P040 How do Children with Neurodisability Use Technology Around Bedtime? Results from a Cross-Sectional Survey

Abstract Introduction Anecdotally caregivers of children with neurodisability (ND) express that using an electronic device before bed helps to calm their child and prepare them for sleep. The aim of this study was to determine how children with ND use technology prior to bedtime. Methods Caregivers of children 1-18yrs with a diagnosed ND condition, undergoing a sleep study at one of 3 tertiary hospitals completed a study-designed questionnaire exploring the type, frequency and nature of technology use by their child around bedtime. Sleep-related symptoms experienced by their child (e.g, daytime tiredness) were also reported. Descriptive statistical analysis was performed, and results were stratified by age, sex and underlying ND condition. Results 133 completed responses were available for analysis (55% male, median age 11yrs). 32% of participants were reported to “always” use a screen-based device around bedtime, 19% “often”, 25% sometimes, 8% rarely and 16% never. 47% reported their child used a device “everyday” prior to bedtime. 59% of parents felt that use of a device helped their child around bedtime. There was a positive association between the frequency of technology use at bedtime and sleep symptoms reported. Conclusion Bedtime digital technology usage was high in children with ND and appeared to be associated with greater report of sleep symptoms. However, more than half of parents felt the technology was helpful for their child around bedtime. Comparison to a group of neurotypical children is underway and will determine if recommendations for device usage in children with ND around bedtime require adaptation.