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Evaluation of an interactive school-based sleep education program: a cluster-randomized controlled trial.

Elaine van Rijn1, Shirley Y J Koh1, Alyssa S C Ng2

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Summary

A school-based sleep education program improved adolescent sleep knowledge but did not increase sleep duration. Further interventions, like later school start times, may be needed for significant sleep behavior change.

Keywords:
ActigraphyAdolescentsSleepSleep educationSleep knowledgeTime management

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Area of Science:

  • Adolescent Health
  • Sleep Science
  • Educational Interventions

Background:

  • Shortened sleep negatively impacts adolescent well-being.
  • Adolescent sleep duration is often insufficient due to various factors.
  • Effective interventions are needed to improve sleep in this age group.

Purpose of the Study:

  • To evaluate an interactive school-based sleep education program (SEP).
  • To determine if the SEP increases adolescent sleep duration.
  • To assess changes in sleep knowledge and time usage.

Main Methods:

  • A cluster-randomized controlled trial involving 210 adolescents (mean age 14).
  • Intervention group received a 4-week sleep education program (SEP).
  • Control group received a healthy living program (HLP); sleep was measured using actigraphy.

Main Results:

  • Sleep knowledge significantly improved in the SEP group compared to the HLP group.
  • No significant changes in objectively measured sleep duration were observed post-intervention.
  • Students reported intentions to improve sleep but actual behavior change was not detected.

Conclusions:

  • Sleep education alone may be insufficient to alter adolescent sleep duration.
  • Combined strategies including later school start times and parental involvement may be necessary.
  • Further research is needed to identify effective multi-component interventions for adolescent sleep.