Table 3 OASIS session content
Session | Standard PBI | Sleep-focused PBI |
|---|---|---|
1 | Behavioral assessment Case conceptualization Goal setting Social reinforcement (attending, praise) | Behavioral assessment Sleep assessment Case conceptualization Goal setting Social reinforcement (attending, praise) Introduction to sleep diary |
2 | Goal review Planned ignoring Keeping your cool | Goal review Orientation to developmental sleep norms Sleep onset associations Establishing a bedtime routine Bedtime fading (if indicated) Removal of electronics (if indicated) Planned ignoring Keeping your cool |
3 | Transitional warnings When-then Effective commands | Enhancing the bedtime routine Transitional warnings When-then Effective commands |
4 | Take a break (time out from positive reinforcement) | Optimizing bedtime routine (if indicated) Re-evaluation of goals Individualized sleep intervention (one or more of the following strategies based on family and therapist-identified needs) • Bedtime fading • Predetermined checks • Graduated extinction • Night awakening strategies • Nighttime fear strategies • Bedtime refusal and delay strategies • Early wake strategies |
5 | Incentive systems • Standard behavioral | Optimizing sleep strategies Incentive systems • Standard behavioral • Bedtime Pass • Sleep Fairy |
6 | Optimizing incentive system Progress review Review of behavioral strategies Problem-solving daytime behavior Future goal development | Optimizing incentive system Progress review Review of behavioral strategies Review of sleep strategies Problem-solving daytime and sleep behavior Future goal development |