Transdiagnostic Sleep and Circadian Intervention for Adolescents Plus Text Messaging: Randomized Controlled Trial 12-month Follow-up.

IF 4.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Clinical Child and Adolescent Psychology Pub Date : 2023-11-01 Epub Date: 2021-12-22 DOI:10.1080/15374416.2021.1978295

Emily A Dolsen, Lu Dong, Allison G Harvey

{"title":"Transdiagnostic Sleep and Circadian Intervention for Adolescents Plus Text Messaging: Randomized Controlled Trial 12-month Follow-up.","authors":"Emily A Dolsen, Lu Dong, Allison G Harvey","doi":"10.1080/15374416.2021.1978295","DOIUrl":null,"url":null,"abstract":"Objective: The Transdiagnostic Sleep and Circadian Intervention for Youth (TranS-C) was developed to improve sleep and circadian functioning in adolescents. This study examined the 12-month effects for TranS-C compared with psychoeducation (PE). We also investigated whether a text messaging intervention can promote maintenance of treatment effects.Method: At the baseline, adolescents (58% female, average age = 14.8 years) with an eveningness chronotype were randomized to TranS-C (n = 89) or PE (n = 87). At 6-month follow-up, participants were randomized to receive text messages that had repeated treatment information (n = 47), text messages that prompted the recall of treatment information (n = 50), or no text messages (n = 47).Results: Relative to PE, TranS-C was associated with a reduced eveningness (b = 2.06, p = .005, d = 0.29) from the baseline to a 12-month follow-up. TranS-C treatment effects, relative to PE, were augmented by receiving text messages, compared to no text messages, for eveningness from baseline to 12-month follow-up (b = 1.38, p = .008, d = 0.28) and from 6- to 12-month follow-up (b = 1.07, p = .046, d = 0.21). Neither TranS-C nor text messages were significantly associated with other primary outcomes. TranS-C and text messages were significantly associated with improvements on selected secondary sleep and health outcomes through follow-up.Conclusions: For adolescents with an eveningness chronotype, improved sleep and circadian functioning on selected outcomes were maintained over 12 months for TranS-C compared with PE. Text messages boosted the effects of TranS-C through 12-month follow-up.","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"750-762"},"PeriodicalIF":4.2000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9213566/pdf/nihms-1740112.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Child and Adolescent Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/15374416.2021.1978295","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/12/22 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The Transdiagnostic Sleep and Circadian Intervention for Youth (TranS-C) was developed to improve sleep and circadian functioning in adolescents. This study examined the 12-month effects for TranS-C compared with psychoeducation (PE). We also investigated whether a text messaging intervention can promote maintenance of treatment effects.

Method: At the baseline, adolescents (58% female, average age = 14.8 years) with an eveningness chronotype were randomized to TranS-C (n = 89) or PE (n = 87). At 6-month follow-up, participants were randomized to receive text messages that had repeated treatment information (n = 47), text messages that prompted the recall of treatment information (n = 50), or no text messages (n = 47).

Results: Relative to PE, TranS-C was associated with a reduced eveningness (b = 2.06, p = .005, d = 0.29) from the baseline to a 12-month follow-up. TranS-C treatment effects, relative to PE, were augmented by receiving text messages, compared to no text messages, for eveningness from baseline to 12-month follow-up (b = 1.38, p = .008, d = 0.28) and from 6- to 12-month follow-up (b = 1.07, p = .046, d = 0.21). Neither TranS-C nor text messages were significantly associated with other primary outcomes. TranS-C and text messages were significantly associated with improvements on selected secondary sleep and health outcomes through follow-up.

Conclusions: For adolescents with an eveningness chronotype, improved sleep and circadian functioning on selected outcomes were maintained over 12 months for TranS-C compared with PE. Text messages boosted the effects of TranS-C through 12-month follow-up.

Abstract Image

查看原文本刊更多论文

跨诊断睡眠和昼夜节律干预青少年加上短信:随机对照试验12个月的随访。

目的:开发青少年跨诊断睡眠和昼夜节律干预(TranS-C)以改善青少年的睡眠和昼夜节律功能。本研究考察了TranS-C与心理教育(PE)在12个月内的效果。我们还调查了短信干预是否能促进治疗效果的维持。方法:在基线时，夜间睡眠类型的青少年(58%为女性，平均年龄为14.8岁)随机分为TranS-C组(n = 89)和PE组(n = 87)。在6个月的随访中，参与者被随机分为三组，一组收到重复治疗信息的短信(n = 47)，另一组收到提示回忆治疗信息的短信(n = 50)，还有一组没有短信(n = 47)。结果:相对于PE，从基线到12个月的随访，TranS-C与降低的发生率相关(b = 2.06, p = 0.005, d = 0.29)。在基线至12个月随访期间(b = 1.38, p = 0.008, d = 0.28)和6至12个月随访期间(b = 1.07, p = 0.046, d = 0.21)，与PE相比，接收短信增强了反式c治疗的效果。TranS-C和短信与其他主要结果均无显著相关性。通过随访，TranS-C和短信与选定的次要睡眠和健康结果的改善显著相关。结论:对于夜性睡眠类型的青少年，与PE相比，TranS-C在特定结果上改善的睡眠和昼夜节律功能维持了12个月。在12个月的随访中，短信增强了TranS-C的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.