{"id":8295,"date":"2020-07-25T14:07:55","date_gmt":"2020-07-25T14:07:55","guid":{"rendered":"https:\/\/homeschoolingblogs.com\/?p=8295"},"modified":"2020-07-25T14:07:56","modified_gmt":"2020-07-25T14:07:56","slug":"an-evidence-based-step-by-step-information-with-examples","status":"publish","type":"post","link":"https:\/\/homeschoolingblogs.com\/an-evidence-based-step-by-step-information-with-examples\/","title":{"rendered":"An evidence-based, step-by-step information (with examples)"},"content":{"rendered":"
<\/p>\n
Fading before bed is a gentle "no cry" technique that allows you to align your child's internal clock with the desired bedtime. You start by asking your child to go to bed late – late enough that your child has a strong physiological urge to sleep. Then gradually adjust your child's schedule over several days until your child falls asleep at the earlier preferred time.<\/p>\n
Studies suggest that this is an effective way to overcome a child's chronic resistance to bedtime. It is also But who is a good candidate for this approach? What makes it different from other forms of sleep training? And what procedures should you follow to maximize success? <\/span><\/p>\n This Parent Science Guide provides answers – and detailed instructions. Fading before bed was used in toddlers and preschoolers. It has been used in children who develop normally and in children with developmental disorders. But it is not for every family. <\/p>\n To be successful, you need to spend some time learning the concepts, analyzing your child's current sleeping habits, and troubleshooting. You also need to be ready to make some important changes.<\/p>\n For example, you need to take steps to reprogram your child's daily rhythm. <\/p>\n You will too And you need to be prepared for some short-term difficulties like setbacks and daytime sleepiness. <\/p>\n However, if you're ready to make an effort, you'll likely see improvements. As I conclude at the end of this article, studies suggest that fading before bed is effective. Children adapt to earlier bed times and can fall asleep easier and faster.<\/p>\n Fading before bed can be seen as a form of sleep training, but it's a completely different approach. <\/p>\n First, it was specifically designed to improve bedtime compliance. It doesn't focus on solving other sleep problems like waking up frequently at night.<\/p>\n Second, it is not about leaving children alone to cry. If that happens, you're doing it wrong.<\/p>\n Third – and most importantly – the fading of bedtime is different because it addresses the physiological causes of resistance before bedtime.<\/p>\n "Cry it out" techniques and the Ferber method should only make children stay calm at night. They don't teach children how to fall asleep, and they don't do anything to ensure that a child gets physiologically sleepy before bed. <\/p>\n In contrast, the fading of bedtime is said to change the brain's internal clock. It gives children the biological tools they need to fall asleep immediately – without protest.<\/p>\n The technique of fading before bed was developed by two professors If you understand this background, the steps of the program will be carried out What causes lack of sleepiness? As I explain elsewhere, children do not become sleepy for various reasons. Here are some of the most common culprits:<\/p>\n This list is not exhaustive and it is likely that your child is No matter what else is going on, it's a good bet The fact that you The crucial point, however, is that something actively prevents it You need to get rid of these negative associations at bedtime Depending on your child's individual circumstances, this may mean But whatever you do, you should immediately stop trying to enforce your current official bedtime. Instead, you should replace it with a later bedtime – a bedtime that is too late for your child This should make it easy for your child to fall asleep immediately and without delay tactics. And once your child has made these new positive sleep associations, If you've ever had jet lag, you know how it works. We So this is the approach that parents use when fading in before bed The gradual pace is critical because you don't want to restore these negative sleep associations. If your child has trouble falling asleep immediately at any point on the way (within 15 minutes of announcing bedtime), your child is at risk of re-experiencing that bedtime is difficult, uncomfortable, or a reason to choke. <\/p>\n For this reason, Piazza and Fisher have regressed their programs. If a child has not got used to the last incremental change – d. H. If the child cannot fall asleep immediately after postponing bedtime for 15 minutes – do not continue to advance. Instead, you will immediately return to bedtime later.<\/p>\n <\/p>\n Check the recommended sleep times for people around you for help Example (toddler): Sophie is 18 months old. Most children their age take a total of 11 to 14 hours Based Sophie's parents want her to wake up at 7 a.m. each morning, so they set their goal for 12 hours before bed – 7 p.m.