What's Happening?
A UK-wide clinical trial has evaluated a self-guided behavioral sleep program for children with epilepsy, led by King's College London. The program, known as COSI (CASTLE Online Sleep Intervention), aims to help children fall asleep earlier using online
videos and guides. The trial involved 85 children aged 4-12 years and showed that those using the app fell asleep 16.5 minutes earlier on average. However, parental questionnaires did not indicate a significant perceived improvement in sleep compared to standard care. Engagement with the app was a challenge, with only 53% of participants actively using it. Despite this, parents who engaged reported increased knowledge about child sleep and recommended the tool.
Why It's Important?
This study highlights the potential of digital interventions in managing sleep issues in children with epilepsy, a group that often faces unique challenges. The findings underscore the importance of integrating technology with traditional healthcare approaches to enhance patient outcomes. The trial's results could influence future healthcare policies and the development of similar digital tools, emphasizing the need for user engagement and support. By addressing sleep problems, the app could improve the quality of life for children with epilepsy and their families, reducing the risk of complications associated with poor sleep.
What's Next?
Following the trial, a Policy Lab was convened to discuss the results and future directions. Recommendations include providing more support for parents using the app to maximize its benefits. The study's findings may lead to refinements in the app and similar digital interventions, potentially expanding their use in healthcare settings. Ongoing research and collaboration among universities and healthcare organizations will be crucial in developing effective digital health solutions.









