Preliminary outcomes of healthy sleep practices and mind-body integrative health intervention among urban youth: Feasibility, acceptability, and initial impact.
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| Titel: | Preliminary outcomes of healthy sleep practices and mind-body integrative health intervention among urban youth: Feasibility, acceptability, and initial impact. |
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| Autoren: | Bruzzese JM; Columbia University School of Nursing, New York, New York, USA. Electronic address: jb3958@cumc.columbia.edu., Gold MA; Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA; Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York, USA., Maier MC; Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York, USA., Ancheta AJ; Columbia University School of Nursing, New York, New York, USA., Liu J; Columbia University School of Nursing, New York, New York, USA., Zhao Y; Columbia University School of Nursing, New York, New York, USA., Bertisch SM; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Garbers S; Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York, USA. Electronic address: s.garbers@northeastern.edu. |
| Quelle: | Sleep health [Sleep Health] 2025 Dec; Vol. 11 (6), pp. 900-907. Date of Electronic Publication: 2025 Sep 02. |
| Publikationsart: | Journal Article; Randomized Controlled Trial |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101656808 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-7226 (Electronic) Linking ISSN: 23527218 NLM ISO Abbreviation: Sleep Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [New York, NY] : Elsevier Inc., [2015]- |
| MeSH-Schlagworte: | Urban Population*/statistics & numerical data , Mind-Body Therapies*/methods , Sleep* , Patient Acceptance of Health Care*/statistics & numerical data, Humans ; Female ; Adolescent ; Male ; Feasibility Studies ; Sleep Quality ; New York City ; Actigraphy ; Stress, Psychological |
| Abstract: | Objective: To evaluate feasibility, acceptability, and initial effects of Sleeping Healthy, Living Healthy (SHLH), an integrated behavioral sleep-mind-body integrative health (MBIH) intervention to improve sleep health, among urban adolescents. Methods: Sixty-one adolescents (66% female; 84% Hispanic/Latino; 25% Black or African American) who slept less than 8 h/weeknight from two NYC high school campuses were randomized to SHLH (n = 30) or an attention-control group (n = 31). Outcomes assessed at baseline, immediately postintervention, and 10 weeks postintervention included sleep quality (Pittsburgh Sleep Quality Index (PSQI)); PROMIS sleep-related impairment; stress and anxiety; and perceived stress (Perceived Stress Scale). Actigraphy data were collected at each assessment. Generalized linear mixed-effects models with a random subject effect tested effects on outcomes following the intent-to-treat principle. Results: The median number of sessions adolescents randomized to SHLH attended was 5.0 of seven sessions (interquartile range = 2.50-6.00). They reported high satisfaction with the intervention and used the MBIH techniques taught in the intervention at least once in the past week. Relative to controls, adolescents in SHLH had lower odds of reporting poor sleep quality (OR = 0.12, 95% CI = 0.02, 0.77, p = .026) and reported significant improvements in healthy sleep practices (β = 0.28, 95% CI = 0.04, 0.52, p = .019), PSQI global sleep quality scores (β = -1.52, 95% CI = -3.42, -0.25, p = .27), and PROMIS sleep-related impairment (β = -5.73, 95% CI = -9.42, -2.04, p = .002). They also reported significantly less perceived stress (β = -1.82, 95% CI: -2.88, -0.77). No differences in actigraphy-estimated sleep were observed. Conclusions: Preliminary evaluations of SHLH suggest that it is feasible to implement, acceptable to adolescents, and had favorable short-term improvements in sleep. Larger trials are warranted. (Copyright © 2025 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.) |
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| Grant Information: | R21 MD013991 United States MD NIMHD NIH HHS; UL1 TR001873 United States TR NCATS NIH HHS |
| Contributed Indexing: | Keywords: Adolescents; Health behaviors; Health promotion; High school students; Normative sleep; Sleep health |
| Entry Date(s): | Date Created: 20250902 Date Completed: 20251203 Latest Revision: 20251206 |
| Update Code: | 20251206 |
| PubMed Central ID: | PMC12455851 |
| DOI: | 10.1016/j.sleh.2025.07.012 |
| PMID: | 40897566 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Objective: To evaluate feasibility, acceptability, and initial effects of Sleeping Healthy, Living Healthy (SHLH), an integrated behavioral sleep-mind-body integrative health (MBIH) intervention to improve sleep health, among urban adolescents.<br />Methods: Sixty-one adolescents (66% female; 84% Hispanic/Latino; 25% Black or African American) who slept less than 8 h/weeknight from two NYC high school campuses were randomized to SHLH (n = 30) or an attention-control group (n = 31). Outcomes assessed at baseline, immediately postintervention, and 10 weeks postintervention included sleep quality (Pittsburgh Sleep Quality Index (PSQI)); PROMIS sleep-related impairment; stress and anxiety; and perceived stress (Perceived Stress Scale). Actigraphy data were collected at each assessment. Generalized linear mixed-effects models with a random subject effect tested effects on outcomes following the intent-to-treat principle.<br />Results: The median number of sessions adolescents randomized to SHLH attended was 5.0 of seven sessions (interquartile range = 2.50-6.00). They reported high satisfaction with the intervention and used the MBIH techniques taught in the intervention at least once in the past week. Relative to controls, adolescents in SHLH had lower odds of reporting poor sleep quality (OR = 0.12, 95% CI = 0.02, 0.77, p = .026) and reported significant improvements in healthy sleep practices (β = 0.28, 95% CI = 0.04, 0.52, p = .019), PSQI global sleep quality scores (β = -1.52, 95% CI = -3.42, -0.25, p = .27), and PROMIS sleep-related impairment (β = -5.73, 95% CI = -9.42, -2.04, p = .002). They also reported significantly less perceived stress (β = -1.82, 95% CI: -2.88, -0.77). No differences in actigraphy-estimated sleep were observed.<br />Conclusions: Preliminary evaluations of SHLH suggest that it is feasible to implement, acceptable to adolescents, and had favorable short-term improvements in sleep. Larger trials are warranted.<br /> (Copyright © 2025 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.) |
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| ISSN: | 2352-7226 |
| DOI: | 10.1016/j.sleh.2025.07.012 |