Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep

Schlarb A, Brandhorst I (2012)
Nature and Science of Sleep 4: 41-52.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
Es wurden keine Dateien hochgeladen. Nur Publikationsnachweis!
Schlarb, AngelikaUniBi; Brandhorst, I.
Abstract / Bemerkung
Purpose Behavioral sleep problems are highly common in early childhood. These sleep problems have a high tendency to persist, and they may have deleterious effects on early brain development, attention, and mood regulation. Furthermore, secondary effects on parents and their relationship are documented. Negative parental cognition and behavior have been found to be important influencing factors of a child’s behavioral sleep problems. Therefore, in the current study we examined the acceptance and efficacy of a newly developed Internet-based intervention program called Mini-KiSS Online for sleep disturbances for children aged 6 months to 4 years and their parents. Patients and methods Fifty-five children (54.54% female; aged 8–57 months) suffering from psychophysiological insomnia or behavioral insomnia participated in the 6-week online treatment. Sleep problems and treatment acceptance were examined with a sleep diary, anamnestic questionnaires, a child behavior checklist (the Child Behavior Checklist 1.5–5), and treatment evaluation questionnaires. Results The evaluation questionnaires showed a high acceptance of Mini-KiSS Online. Parents would recommend the treatment to other families, were glad to participate, and reported that they were able to deal with sleep-related problems of their child after Mini-KiSS Online. Parental behavior strategies changed with a reduction of dysfunctional strategies, such as staying or soothing the child until they fell asleep, allowing the child to get up again and play or watch TV, or reading them another bedtime story. Frequency and duration of night waking decreased as well as the need for external help to start or maintain sleep. All parameters changed significantly, not only in the questionnaires but also in the sleep diary. Conclusion Mini-KiSS Online is shown to be a highly accepted and effective treatment to change parental behavior and reduce behavioral sleep problems in early childhood.
Nature and Science of Sleep
Page URI


Schlarb A, Brandhorst I. Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep. Nature and Science of Sleep. 2012;4:41-52.
Schlarb, A., & Brandhorst, I. (2012). Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep. Nature and Science of Sleep, 4, 41-52. doi:10.2147/NSS.S28337
Schlarb, A., and Brandhorst, I. (2012). Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep. Nature and Science of Sleep 4, 41-52.
Schlarb, A., & Brandhorst, I., 2012. Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep. Nature and Science of Sleep, 4, p 41-52.
A. Schlarb and I. Brandhorst, “Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep”, Nature and Science of Sleep, vol. 4, 2012, pp. 41-52.
Schlarb, A., Brandhorst, I.: Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep. Nature and Science of Sleep. 4, 41-52 (2012).
Schlarb, Angelika, and Brandhorst, I. “Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems – influence on parental behavior and children’s sleep”. Nature and Science of Sleep 4 (2012): 41-52.
Link(s) zu Volltext(en)
Access Level
Restricted Closed Access

