Project Sandman: A Quasi-Experimental Evaluation of a Group-Based Brief Sleep Intervention in Air Force Technical Training.

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2024-11-01 Epub Date: 2024-07-31 DOI:10.1080/15402002.2024.2386606

J M Ellis, R A Estevez Burns, I Mallawaarachchi, X-Q Wang, C A Aycock, A E Krunnfusz, J R Jones, J A Blue Star, M A Patience, D G Cassidy, D J Taylor, R C Klesges, G W Talcott

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Abstract

Objectives: Approximately 70% of the military personnel experience chronic sleep insufficiency, which negatively impacts military readiness and health. Military sleep health does not appear to be improving despite targeted programs to optimize sleep. The present quasi-experimental study aims to evaluate a single-session sleep intervention in United States Air Force (USAF) Technical Training.

Method: A group-based Brief Sleep Intervention (BSI) was developed for the target population. Participants included 321 technical school students (Mean age = 21; 82% male; 67% White) who were assigned to the BSI (n = 203) or a control group (n = 118). Propensity-score-weighted multivariable logistic regression was employed to compare outcomes.

Results: At the 2-week follow-up, students in the BSI were significantly more likely to report sleeping 6 or more hours on weekdays (OR = 1.49, p < .001) and "Good/Very Good" sleep quality (OR = 1.50, p = .032) than those in the control group. In addition, 69.2% of the students in BSI reported having engaged in the self-selected "Action Step" chosen during the intervention.

Conclusions: To our knowledge, this is the first study to test a preventative sleep intervention in USAF Technical Training. Results suggest that a single-session group intervention can promote behavioral changes and improve sleep health.

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睡魔项目：对空军技术培训中以小组为基础的简短睡眠干预的准实验评估。

目标：约有 70% 的军人长期睡眠不足，这对军事准备和健康产生了负面影响。尽管开展了有针对性的计划来优化睡眠，但军人的睡眠健康状况似乎并没有得到改善。本准实验研究旨在对美国空军（USAF）技术培训中的单次睡眠干预进行评估：方法：针对目标人群开发了基于小组的简短睡眠干预（BSI）。参与者包括 321 名技校学生（平均年龄 = 21 岁；82% 为男性；67% 为白人），他们被分配到 BSI 组（n = 203）或对照组（n = 118）。采用倾向分数加权多变量逻辑回归法对结果进行比较：在两周的随访中，BSI 组学生报告工作日睡眠时间达到或超过 6 小时的可能性明显高于对照组（OR = 1.49，P = .032）。此外，69.2%的学生表示在干预期间参与了自选的 "行动步骤"：据我们所知，这是第一项在美国空军技术培训中测试预防性睡眠干预的研究。结果表明，单节课的小组干预可以促进行为改变并改善睡眠健康。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.