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The Bedtime Pass
An Approach to Bedtime Crying and Leaving the Room
Patrick C. Friman, PhD;
Kathryn E. Hoff, MEd;
Connie Schnoes, MA;
Kurt A. Freeman, MA;
Douglas W. Woods, MS;
Nathan Blum, MD
Arch Pediatr Adolesc Med. 1999;153:1027-1029.
Objective To evaluate a novel intervention for bedtime problems.
Design We used an ABAB withdrawal-type experimental design.
Setting The intervention was prescribed in an outpatient primary health care context and evaluated in the home setting.
Participants Two normally developing boys aged 3 and 10 years were the primary participants. Twenty parents and 23 practicing pediatricians rated the acceptability of the intervention.
Intervention A bedtime pass, exchangeable for 1 excused departure from the bedroom after bedtime.
Main Outcome Measures For both primary participants, instances of crying and/or coming out from the bedroom after bedtime; for the 20 parents and 23 pediatricians, comparative ratings of acceptability for the pass and 2 other commonly used approaches to bedtime problems (ignoring crying and letting children sleep with their parents).
Results Crying and coming out from the bedroom reduced to zero rates in both children. Pediatricians rated using the pass as significantly more acceptable than letting children sleep with parents and equivalent to ignoring. Parents rated the pass as more acceptable than either alternative.
Conclusion The bedtime pass provides pediatricians with a readily usable, potentially effective, and highly acceptable novel intervention for bedtime problems, one of the most common complaints in outpatient pediatrics.
From the Clinical Services Department, Father Flanagan's Boys' Home, Boys Town, Neb (Dr Friman, Ms Hoff, and Messrs Freeman and Woods); Department of Otolaryngology, Creighton University School of Medicine, Omaha, Neb (Dr Friman); Department of School Psychology, University of Nebraska, Lincoln (Ms Schnoes); and Department of Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa (Dr Blum).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Brief Report: Evaluating the Bedtime Pass Program for Child Resistance to Bedtime--A Randomized, Controlled Trial
Moore et al.
J Pediatr Psychol 2007;32:283-287.
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