Related Experiment Video
Updated: Nov 26, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Perceived Barriers and Facilitating Factors in Implementing Delayed School Start Times to Improve Adolescent Sleep
Julia M Fitzpatrick1, Graciela E Silva2, Kimberly D Vana3
1Family Nurse Practitioner, (jmfitzpatrick@hotmail.com), Benefis Healthcare System, 1101 26th Street South, Great Falls, MT 59405.
Delayed school start times can improve adolescent sleep. Key factors for success include involving school administrators and providing sleep education, overcoming barriers like bus logistics and athletics scheduling.
Area of Science:
- Sleep Medicine
- Public Health
- Educational Administration
Background:
- Adolescent sleep deprivation is a significant public health issue in the US.
- Early school start times are a major contributor to insufficient sleep in teenagers.
- Quantifying barriers to delayed start times is crucial for policy implementation.
Purpose of the Study:
- To identify and quantify perceived barriers to implementing delayed high school start times.
- To explore facilitating factors for successful implementation of delayed start times.
Main Methods:
- Cross-sectional study design.
- Online questionnaire administered to school administrators who had already delayed start times.
- Ranking of perceived barriers and facilitating factors.
Main Results:
- Common barriers included lack of tiered bus systems, impact on athletes' afternoon classes, and reduced time for after-school activities.
- Key facilitating factors were administrator involvement in decision-making and sleep education for families and staff.
Conclusions:
- Sleep education and stakeholder involvement in decision-making positively influence the adoption of delayed school start times.
- Overcoming implementation barriers is achievable with stakeholder support and dedicated planning committees.
Related Concept Videos
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Management of Insomnia
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
Insomnia
Multiple factors contribute...
Understanding Sleep
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...

