A school-based sleep education program for adolescents: A cluster randomized trial
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AbstractOBJECTIVES: To evaluate the effectiveness of a multilevel and multimodal school-based education abstract program. METHODS: A cluster randomized controlled trial with 14 secondary schools in Hong Kong and a total of 3713 students (intervention: 1545 vs control: 2168; 40.2% boys; mean age ± SD: 14.72 ± 1.53 years) were included in the final analysis. The intervention included a town hall seminar, small class workshops, a slogan competition, a brochure, and an educational Web site. Their parents and teachers were offered sleep education seminars. The control schools did not receive any sleep program. Data were collected before and 5 weeks after the intervention. RESULTS: The students in the intervention group had significantly improved sleep knowledge compared with the control group (mean difference: 3.64 [95% confidence interval (CI): 3.21 to 4.07]; Cohen's d = 0.51) as measured by using a sleep knowledge questionnaire. Weekday sleep duration was reduced in both groups, and the significant difference in weekday sleep duration was lost in the intention-to-treat analysis (mean difference: 0:01 [95% CI: -0:00 to 0: 04]). In addition, the intervention group had a lower incidence of consuming caffeinecontaining energy drinks (adjusted odds ratio: 0.46 [95% CI: 0.22 to 0.99]) and had better behavioral (mean difference: -0.56 [95% CI: -1.02 to -0.10]; Cohen's d = 0.13) and mental health (mean difference: -0.30 [95% CI: -0.15 to -0.46]; Cohen's d = 0.11) outcomes. CONCLUSIONS: A school-based sleep education program was effective in enhancing sleep knowledge and improving behavioral and mental health, but it had no significant impact on sleep duration or pattern among adolescents.
All Author(s) ListWing Y.K., Chan N.Y., Yu M.W.M., Lam S.P., Zhang J., Li S.X., Kong A.P.S., Li A.M.
Journal namePediatrics
Volume Number135
Issue Number3
PublisherAmerican Academy of Pediatrics
Place of PublicationUnited States
Pagese635 - e643
LanguagesEnglish-United Kingdom

Last updated on 2020-05-08 at 02:08