Evidence map›Paper›PMID 41501108›Full record

Trial reportScientific reports2026

Randomised controlled trial of online behavioural sleep intervention for children with epilepsy.

Paul Gringras, Aiswarya Anilkumar, Lucy Bray, Bernie Carter, Tony Coffey, Georgia Cook, Will A S Hardy, Dyfrig A Hughes, Sylvine Lalnunhlimi, Christopher Morris and 5 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Paul GringrasDepartment of Children's Sleep Medicine, Women's and Children's Institute, King's College London, London, UK.
Aiswarya AnilkumarLiverpool Clinical Trials Centre, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
Lucy BrayFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.
Bernie CarterFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.
Tony CoffeyLiverpool Clinical Trials Centre, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
Georgia CookOxford Institute of Applied Health Research, Faculty of Health, Science and Technology, Georgia Cook, Oxford Brookes University, Oxford, UK.
Will A S HardyCentre for Health Economics and Medicines Evaluation, North Wales Medical School, Bangor University, Ardudwy, Bangor, Wales.
Dyfrig A HughesCentre for Health Economics and Medicines Evaluation, North Wales Medical School, Bangor University, Ardudwy, Bangor, Wales.
Sylvine LalnunhlimiMRC Centre for Neurodevelopmental Disorders & Basic and Clinical Neurosciences Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 5 Cutcombe Road, London, SE5 9RX, UK.
Christopher MorrisPenCRU (Peninsula Childhood Disability Research Unit), Christopher Morris, University of Exeter Medical School, University of Exeter, Exeter, UK.
Holly SaronFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.
Lucy Stibbs-EatonLiverpool Clinical Trials Centre, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
Catrin Tudur SmithLiverpool Clinical Trials Centre, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
Luci WiggsCentre for Psychological Research, Faculty of Health, Science and Technology, Oxford Brookes University, Gipsy Lane, Oxford, UK.
Deb K PalMRC Centre for Neurodevelopmental Disorders & Basic and Clinical Neurosciences Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 5 Cutcombe Road, London, SE5 9RX, UK. deb.pal@kcl.ac.uk.

Funding

National Institute for Health and Care Research RP-PG-0615-20007
6 · The paper itself

Abstract

We evaluated the clinical and cost effectiveness of an online sleep intervention (COSI) for parents of children with epilepsy. We conducted a multicentre, parallel-group, unblinded, randomised controlled trial. We recruited children aged 4-12 years with epilepsy and sleep problems through 26 UK outpatient clinics. Participants were randomly assigned (1:1) via a computer-generated minimisation algorithm. The primary outcome was the Children's Sleep Habits Questionnaire (CSHQ) at three months. Cost-effectiveness was estimated at six months. We conducted intention to treat analyses. 85 children were enrolled (42 SC; 43 SC + COSI). At three months, the adjusted mean CSHQ difference between arms was 3.00 (95% CI 0.06-5.93; p = 0.05), indicating significant superiority of SC. Children in the SC + COSI group showed a mean 16.5-minute reduction in sleep onset latency by actigraphy and parents increased their knowledge. Only 23 (53%) families accessed the core intervention materials. Incremental mean cost of SC + COSI was £1,232 (95% credibility interval £535-£3,455) with a mean incremental Quality Adjusted Life Year (QALY) of 0.00 (95% CI -0.03 to 0.04), yielding an incremental cost-effectiveness ratio of £433,167 per QALY gained a (0.04 probability of being cost-effective at the £30,000/QALY threshold). Improved objective sleep onset latency and enhanced parental knowledge suggest that the underlying behaviour change techniques hold value.

Indexed as

Behavior TherapyEpilepsySleepSleep Wake DisordersChildChild, PreschoolCost-Effectiveness AnalysisFemaleHumansMaleParentsQuality-Adjusted Life YearsSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID41501108
PMCPMC12780250

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.