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

STUDY

objectivesWe examined the feasibility, acceptability, and impact of a sleep promotion program (SPP).

methodsThis pilot trial randomly assigned adolescents (13-15 years of age) 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 1 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, 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.

resultsAttrition rate was 8.5%, and 96.5% of participants rated the quality of care received as good or excellent. In month 1, SPP-continuation youth showed a significantly greater increase in mean total sleep time than monitoring-SPP youth (0.57 vs -0.38 hours; contrast = 0.95; confidence interval = 0.14, 1.76;

conclusionsSPP is highly feasible, acceptable, and associated with a significant increase in total sleep time early in treatment. CLINICAL

trial registrationRegistry: ClinicalTrials.gov; Name: Targeted Intervention for Insufficient Sleep among Typically-Developing Adolescents; URL: https://clinicaltrials.gov/ct2/show/NCT04163003; Identifier: NCT04163003. CITATION: Levenson JC, Goldstein TR, Wallace ML, et al. A sleep promotion program for insufficient sleep among adolescents: a pilot feasibility randomized controlled trial.