A sleep promotion program for insufficient sleep among adolescents: a pilot feasibility randomized controlled trial.

IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Journal of Clinical Sleep Medicine Pub Date : 2024-11-07 DOI:10.5664/jcsm.11456
Jessica C Levenson, Tina R Goldstein, Meredith L Wallace, Rachel Witt, Allison Harvey, Daniel Buysse, Dana Rofey, Brian Suffoletto, Elizabeth Miller
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Abstract

Study objectives: To examine the feasibility, acceptability, and impact of a Sleep Promotion Program (SPP).

Methods: This pilot trial randomized adolescents (13-15y) with insufficient sleep duration and irregular sleep timing to SPP-continuation (n=24; SPP in month 1, continuation treatment in month 2) or monitoring-SPP (n=20; monitoring in month 1, SPP in month 2). SPP included one clinician session and at-home delivery of web-based reports of each youth's sleep diary data with accompanying intervention questions that prompt youth to engage in sleep behavior change. Attrition rate primarily measured feasibility. Program satisfaction measured acceptability. Total sleep time (TST), sleep timing, and sleep timing regularity were measured via sleep diary at baseline, follow-up 1, and follow-up 2 (each ∼1 month apart). Linear mixed effects models compared treatment arms on changes in sleep from baseline to follow-up 1 (month 1). We also compared changes in sleep during month 1 to changes in sleep during month 2 among SPP-continuation participants.

Results: Attrition rate was 8.5%. 96.5% participants rated the quality of care received as good or excellent. In month 1, SPP-continuation youth showed a significantly greater increase in mean TST than monitoring-SPP youth (0.57 vs. -0.38 hours; contrast=0.95; CI=0.14, 1.76, p=0.024). SPP-continuation participants showed an increase in TST during month 1 (0.51h) but a decrease during month 2 (-0.74 h; contrast=-1.24, CI=-2.06, -0.42, p=0.005). No other significant effects were observed.

Conclusions: SPP is highly feasible, acceptable, and associated with a significant increase in TST early in treatment.

Clinical trial registration: Registry: ClinicalTrials.gov; Name: Targeted Intervention for Insufficient Sleep among Typically-Developing Adolescents; Identifier: NCT04163003; URL: https://clinicaltrials.gov/ct2/show/NCT04163003.

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针对青少年睡眠不足的睡眠促进计划:可行性随机对照试验。
研究目的考察睡眠促进计划(SPP)的可行性、可接受性和影响:这项试点试验将睡眠时间不足和睡眠时间不规律的青少年(13-15 岁)随机分配到SPP-持续治疗(人数=24;SPP 在第 1 个月,持续治疗在第 2 个月)或监测-SPP(人数=20;监测在第 1 个月,SPP 在第 2 个月)。SPP包括一次临床医生治疗和在家提供每个青少年睡眠日记数据的网络报告,并附有干预问题,以促使青少年改变睡眠行为。减员率主要衡量可行性。计划满意度衡量的是可接受性。总睡眠时间(TST)、睡眠时间和睡眠时间规律性分别在基线、随访 1 和随访 2(每次相隔 1 个月)时通过睡眠日记进行测量。线性混合效应模型比较了治疗组从基线到随访 1(第 1 个月)的睡眠变化。我们还比较了SPP持续参与者第1个月的睡眠变化和第2个月的睡眠变化:自然减员率为 8.5%。96.5%的参与者将所接受的护理质量评为良好或优秀。在第 1 个月,继续实施 SPP 的青少年的平均 TST 增长率明显高于继续监测 SPP 的青少年(0.57 小时 vs. -0.38 小时;对比度=0.95;CI=0.14, 1.76, p=0.024)。SPP持续参与者的TST在第1个月有所增加(0.51小时),但在第2个月有所减少(-0.74小时;对比度=-1.24,CI=-2.06,-0.42,P=0.005)。没有观察到其他重大影响:结论:SPP非常可行,可被接受,并在治疗早期显著提高TST:临床试验注册临床试验注册:注册表:ClinicalTrials.gov;名称:睡眠不足靶向干预:临床试验注册:注册表:ClinicalTrials.gov;名称:针对发育正常青少年睡眠不足的目标干预;标识符:NCT04163003;网址:www:NCT04163003;网址:https://clinicaltrials.gov/ct2/show/NCT04163003。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
7.00%
发文量
321
审稿时长
1 months
期刊介绍: Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.
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