11 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Short- and Long-Term Effects of CBT-I in Groups for School-Age Children Suffering From Chronic Insomnia: The KiSS-Program.
Schlarb AA, Bihlmaier I, Velten-Schurian K, Poets CF, Hautzinger M., Behav Sleep Med 16(4), 2018
PMID: 27645834
Evaluation of an Internet-Based Behavioral Intervention to Improve Psychosocial Health Outcomes in Children With Insomnia (Better Nights, Better Days): Protocol for a Randomized Controlled Trial.
Corkum PV, Reid GJ, Hall WA, Godbout R, Stremler R, Weiss SK, Gruber R, Witmans M, Chambers CT, Begum EA, Andreou P, Rigney G., JMIR Res Protoc 7(3), 2018
PMID: 29581089
[Therapy of insomnia and nightmares in childhood and adolescence].
Schlarb AA., Z Kinder Jugendpsychiatr Psychother 46(5), 2018
PMID: 30141741
Parent-child bed-sharing: The good, the bad, and the burden of evidence.
Mileva-Seitz VR, Bakermans-Kranenburg MJ, Battaini C, Luijk MP., Sleep Med Rev 32(), 2017
PMID: 27107752
Digital Cognitive Behavioral Therapy (dCBT) for Insomnia: a State-of-the-Science Review.
Luik AI, Kyle SD, Espie CA., Curr Sleep Med Rep 3(2), 2017
PMID: 28553574
Better Nights/Better Days-Distance Intervention for Insomnia in School-Aged Children With/Without ADHD: A Randomized Controlled Trial.
Corkum P, Lingley-Pottie P, Davidson F, McGrath P, Chambers CT, Mullane J, Laredo S, Woodford K, Weiss SK., J Pediatr Psychol 41(6), 2016
PMID: 27189687
Health promotion in obstructive sleep apnea syndrome.
Corrêa Cde C, Blasca WQ, Berretin-Felix G., Int Arch Otorhinolaryngol 19(2), 2015
PMID: 25992174
Effect of the IDEFICS multilevel obesity prevention on children's sleep duration.
Michels N, De Henauw S, Eiben G, Hadjigeorgiou C, Hense S, Hunsberger M, Konstabel K, Molnár D, Moreno LA, Siani A, De Bourdeaudhuij I, Pigeot I, IDEFICS consortium., Obes Rev 16 Suppl 2(), 2015
PMID: 26707017
Systematic review and meta-analysis of behavioral interventions for pediatric insomnia.
Meltzer LJ, Mindell JA., J Pediatr Psychol 39(8), 2014
PMID: 24947271

66 References

Daten bereitgestellt von Europe PubMed Central.

