sleep health intervention (SLEEPSMART) for children with juvenile idiopathic arthritis and their parents.

methodsFifty children, 8-13 years of age, with juvenile idiopathic arthritis and sleep deficiency and their parents participated in the study. Participants were randomized to either the SLEEPSMART intervention or the control group (usual care). The SLEEPSMART intervention lasted 7 weeks and included weekly educational modules, quizzes, assignments, goal setting, and an online sleep coach. Children wore actigraphy and completed sleep diaries and surveys at baseline, immediately postintervention, and 1 month postintervention. Feasibility was measured by the percentage of eligible, enrolled, and retained child-parent dyads; engagement was measured when dyads completed the modules; and usefulness and acceptability were measured with the Treatment Evaluation Inventory and qualitative exit interviews.

resultsOf the 50 child-parent dyads enrolled, 88% completed the baseline assessment. Seventy-five percent of children and 89% of parents reported high acceptance; 89% of parents and 80% of children recommend SLEEPSMART. Compared to children in the control group, those who received the SLEEPSMART intervention had significant improvements in actigraphy total sleep time and sleep efficiency and Patient-Reported Outcomes Measurement Information System sleep disturbance scores immediately postintervention and at 1-month follow-up and in their dysfunctional beliefs and attitudes about sleep and sleep efficacy scores 1 month postintervention. Parents in the SLEEPSMART group had significant improvements in the Patient-Reported Outcomes Measurement Information System sleep-related impairment and dysfunctional beliefs and attitudes about sleep scores immediately postintervention and at 1-month follow-up and in their self-efficacy scores 1 month postintervention in comparison to parents in the control group.

conclusionsSLEEPSMART was feasible, acceptable, and improved objective and self-report sleep and self-efficacy outcomes in children with juvenile idiopathic arthritis and their parents. CLINICAL

trial registrationRegistry: ClinicalTrials.gov; Name: Sleep Shared-Management Intervention for Children with Juvenile Idiopathic Arthritis; URL: https://clinicaltrials.gov/study/NCT04066205; Identifier: NCT04066205. CITATION: Zhai S, Palermo TM, Shenoi S, et al. A shared-management web-based intervention for sleep deficiency in school-age children with juvenile idiopathic arthritis and their parents: feasibility and acceptability study.

Indexed as

Arthritis, JuvenileInternet-Based InterventionParentsPatient Acceptance of Health CareSleep DeprivationSleep Wake DisordersActigraphyAdolescentChildFeasibility StudiesFemaleHumansMalePilot Projectsactigraphybeliefs and attitudes about sleepchild–parent dyadsJIARCT interventionschool-age childrenself-efficacyshared managementtechnologytransdiagnostic sleep and circadian intervention

Identifiers

PMID40051205
PMCPMC12134579

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.