Choice may be key: could letting parents pick a coaching program help young kids sleep and behave better?
NCT ID NCT04824989
First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time
Summary
This study tests whether giving low-income parents of toddlers with sleep and behavior problems a choice of coaching program leads to better outcomes than being assigned one. Families are randomly placed into one of four groups: sleep coaching, behavior coaching, a choice between the two, or an active control. Researchers will track child sleep, behavior, and family functioning over nine months to see if offering choice improves engagement and results.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Parent coaching interventions: sleep-focused (SHIP), behavior-focused, family choice, and active control
- What this could lead to
- If giving families a choice boosts engagement, it could make early interventions more effective for low-income children, reducing health disparities.
- What could go wrong
- The trial is relatively small and relies on parent reports, which may not reflect real-world effectiveness. Results may not generalize beyond this population.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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305 people
The number who actually took part.
- Started
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Mar 2021
- Expected to finish
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Feb 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 48 months
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * child age at enrollment of 18-48 months; * household income at or below 300% of the federal poverty line * a parent fluent in English or Spanish * child behavior problem as indicated by a score \> 60 on the Emotionally Reactive, Anxious/Depressed, Withdrawn, Attention Problems, or Aggressive Behavior subscales of the Child Behavior Checklist 1 ½ - 5 years (CBCL 1 ½ - 5) * child sleep problem as indicated by at least one of the following: score 1 standard deviation above community means on any subscale of the Children's Sleep Wake Scale or on the Sleep Anxiety subscale of the Children's Sleep Habits Questionnaire; nighttime sleep latency longer than 30 minutes; score \>40 on the Children's Sleep Habits Questionnaire (CSHQ); bedtimes or wake times varying by more than 2 hours from day to day; and/or nighttime sleep duration ≤ 9.5 hr. Exclusion Criteria: * Diagnosed developmental disabilities * Serious chronic medical conditions such as autoimmune disorders or cancer * A positive screen on the Sleep Disordered Breathing or Parasomnia subscales of the CSHQ or parent-reported diagnosis of obstructive sleep apnea
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Boston University
Boston, Massachusetts, 02215, United States
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University of Denver
Denver, Colorado, 80208, United States
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Other studies related to the condition(s) this trial covers.
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