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Sleep education in primary school prevents future school refusal behavior.
Tsutomu Maeda1, Kentaro Oniki2, Teruhisa Miike3
1Nonprofit Organization Rihome, Fukui, Japan.
Implementing a sleep education program (Min-Iku) significantly reduced school refusal rates in primary students by improving sleep patterns and daily rhythms. This intervention fostered healthier lifestyles, preventing future behavioral issues in junior high school.
Area of Science:
- Pediatric Sleep Medicine
- Educational Psychology
- Public Health Interventions
Background:
- Sleep disorders and difficulty awakening are primary causes of school refusal.
- Chronic sleep deprivation and late-night lifestyles are key contributing factors.
Purpose of the Study:
- To evaluate the effectiveness of the Min-Iku sleep education program in preventing school refusal.
- To improve pupil lifestyle and establish regular daily rhythms.
Main Methods:
- Initiated the Min-Iku program in Miyake-primary school (M-PS) from 2007.
- Included sleep-wake rhythm surveys, classification, interviews, and educational lectures.
- Conducted 45-minute classwork sessions for all pupils.
Main Results:
- School refusal incidence decreased from 10% in 2007 to 0% by 2012.
- Pupil sleep onset time improved, with most sleeping by 9:30 p.m. on weekdays and holidays.
- Significant extension of night-time sleep duration was observed (P < 0.001).
Conclusions:
- The Min-Iku program successfully promoted routine sleep patterns and regular life rhythms.
- The intervention effectively prevented school refusal in subsequent junior high school years.
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