What is the best way to get a 5 year old to sleep in her bed?
For a 5-year-old who won't stay in her own bed, a calm consistent bedtime routine plus a clear limit-setting technique (like a bedtime pass or gradual extinction) works well for most children, according to strong behavioural research.
This pattern is called 'behavioural insomnia of childhood, limit-setting type,' and it's one of the most studied and treatable sleep issues in young children.
Good
Backed by a systematic review of over 50 studies (practice parameters), several randomized controlled trials, and a Canadian paediatric guideline; evidence is consistent though most trials are small.
What the evidence says
A 5-year-old who won't stay in bed is dealing with something doctors call bedtime resistance, or 'limit-setting type' sleep trouble. This is very common at this age and there's a lot of good research on what helps.
The first step is a steady, calm bedtime routine done the same way every night, like bath, then books, then lights out. A Canadian paediatric guideline points out that a child should learn to fall asleep the same way she'll need to fall back asleep if she wakes in the night, meaning in her own bed, on her own, without a parent right there.
Once the routine is set, clear and consistent limits matter a lot. One well-tested method is the 'bedtime pass': the child gets one card she can trade for a single extra visit or hallway trip after lights-out, and after that, parents calmly and consistently do not respond to more calls or trips out of bed. A randomized trial found children using this pass left their room and cried out far less often than children in a control group, and the improvement lasted for months.
Other approaches that have research support include gradually reducing how long a parent stays in the room each night, and rewarding calm bedtime behaviour with praise or a small sticker chart rather than punishing the resistance. A big review of over 50 studies found that these kinds of behavioural approaches worked for the large majority of children, and the gains held up for months afterward.
Whatever method you pick, sticking with it every night for a couple of weeks matters more than which exact method you choose. If snoring, gasping, or very heavy tiredness during the day is also happening, that's worth mentioning to her doctor, since it could point to something else going on with her sleep.
Sources
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Guideline
Sleep matters: Supporting healthy sleep for children and youth with neurodevelopmental disabilities
Canadian Paediatric Society
Canadian guideline on limit-setting insomnia and independent sleep onset.
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Guideline
Sleep tips: How to help your child get a good night's sleep
AboutKidsHealth (SickKids)
Canadian hospital guidance on routines and limit-setting for bedtime.
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Guideline
CE corner: Helping children get a good night's sleep
American Psychological Association
Expert overview of behavioural treatments for bedtime resistance.
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Systematic review
Behavioral treatment of bedtime problems and night wakings in infants and young children
PubMed (Sleep journal, AASM task force review)
Review of 52 studies; behavioural methods worked in most children.
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Randomised trial
Evaluating the Bedtime Pass Program for child resistance to bedtime
PubMed
RCT in 3-6 year olds showing bedtime pass reduced resistance.
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Randomised trial
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial
PMC
RCT showing parent-based behavioural plan improved bedtime resistance.
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked August 8, 2026