A motivational school-based intervention for adolescent sleep problems

Neralie Cain, Michael Gradisar, Lynette Moseley

    Research output: Contribution to journalArticlepeer-review

    116 Citations (Scopus)

    Abstract

    Objective: The current study aimed to develop and evaluate a motivational school-based intervention for adolescent sleep problems. Methods: The intervention was implemented in three co-educational secondary schools in Adelaide, South Australia. Two year-11 Psychology classes from each school participated, with one as the intervention class (N=53) and one as the control class (N=51). Students in the intervention classes attended four 50-min sleep education classes, held once per week. The lessons were modified from those of Moseley and Gradisar [23] to incorporate a motivational interviewing framework. Students completed an online questionnaire battery measuring school day and weekend sleep parameters, daytime sleepiness, and depression at pre- and post-program and follow-up, and completed motivation to change questionnaires during the program. Results: Students in the intervention group significantly increased their knowledge about sleep relative to the control group (p=0.001). During the intervention, students' motivation to regularize their out-of-bed times improved (p=0.03), and there was a trend towards improved motivation to increase average total sleep time (p=0.11). But despite improvements in sleep and daytime functioning for adolescents in the program group (p<0.05), these changes were not significantly different from the control group (all p>0.05). Conclusions: School-based interventions are promising for educating adolescents about sleep. Future programs should translate increased motivation into long-term behavioral change. The identification of barriers and support to assist this change is recommended.

    Original languageEnglish
    Pages (from-to)246-251
    Number of pages6
    JournalSleep Medicine
    Volume12
    Issue number3
    DOIs
    Publication statusPublished - Mar 2011

    Keywords

    • Adolescent
    • Cognitive-behavior therapy
    • Delayed sleep timing
    • Motivational interviewing
    • Sleep education
    • Sleep knowledge

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