<\/p>\n Example (preschooler): After observing his behavior, Mario's parents appreciate it Is your child napping late in the day? Does your child Example (toddler): Example (preschooler): Mario is in the Example (toddler): Example: Mario's parents want him to fall asleep at 8:30 p.m. every night. But currently Mario Why? Remember: So far, your child has linked bedtime If your child falls asleep within 15 minutes, stick to this new schedule for another night. <\/span><\/p>\n Example: If Example: <\/span>Bedtime Example: The bedtime is set at 10:15 p.m. and for two nights in Piazza and Fisher recommend this, even if it doesn't give your child enough sleep for the day. Why? <\/p>\n You are trying to reprogram your child's daily rhythm – to move your child's "internal clock" to an earlier schedule. And exposing your child to morning light – at the same time every day – is one of the most powerful tools to achieve this. (Read more about it in my article here.) <\/p>\n If your child misses some sleep as a result, this can speed up your child's adjustment to the new schedule. Your child will build up more sleep pressure during the day and increase his sleepiness at night.<\/p>\n What if your child has a habit of waking up much later? What if your target wake-up time makes your child too sleepy to work? <\/p>\n In this case, I think you have to use your own judgment. It makes sense for me to avoid a wake-up time if your child would lose more than an hour of sleep as a result. You can reach your goal step by step.<\/p>\n Example: Mario is used to waking up at 8:30 a.m. – two hours later than his target wake-up time! This is a huge gap, so his parents decide to change the official process. Instead of waking him up at 6:30 a.m., they start training by waking him up at 7:15 a.m. every morning. Then, over a period of several days, they gradually shift Mario's wake-up time to 6:30 a.m.<\/p>\n How long will it take? It depends on many factors, including the gap you want to close. If you try to get your child to sleep 30 minutes earlier at night, it may take a few days to reach your goal. If you try to adjust more than an hour, the workout can take up to two weeks.<\/p>\n First, there is evidence from a study of tantrums before bed. The researchers randomly assigned 36 young children one of three experimental conditions:<\/p>\n After 6 weeks, children in the two treatment programs had fewer tantrums than children in the control group (Adams and Rickert 1989).<\/p>\n Then we have evidence of a slightly different type – studies that are not randomized and contain no control groups. Instead, researchers treat all participants equally and check whether the treatment is associated with changes. <\/p>\n These studies monitor children's sleeping habits before they fade before bed and then again after they complete the program. And the results are good.<\/p>\n For example, one of the largest of these studies tracked the progress of 21 preschoolers in It is not clear that the fading of bedtime had an impact on nighttime awakening, but the researchers observed rapid improvements <\/p>\n Before treatment, the children had taken an average of 23 minutes to fall asleep before bed. Two weeks late, the average had dropped to 12 minutes.<\/p>\n For children who had tantrums before bed, parents reported an average decrease from 1.7 a week to 0.4 a week.<\/p>\n The total time spent awake at night (after starting sleep) also decreased from an average of 32 minutes to 24 minutes (Cooney et al. 2018).<\/p>\n Other, smaller studies have tested variants of bedtime fading and reported similar results. Children fall asleep faster before going to bed, get more sleep overall, and parents report a high level of satisfaction with the method (e.g. Piazza and Fisher 1991a; Piazza and Fisher 1991b; Piazza et al. 1999; Sanberg et al. 2018; Delamere ) et al. 2018).<\/p>\n Read my article "How to reset your child's internal clock to an earlier bedtime". <\/p>\n In addition, I recommend these articles in Parenting Science:<\/p>\n Adams LA and Rickert VI. 1989. Reduce tantrums: comparison Cooney MR, Short MA, Gradisar M. 2018. An open process from Delemere E, Dounavi K. 2018. Bedtime implemented by parents Piazza CC and Fisher W. 1991a. A faded bedtime with an answer Piazza CC, Fisher WW. 1991b. The bedtime fades in the treatment Piazza CC, Fisher WW and Sherer M. 1997. Treatment of Sanberg SA, Kuhn BR, Kennedy AE. 2018. Results of a behavioral intervention Credit:<\/p>\n Title infographic from Parenting Science<\/p>\n Image of the girl under the covers of Liderina \/ istock<\/p>\n","protected":false},"excerpt":{"rendered":" \u00a9 2020 Gwen Dewar, all rights reserved Fading before bed is a gentle "no cry" technique that allows you to align your child's internal clock with the desired bedtime. You start by asking your child to go to bed late – late enough that your child has a strong physiological urge to sleep. Then gradually […]<\/p>\n","protected":false},"author":1,"featured_media":8296,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[20],"tags":[],"_links":{"self":[{"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/posts\/8295"}],"collection":[{"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/comments?post=8295"}],"version-history":[{"count":2,"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/posts\/8295\/revisions"}],"predecessor-version":[{"id":8298,"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/posts\/8295\/revisions\/8298"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/media\/8296"}],"wp:attachment":[{"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/media?parent=8295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/categories?post=8295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/homeschoolingblogs.com\/wp-json\/wp\/v2\/tags?post=8295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nuseful to prepare a child for a new, earlier schedule. <\/span><\/p>\n
<\/span><\/p>\nWho should try this technique?
