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Can a school-based sleep education programme improve sleep knowledge, hygiene and behaviours using a randomised

Gabrielle Rigney1, Sarah Blunden2, Carol Maher1

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A school sleep education program slightly increased sleep duration but did not improve sleep knowledge or hygiene. These sleep behavior changes were temporary, indicating challenges in achieving lasting improvements in youth sleep health.

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Area of Science:

  • Pediatric Sleep Medicine
  • Public Health Interventions
  • Educational Psychology

Background:

  • Adolescent sleep is crucial for health and academic performance.
  • School-based interventions are a potential avenue for improving youth sleep.
  • Limited evidence exists on the long-term effectiveness of sleep education programs.

Purpose of the Study:

  • To evaluate a school-based sleep education program's impact on adolescent sleep behaviors, knowledge, and hygiene.
  • To assess the sustainability of any observed changes post-intervention.

Main Methods:

  • A cluster-randomised controlled trial involving 296 students (mean age 12.2 years) across 12 schools.
  • Intervention group received four weekly classroom lessons and a group project on sleep.
  • Sleep patterns were measured using actigraphy and time-use recall; sleep knowledge and hygiene were self-reported at baseline, 6 weeks, and 18 weeks.

Main Results:

  • The intervention group showed a modest 10-minute increase in time in bed (p=0.03) due to delayed wake time (p=0.00).
  • These sleep behavior changes were not sustained at the 18-week follow-up.
  • No significant improvements were observed in sleep knowledge or sleep hygiene in the intervention group compared to the control group.

Conclusions:

  • School-based sleep education can lead to short-term, minor adjustments in sleep patterns.
  • Achieving sustained improvements in adolescent sleep behaviors through education alone is challenging.
  • Future interventions may require greater intensity, different content, or targeting different age demographics for greater efficacy.