Sleep problems in young infants and maternal mental physical health
Bayer JK, Hiscock H, Hampton A, Wake M., 2007
Nighttime sleep-wake patterns and self-soothing from birth to one year of age: a longitudinal intervention study.
Burnham MM, Goodlin-Jones BL, Gaylor EE, Anders TF., J Child Psychol Psychiatry 43(6), 2002
PMID: 12236607
Improving infant sleep and maternal mental health: a cluster randomised trial.
Hiscock H, Bayer J, Gold L, Hampton A, Ukoumunne OC, Wake M., Arch. Dis. Child. 92(11), 2006
PMID: 17158146
A longitudinal study of bed sharing and sleep problems among Swiss children in the first 10 years of life.
Jenni OG, Fuhrer HZ, Iglowstein I, Molinari L, Largo RH., Pediatrics 115(1 Suppl), 2005
PMID: 15866857
Adverse associations of infant and child sleep problems and parent health: an Australian population study.
Martin J, Hiscock H, Hardy P, Davey B, Wake M., Pediatrics 119(5), 2007
PMID: 17473096
Prevalence, stability, and outcomes of cry-fuss and sleep problems in the first 2 years of life: prospective community-based study.
Wake M, Morton-Allen E, Poulakis Z, Hiscock H, Gallagher S, Oberklaid F., Pediatrics 117(3), 2006
PMID: 16510665
Infant and toddler sleep: a telephone survey of parents in one community.
Johnson CM., J Dev Behav Pediatr 12(2), 1991
PMID: 2045483
Outcomes of infant sleep problems: a longitudinal study of sleep, behaviour and maternal well-being
Lam P, Hiscock H, Wake M., 2003
The evaluation and treatment of sleep disturbances in young children.
Minde K, Popiel K, Leos N, Falkner S, Parker K, Handley-Derry M., J Child Psychol Psychiatry 34(4), 1993
PMID: 8509492
Infant sleep and parental sleep-related cognitions.
Sadeh A, Flint-Ofir E, Tirosh T, Tikotzky L., J Fam Psychol 21(1), 2007
PMID: 17371112
Dyssomnias and parasomnias in early childhood
Petit D, Touchette E, Tremblay R, Boivin M, Montplaisir J., 2007
Night-waking at five years of age: predictors and prognosis.
Pollock JI., J Child Psychol Psychiatry 35(4), 1994
PMID: 8040222
Sleep problems in early childhood: continuities, predictive factors, and behavioral correlates.
Zuckerman B, Stevenson J, Bailey V., Pediatrics 80(5), 1987
PMID: 3670967
Early sleep triggers memory for early visual discrimination skills.
Gais S, Plihal W, Wagner U, Born J., Nat. Neurosci. 3(12), 2000
PMID: 11100156
The REM sleep-memory consolidation hypothesis.
Siegel JM., Science 294(5544), 2001
PMID: 11691984
Sleep-dependent memory consolidation.
Stickgold R., Nature 437(7063), 2005
PMID: 16251952
Etiologies of associations between childhood sleep and behavioural problems in a large twin sample
Gregory AM, Eley TC, O’Connor TG, Plomin R., 2004
Sleep and behavior problems among preschoolers.
Lavigne JV, Arend R, Rosenbaum D, Smith A, Weissbluth M, Binns HJ, Christoffel KK., J Dev Behav Pediatr 20(3), 1999
PMID: 10393073
Sleep problems in early childhood and early onset of alcohol and other drug use in adolescence.
Wong MM, Brower KJ, Fitzgerald HE, Zucker RA., Alcohol. Clin. Exp. Res. 28(4), 2004
PMID: 15100609
Wellbeing of mothers with children exhibiting sleep disturbance
Gelman VS, King NJ., 2001
Long-term mother and child mental health effects of a population-based infant sleep intervention: cluster-randomized, controlled trial
Hiscock H, Bayer JK, Hampton A, Ukoumunne OC, Wake M., 2008
[Mini-KiSS--a multimodal group therapy intervention for parents of young children with sleep disorders: a pilot study].
Schlarb AA, Brandhorst I, Hautzinger M., Z Kinder Jugendpsychiatr Psychother 39(3), 2011
PMID: 21563111
Behavioral treatment of bedtime problems and night wakings in infants and young children.
Mindell JA, Kuhn B, Lewin DS, Meltzer LJ, Sadeh A; American Academy of Sleep Medicine., Sleep 29(10), 2006
PMID: 17068979
First effects of a multicomponent treatment for sleep disorders in children.
Schlarb AA, Velten-Schurian K, Poets CF, Hautzinger M., Nat Sci Sleep 3(), 2010
PMID: 23616714
A review of pediatric nonrespiratory sleep disorders.
Moore M, Allison D, Rosen CL., Chest 130(4), 2006
PMID: 17035465
Insomnien in der pädiatrischen Praxis: Häufigkeit, familiäre Belastung und Behandlungsempfehlungen. [Insomnia in pediatric care: Frequency, parents` burden, and treatment recommendations.]
Schlarb AA, Gulewitsch MD, Hautzinger M., 2010
Pediatricians and sleep disorders: training and practice.
Mindell JA, Moline ML, Zendell SM, Brown LW, Fry JM., Pediatrics 94(2 Pt 1), 1994
PMID: 8036073
Medication use in treatment of pediatric insomnia: results of a survey of community-based pediatricians
Owens JA, Rosen CL, Mindell JA., 2003
Cognitive-behavioral treatment for childhood sleep disorders.
Sadeh A., Clin Psychol Rev 25(5), 2005
PMID: 15979219
A pediatric surgery study: parent usage of the Internet for medical information.
Semere W, Karamanoukian HL, Levitt M, Edwards T, Murero M, D'Ancona G, Donias HW, Glick PL., J. Pediatr. Surg. 38(4), 2003
PMID: 12677566
The use of the Internet in the treatment of anxiety disorders
Andersson G, Bergström J, Carlbring P, Lindefors N., 2005
A comprehensive review and a meta-analysis of the effectiveness of Internet-based psychotherapeutic interventions
Barak A, Hen L, Boniel-Nissim M, Shapira N., 2008
Delivering interventions for depression by using the internet: randomised controlled trial.
Christensen H, Griffiths KM, Jorm AF., BMJ 328(7434), 2004
PMID: 14742346
The impact of Internet use for weight loss.
Saperstein SL, Atkinson NL, Gold RS., Obes Rev 8(5), 2007
PMID: 17716303
The effectiveness of Web-based vs. non-Web-based interventions: a meta-analysis of behavioral change outcomes.
Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM., J. Med. Internet Res. 6(4), 2004
PMID: 15631964
Internet-based treatment for insomnia: a controlled evaluation
Ström L, Pettersson R, Andersson G., 2004
Efficacy of an Internet-based behavioral intervention for adults with insomnia.
Ritterband LM, Thorndike FP, Gonder-Frederick LA, Magee JC, Bailey ET, Saylor DK, Morin CM., Arch. Gen. Psychiatry 66(7), 2009
PMID: 19581560
Efficacy of an internet-based intervention for infant and toddler sleep disturbances.
Mindell JA, Du Mond CE, Sadeh A, Telofski LS, Kulkarni N, Gunn E., Sleep 34(4), 2011
PMID: 21461323
Patient-focused research: using patient outcome data to enhance treatment effects
Lambert MJ, Hansen NB, Finch AE., 2001
Psychotherapy relationships that work II.
Norcross JC, Lambert MJ., Psychotherapy (Chic) 48(1), 2011
PMID: 21401268
Fifty years of psychotherapy process-outcome research: continuity and change
Orlinsky DE, Ronnestad MH, Willutzki U., 2004