<\/h2>\n
\nYou need to change any environmental or lifestyle factors that keep your child awake at night.<\/p>\nDoes bedtime fade into some form of sleep training? Does it have anything to do with "cry it out" techniques? Or the Ferber method? How is bedtime fading different?
<\/h3>\nWhat are the key background concepts? What do parents need to know before starting the procedure?
<\/h2>\n
\npediatrics, Cathleen Piazza and Wayne Fisher, and it's based on solid
\nPrinciples of sleep science and learning theory. <\/p>\n
\nIf you have a sense, you can adapt the method to the respective method
\nYour child's needs. Here are the key concepts. <\/p>\n1. To fall asleep, people have to experience physiological sleepiness. If a child does not fall asleep immediately before going to bed, this is a sign that the child is not sleepy enough. Something is in the way.
<\/h3>\n\n
\nChemistry of the right brain when bedtime is approaching so the child is physically unable
\nfall asleep.<\/li>\n<\/ul>\n\n
\ncall it "sleep pressure", d. H. it has not been enough time since the child has slept the last time, so that it cannot feel sleepy yet.<\/li>\n<\/ul>\n\n
\nbefore bedtime; e.g. B. too much television.<\/li>\n<\/ul>\n\n
\nto fall asleep with conflict, stalling and failure. When bedtime approaches, the child anticipates problems and this expectation blocks sleepiness.<\/li>\n<\/ul>\n
\nmore than one of these problems. <\/p>\n
\nthat your child is affected by the last problem on the list – learned
\nnegative associations before going to bed.<\/span> <\/p>\n
\nhave tried
\nForcing a certain bedtime – trying and failing – suggests that everyone
\nthose
\nnight fights have become a kind of night routine for you
\nChild. Your child has a habit of being sleepless before bed.<\/span><\/p>\n
\nYour child does not feel sleepy and peaceful enough before going to bed. If you want your child to fall asleep easily and quickly, you need to remove these barriers.<\/p>\n2. Your child can achieve a breakthrough if you "restart" your current routine.
<\/h3>\n
\nand replace them with positive ones. You need to help your child learn
\nThis bedtime is a time of calm, security and power
\nSleepiness. <\/p>\n
\navoid a late afternoon nap; Avoiding potentially disturbing or exciting
\nTelevision programs before bed; or address your child's nightly fears. <\/p>\n
\n will experience strong, physiological sleepiness. <\/p>\n
\nYou are ready to enter the fading training phase – the phase in which you gradually shift your child's bedtime to your preferred earlier time.<\/p>\n3. After your child succeeds in the new, later bedtime, you can use circadian clues – and incremental night shifts – to adjust your child to the earlier bedtime you prefer.
<\/h3>\n
\nDo not immediately adjust to an earlier bedtime – not when the bedtime is
\nEssentially out of sync with our internal clock. But it's pretty easy
\nget there in small steps – d. H. by going to bed 15 minutes earlier
\nNight. <\/p>\n
\nCombination with the provision of important environmental features for reprogramming children
\ntheir circadian rhythms. <\/p>\n1. Estimate your child's sleep needs and set a realistic goal for your child's bedtime and morning wake-up time.<\/span><\/h3>\n
\nAge group of the child. Also consider how your child really is
\nleads and works. Some children need more sleep than their peers.
\nOthers need less.<\/p>\n
\nSleep every day, including naps. A couple of children live from only 9-10
\nHours of total sleep. Some may take up to 15 hours. <\/p>\n
\nAccording to observation, Sophie's parents estimate that it takes about 14 hours
\nfrom sleep to feel happy, alert and healthy. Sophie takes a nap each time
\nDay, which is about two hours of sleep. So she has to sleep
\nabout 12 hours at night. <\/p>\n
\n Mario is 4 years old and doesn't take a nap anymore, so he has to hit everyone
\nHis sleep needs at night. Experts recommend that children get Mario's age
\napprox. 10-13 hours total sleep time. You also acknowledge
\nthat some children seem to do well if they fall outside of it for an hour
\nOffer. <\/p>\n
\nthat he needs about 10 hours of sleep. They want him to wake everyone up
\nTomorrow at 6:30 a.m., so they find that his bedtime goal is ten hours
\nearlier – at 8:30 p.m.<\/p>\n2. Treat factors that may affect your child's ability to become sleepy at the desired bedtime. <\/span><\/h3>\n
\nConsume caffeine? Is your child exposed to bright light in the evening?
