Maj-Britt M R Inhulsen, Maartje M van Stralen, Femke van Nassau, Vincent Busch
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引用次数: 0
Abstract
Background: Poor sleep health is increasingly recognized as a public health issue. Despite the potential of school-based interventions, few have successfully improved adolescent sleep health. To enhance intervention effectiveness, feasibility, and relevance, it is essential to understand barriers and facilitators affecting the adoption, implementation, and sustainment. This study evaluates these aspects for the sleep health promoting school-based intervention Charge Your Brainzzz in Dutch secondary schools.
Methods: We conducted 12 semistructured interviews with teachers from five implementation schools, complemented by 372 questionnaires completed by second- and third-grade students from various educational tracks. Qualitative data were thematically analyzed and quantitative data were analyzed using descriptive statistics and tests.
Results: Adoption was supported by teachers who valued sleep education and considered it a responsibility of schools. The intervention was generally well implemented, engaging, and aligned with teacher competencies and school structures. However, teachers questioned whether it would sufficiently improve adolescents' sleep health and questioned the intervention's optimal compatibility across educational tracks and grades. Adolescent satisfaction was moderate, showing differences among educational tracks.
Implications for school health policy, practice, and equity: Involving stakeholders through participatory co-creation is recommended to better address adolescents' diverse needs. Given the strong influence of the (social) environment on sleep, expanding Charge Your Brainzzz into a broader, systems-oriented approach could yield greater and more lasting impact.
Conclusions: This study provides insights into the adoption, implementation, and sustainment of Charge Your Brainzzz. While well received, further co-creative tailoring and a broader systems approach are needed to improve its impact on sleep health.
背景：睡眠健康状况不佳越来越被认为是一个公共卫生问题。尽管以学校为基础的干预具有潜力，但成功改善青少年睡眠健康的很少。为了提高干预措施的有效性、可行性和相关性，了解影响采用、实施和维持的障碍和促进因素至关重要。本研究对荷兰中学的睡眠健康促进校本干预Charge Your Brainzzz进行了这些方面的评估。方法：对5所实施学校的教师进行了12次半结构化访谈，并对来自不同教育方向的二、三年级学生进行了372份问卷调查。定性数据采用主题分析，定量数据采用描述性统计和检验分析。结果：重视睡眠教育并视睡眠教育为学校责任的教师支持收养。干预措施总体上实施良好，引人入胜，并与教师能力和学校结构相一致。然而，教师们质疑它是否能充分改善青少年的睡眠健康，并质疑干预在教育轨道和年级之间的最佳兼容性。青少年满意度为中等，表现出不同教育轨迹的差异。对学校卫生政策、实践和公平的影响：建议通过参与式共同创造让利益攸关方参与进来，以更好地解决青少年的各种需求。考虑到（社会）环境对睡眠的强烈影响，将Charge Your Brainzzz扩展到更广泛、面向系统的方法可能会产生更大、更持久的影响。结论：这项研究为Charge Your Brainzzz的采用、实施和维持提供了见解。虽然受到欢迎，但需要进一步的共同创意剪裁和更广泛的系统方法来改善其对睡眠健康的影响。试验注册：ISRCTN36701918。
期刊介绍：
Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.
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