Prochaska JO, Norcross JC., 2010

A longitudinal follow-up study of young children's sleep patterns using a developmental classification system.
Gaylor EE, Burnham MM, Goodlin-Jones BL, Anders TF., Behav Sleep Med 3(1), 2005
PMID: 15639757
Diagnostik von Schlafstörungen. [Diagnostics for sleep disorders.]
Wiater A, Scheuermann P., 2007

Achenbach T, Rescorla L., 2000
Intent-to-treat analysis for longitudinal clinical trials: coping with the challenge of missing values.
Mazumdar S, Liu KS, Houck PR, Reynolds CF 3rd., J Psychiatr Res 33(2), 1999
PMID: 10221740
The dose-effect relationship in psychotherapy.
Howard KI, Kopta SM, Krause MS, Orlinsky DE., Am Psychol 41(2), 1986
PMID: 3516036
Internet interventions: in review, in use, and into the future
Ritterband LM, Gonder-Frederick L, Cox DJ, Clifton AD, West RW, Borowitz SM., 2003

Grawe K., 2004

Yalom ID, Leszcz M., 2005

Kerlinger FN., 1986
Internet-administered cognitive behavior therapy for health problems: a systematic review.
Cuijpers P, van Straten A, Andersson G., J Behav Med 31(2), 2008
PMID: 18165893
Usage and longitudinal effectiveness of a Web-based self-help cognitive behavioral therapy program for panic disorder.
Farvolden P, Denisoff E, Selby P, Bagby RM, Rudy L., J. Med. Internet Res. 7(1), 2005
PMID: 15829479
Computer-aided psychotherapy for anxiety disorders: a meta-analytic review.
Cuijpers P, Marks IM, van Straten A, Cavanagh K, Gega L, Andersson G., Cogn Behav Ther 38(2), 2009
PMID: 20183688
Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis.
Spek V, Cuijpers P, Nyklicek I, Riper H, Keyzer J, Pop V., Psychol Med 37(3), 2006
PMID: 17112400
A meta-analysis of response rates in web- or Internet-based surveys
Cook C, Heath F, Thompson RL., 2000


Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB


PMID: 23620677
PubMed | Europe PMC

Suchen in

Google Scholar