\nor too little bright light in the morning? This educational science
\nAn article on bedtime issues can help you troubleshoot.<\/p>\n
\n Sophie took a nap every day after 4 p.m. This reduces sleep
\nPressure in the evening so that their parents postpone their afternoon nap
\nthat it ends at 3pm.<\/p>\n
\nHabit of playing video games just before bed. The excitement
\n – and bright light emitted by his device – could be delayed
\nSleepiness. So his parents implement a new rule: no video games during
\nthe hour before bed. <\/p>\n3. Find out when your child is currently in the habit of falling asleep every night, and then
\nChoose a new bedtime that is 15 to 30 minutes later.<\/h3>\n
\n The ultimate goal for Sophie's parents is to go to bed at 7 p.m., but right now
\nShe misses this goal: Sophie doesn't usually fall asleep every time
\nNight until 7.45 p.m. So Sophie's parents postpone bedtime to 8 p.m.<\/span><\/p>\n
\ndoesn't fall asleep until about 10 p.m. every night. So Marios
\nThe parents postpone his bedtime to 10.15 p.m.<\/span><\/p>\n4. Keep your child awake (with calm activities before bed)
\nuntil the newly defined bedtime arrives.<\/h3>\n
\nwith conflict, vigilance or failure to fall asleep. You want to help yours
\nChild to learn a new association – one that combines bedtime with a simple one
\nTransition to sleep. If your child falls asleep beforehand
\nBedtime, you missed this learning opportunity.<\/p>\n5. Observe how your child reacts to the new bedtime. How
\nHow long does it take your child to fall asleep? And do the right thing
\nAdjustments.<\/h3>\n
\n Bedtime is announced at 10:15 p.m. and Mario falls asleep within 3:00 p.m.
\nProtocol. The next evening, Mario's parents continue at 10:15 p.m.
\nBedtime.
<\/span><\/p>\n
\n It takes your child more than 15 minutes to fall asleep
\nAdjustment: Make the bedtime later the following night (around 15 to 30)
\n Protocol).<\/span><\/p>\n
\n is announced at 10:15 p.m., but Mario stays awake until 10:40 p.m. So the
\nNext night, Mario's parents announce bedtime at 10:30 p.m.<\/span><\/span><\/p>\n5. As soon as your child has spent two consecutive nights
\nImagine success with the same bedtime – falling asleep within 15 minutes
\na slightly earlier bedtime.<\/h3>\n
\n Mario immediately falls asleep in a row. The following night, Mario
\nThe parents set the bedtime at 10 p.m.<\/p>\n6. Expose your child to critical factors during this process
\ncircadian clues. Wake your child up at the same time each morning – waking up
\nTime you identified as your goal.<\/h3>\n7. Continue to fade bedtime and make adjustments from night to night until you reach your target bedtime.
<\/h3>\nAnd what exactly do studies tell us? What is the evidence that fading before bed really works?
<\/h2>\n\n
\nAustralia. The children all had sleep problems – sleep disorders,
\nProblems with frequent night watch or a combination of both. What happened?<\/p>\n\n
Where can I learn more about moving my child's "internal clock"? And other ways to improve my child's sleeping habits?
<\/h2>\nReferences: Fade bedtime
<\/h2>\n
\nbetween positive bedtime routines and graded extinction. Pediatrics
\n84 (5): 756-7. 761.<\/p>\n
\nFading bedtime with sleep disorders in preschool children: a parent group
\nEducational approach. Sleep Med. 46: 98-106.<\/p>\n
\nFading and positive routines for children with autism spectrum disorders. J Autism Dev Disord. 48 (4): 1002 – 100; 1019.<\/p>\n
\nCost protocol for the treatment of multiple sleep problems in children. J Appl Behav Anal. 24 (1): 129-24. 40.<\/p>\n
\nof pediatric insomnia. J Behav Ther Exp Psychiatry. 22 (1): 53-6.<\/p>\n
\nmultiple sleep problems in children with developmental disorders: faded
\nBedtime with response costs compared to bedtime planning. Dev Med Child Neurol. 39 (6): 414-4. 8th.<\/p>\n
\nfor sleep disorders in children with autism spectrum disorder. J Autism Dev
\nDisarray. 48 (12): 4250-4. 4277. <\/p>\n