Columbia University
The overall study goal is to test the efficacy and cost-effectiveness of Sleeping Healthy, Living Healthy (SHLH), a novel intervention that combines healthy sleep practices with mind-body integrative health (MBIH) approaches to improve sleep health among urban adolescents. The study will also use a mixed-methods multi-stakeholder process evaluation to understand barriers and facilitators to adoption and implementation of SHLH across geographically diverse high schools, and to inform future dissemination and scale-up efforts. Aim #1: To evaluate the efficacy of SHLH in 294 urban adolescents with lower than recommended sleep duration for age. The study will randomize students from 12 NYC public high schools over 3 years, following them at four timepoints for 1-year post-intervention. While adolescents are the primary respondent for all outcomes, caregivers will be interviewed at the same intervals. School attendance data and grades will be obtained from schools. Aim #2: To assess the cost-effectiveness of SHLH compared to an attention control sleep intervention from the school system and societal perspectives. Outcomes will be cost per day of school absences and tardiness avoided (school system perspective) and cost per quality-adjusted life year (QALY) gained (societal perspective). Aim #3: To track the extent of uptake and delivery of SHLH across students and schools, and to identify multi-level factors that influence the implementation of SHLH, with the goal of informing future dissemination and scale-up of SHLH.
This study addresses the important problem of poor sleep health and its adverse effect on urban adolescents. To impact public health and bring changes to care, cost-effectiveness data and an understanding of factors involved in adopting and ultimately scaling-up interventions are essential to this process, but these data and understandings are lacking in sleep intervention research. Despite poor sleep health being a significant problem among urban adolescents, few interventions target this age group. This study will test the efficacy and cost-effectiveness of Sleeping Healthy, Living Healthy,…
Inclusion Criteria: \- 9th-11th grade students (ages 13 - 17.9) who report poor sleep duration (\<8 hours per weeknight; the recommended number of hours of sleep for adolescents) and impaired sleep duration (PROMIS SRI scores \> or = 55) from up to public high schools located in NYC Exclusion Criteria: * Report of a sleep disorder * Highly specialized learning needs (e.g., Down's syndrome, severe ADHD) which may preclude completion of the intervention or assessments * Pregnant adolescents because stress of an adolescent pregnancy and hormonal changes could impact sleep * 12th graders becaus…
Program 1: Group sessions progressively educate about each topic, building on concepts learned in prior sessions. Adolescents share experiences with the new behaviors taught; facilitators offer personalized feedback to ensure adolescents interpret the experiences correctly and positively, thereby increasing their skills and self-efficacy. Informational summary handouts are given to adolescents after each session. Adolescents will also participate in group activities and receive guided discussions, with teaching of MBIH techniques.
Program 2: Sleep for Teens offers a similar format as SHLH, which allows control for non-specific treatment factors. However, control students receive information about sleep in lecture format. Informational summary handout will be given. However, adolescents will not participate in group activities or receive guided discussions. MBIH techniques are not taught.