Jean-Marie Bruzzese, Melanie A Gold, Malia C Maier, April J Ancheta, Jianfang Liu, Yihong Zhao, Suzanne M Bertisch, Samantha Garbers
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Outcomes assessed at baseline, immediately postintervention, and 10 weeks postintervention included sleep quality (Pittsburgh Sleep Quality Index (PSQI)); PROMIS sleep-related impairment; stress and anxiety; and perceived stress (Perceived Stress Scale). Actigraphy data were collected at each assessment. Generalized linear mixed-effects models with a random subject effect tested effects on outcomes following the intent-to-treat principle.</p><p><strong>Results: </strong>The median number of sessions adolescents randomized to SHLH attended was 5.0 of seven sessions (interquartile range = 2.50-6.00). They reported high satisfaction with the intervention and used the MBIH techniques taught in the intervention at least once in the past week. Relative to controls, adolescents in SHLH had lower odds of reporting poor sleep quality (OR = 0.12, 95% CI = 0.02, 0.77, p = .026) and reported significant improvements in healthy sleep practices (β = 0.28, 95% CI = 0.04, 0.52, p = .019), PSQI global sleep quality scores (β = -1.52, 95% CI = -3.42, -0.25, p = .27), and PROMIS sleep-related impairment (β = -5.73, 95% CI = -9.42, -2.04, p = .002). They also reported significantly less perceived stress (β = -1.82, 95% CI: -2.88, -0.77). No differences in actigraphy-estimated sleep were observed.</p><p><strong>Conclusions: </strong>Preliminary evaluations of SHLH suggest that it is feasible to implement, acceptable to adolescents, and had favorable short-term improvements in sleep. 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引用次数: 0
摘要
目的：评价“健康睡眠，健康生活”（SHLH）作为一种综合行为-睡眠-心身融合健康（MBIH）干预措施改善城市青少年睡眠健康的可行性、可接受性和初步效果。方法：来自纽约市两个高中校园的61名青少年（66%为女性；84%为西班牙裔/拉丁裔；25%为黑人或非裔美国人）每个工作日晚上睡眠时间少于8小时，随机分为SHLH组（n = 30）和注意力对照组（n = 31）。在基线、干预后立即和干预后10周评估的结果包括睡眠质量（匹兹堡睡眠质量指数（PSQI））；允诺睡眠相关障碍；压力和焦虑；感知压力（感知压力量表）。在每次评估时收集活动记录仪数据。具有随机受试者效应的广义线性混合效应模型测试了遵循意向治疗原则对结果的影响。结果：被随机分配到SHLH的青少年参加7次会议的中位数为5.0次（四分位数范围= 2.50-6.00）。他们报告了对干预的高满意度，并在过去一周内至少使用了干预中教授的MBIH技术一次。与对照组相比，SHLH青少年报告睡眠质量差的几率较低（OR = 0.12, 95% CI = 0.02, 0.77, p = 0.026），健康睡眠习惯（β = 0.28, 95% CI = 0.04, 0.52, p = 0.019）、PSQI整体睡眠质量评分（β = -1.52, 95% CI = -3.42, -0.25, p = 0.27）和PROMIS睡眠相关障碍（β = -5.73, 95% CI = -9.42, -2.04, p = 0.002）均有显著改善。他们还报告了明显更少的感知压力（β = -1.82, 95% CI: -2.88, -0.77）。在活动记录仪估计的睡眠中没有观察到差异。结论：SHLH的初步评估表明，实施SHLH是可行的，青少年可以接受，并且在短期内对睡眠有良好的改善。更大规模的试验是有必要的。
Preliminary outcomes of healthy sleep practices and mind-body integrative health intervention among urban youth: Feasibility, acceptability, and initial impact.
Objective: To evaluate feasibility, acceptability, and initial effects of Sleeping Healthy, Living Healthy (SHLH), an integrated behavioral sleep-mind-body integrative health (MBIH) intervention to improve sleep health, among urban adolescents.
Methods: Sixty-one adolescents (66% female; 84% Hispanic/Latino; 25% Black or African American) who slept less than 8 h/weeknight from two NYC high school campuses were randomized to SHLH (n = 30) or an attention-control group (n = 31). Outcomes assessed at baseline, immediately postintervention, and 10 weeks postintervention included sleep quality (Pittsburgh Sleep Quality Index (PSQI)); PROMIS sleep-related impairment; stress and anxiety; and perceived stress (Perceived Stress Scale). Actigraphy data were collected at each assessment. Generalized linear mixed-effects models with a random subject effect tested effects on outcomes following the intent-to-treat principle.
Results: The median number of sessions adolescents randomized to SHLH attended was 5.0 of seven sessions (interquartile range = 2.50-6.00). They reported high satisfaction with the intervention and used the MBIH techniques taught in the intervention at least once in the past week. Relative to controls, adolescents in SHLH had lower odds of reporting poor sleep quality (OR = 0.12, 95% CI = 0.02, 0.77, p = .026) and reported significant improvements in healthy sleep practices (β = 0.28, 95% CI = 0.04, 0.52, p = .019), PSQI global sleep quality scores (β = -1.52, 95% CI = -3.42, -0.25, p = .27), and PROMIS sleep-related impairment (β = -5.73, 95% CI = -9.42, -2.04, p = .002). They also reported significantly less perceived stress (β = -1.82, 95% CI: -2.88, -0.77). No differences in actigraphy-estimated sleep were observed.
Conclusions: Preliminary evaluations of SHLH suggest that it is feasible to implement, acceptable to adolescents, and had favorable short-term improvements in sleep. Larger trials are warranted.
期刊介绍：
Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
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