Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial / Ngan Yin CHAN in Journal of Child Psychology and Psychiatry, 66-7 (July 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-7 (July 2025) . - p.1005-1017 Titre : Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Ngan Yin CHAN, Auteur ; Si-Jing CHEN, Auteur ; Cho Lam NGAN, Auteur ; Shirley Xin LI, Auteur ; Jihui ZHANG, Auteur ; Siu Ping LAM, Auteur ; Joey Wing Yan CHAN, Auteur ; Mandy Wai Man YU, Auteur ; Kate Ching Ching CHAN, Auteur ; Albert Martin LI, Auteur ; Yun Kwok WING, Auteur Article en page(s) : p.1005-1017 Langues : Anglais (eng) Mots-clés : Adolescents  chronic sleep deprivation  sleep intervention  motivational interviewing Index. décimale : PER Périodiques Résumé : Background Sleep deprivation is a prevalent problem among adolescents which is closely related to various adverse outcomes. The lack of efficacy of current sleep education programs among adolescents argues for the need to refine the content and format of the intervention. This study aimed to evaluate the effectiveness of a group-based sleep intervention using motivational interviewing plus text reminders in changing adolescent sleep habits. Methods This study is a randomized controlled trial comparing motivational group-based sleep intervention with nonactive control group. The primary outcomes were the sleep?wake patterns measured by both sleep diary and actigraphy at postintervention, 3 and 6?months after the intervention. The trial was registered with the Clinical Trial Registry (NCT03614572). Results A total of 203 adolescents with school day sleep duration of <7?hr (mean age: 15.9?+?1.0?years; males: 39.9%) were included in the final analysis. Sleep diary and actigraphy data both showed that adolescents in the intervention group had earlier weekday bedtime at postintervention (sleep diary: estimated mean difference: 33.55?min, p?=?.002; actigraphy: 33.02?min, p?=?.009) and later wake-up time at 3-month follow-up compared to the control group (sleep diary: ?28.85?min, p?=?.003; actigraphy: ?30.03?min, p?=?.01), and the changes in diary measured weekday bedtime were sustained up to 6-month follow-up. In addition, adolescents in the intervention group had longer sleep diary reported weekday sleep duration at 3- (35.26?min, p?=?.003) and 6-month follow-up (28.32?min, p?=?.03) than the controls. Adolescents in the intervention group also reported improved daytime alertness postintervention, which was maintained at the 6-month follow-up. Conclusions The motivational group-based sleep intervention is effective in advancing bedtime with improved sleep duration and daytime alertness in sleep-deprived adolescents. En ligne : https://doi.org/10.1111/jcpp.14115 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=562 [article] Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial [Texte imprimé et/ou numérique] / Ngan Yin CHAN, Auteur ; Si-Jing CHEN, Auteur ; Cho Lam NGAN, Auteur ; Shirley Xin LI, Auteur ; Jihui ZHANG, Auteur ; Siu Ping LAM, Auteur ; Joey Wing Yan CHAN, Auteur ; Mandy Wai Man YU, Auteur ; Kate Ching Ching CHAN, Auteur ; Albert Martin LI, Auteur ; Yun Kwok WING, Auteur . - p.1005-1017. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-7 (July 2025) . - p.1005-1017 Mots-clés : Adolescents  chronic sleep deprivation  sleep intervention  motivational interviewing Index. décimale : PER Périodiques Résumé : Background Sleep deprivation is a prevalent problem among adolescents which is closely related to various adverse outcomes. The lack of efficacy of current sleep education programs among adolescents argues for the need to refine the content and format of the intervention. This study aimed to evaluate the effectiveness of a group-based sleep intervention using motivational interviewing plus text reminders in changing adolescent sleep habits. Methods This study is a randomized controlled trial comparing motivational group-based sleep intervention with nonactive control group. The primary outcomes were the sleep?wake patterns measured by both sleep diary and actigraphy at postintervention, 3 and 6?months after the intervention. The trial was registered with the Clinical Trial Registry (NCT03614572). Results A total of 203 adolescents with school day sleep duration of <7?hr (mean age: 15.9?+?1.0?years; males: 39.9%) were included in the final analysis. Sleep diary and actigraphy data both showed that adolescents in the intervention group had earlier weekday bedtime at postintervention (sleep diary: estimated mean difference: 33.55?min, p?=?.002; actigraphy: 33.02?min, p?=?.009) and later wake-up time at 3-month follow-up compared to the control group (sleep diary: ?28.85?min, p?=?.003; actigraphy: ?30.03?min, p?=?.01), and the changes in diary measured weekday bedtime were sustained up to 6-month follow-up. In addition, adolescents in the intervention group had longer sleep diary reported weekday sleep duration at 3- (35.26?min, p?=?.003) and 6-month follow-up (28.32?min, p?=?.03) than the controls. Adolescents in the intervention group also reported improved daytime alertness postintervention, which was maintained at the 6-month follow-up. Conclusions The motivational group-based sleep intervention is effective in advancing bedtime with improved sleep duration and daytime alertness in sleep-deprived adolescents. En ligne : https://doi.org/10.1111/jcpp.14115 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=562

Subtyping at-risk adolescents for predicting response toward insomnia prevention program / Shirley Xin LI ; Jihui ZHANG ; Siu Ping LAM ; Joey Wing Yan CHAN ; Kate Ching-Ching CHAN ; Albert Martin LI ; Charles M. MORIN ; Yun Kwok WING ; Ngan Yin CHAN in Journal of Child Psychology and Psychiatry, 65-6 (June 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.764-775 Titre : Subtyping at-risk adolescents for predicting response toward insomnia prevention program Type de document : Texte imprimé et/ou numérique Auteurs : Shirley Xin LI, Auteur ; Jihui ZHANG, Auteur ; Siu Ping LAM, Auteur ; Joey Wing Yan CHAN, Auteur ; Kate Ching-Ching CHAN, Auteur ; Albert Martin LI, Auteur ; Charles M. MORIN, Auteur ; Yun Kwok WING, Auteur ; Ngan Yin CHAN, Auteur Année de publication : 2024 Article en page(s) : p.764-775 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Previous study has shown that a brief cognitive-behavioral prevention insomnia program could reduce 71% risk of developing insomnia among at-risk adolescents. This study aimed to evaluate the differential response to insomnia prevention in subgroups of at-risk adolescents. Methods Adolescents with a family history of insomnia and subthreshold insomnia symptoms were randomly assigned to a 4-week insomnia prevention program or nonactive control group. Assessments were conducted at baseline, 1 week, and 6- and 12-month after the intervention. Baseline sleep, daytime, and mood profiles were used to determine different subgroups by using latent class analysis (LCA). Analyses were conducted based on the intention-to-treat approach. Results LCA identified three subgroups: (a) insomnia symptoms only, (b) insomnia symptoms with daytime sleepiness and mild anxiety, and (c) insomnia symptoms with daytime sleepiness, mild anxiety, and depression. The incidence rate of insomnia disorder over the 12-month follow-up was significantly reduced for adolescents receiving intervention in subgroup 3 compared with the controls (hazard ratio [HR] = 0.37; 95% confidence interval [CI]: 0.13-0.99; p = .049) and marginally for subgroup 2 (HR = 0.14; 95% CI: 0.02-1.08; p = .059). In addition, adolescents who received intervention in subgroups 2 and 3 had a reduced risk of excessive daytime sleepiness (subgroup 2: adjusted OR [AdjOR] = 0.45, 95% CI: 0.23-0.87; subgroup 3: AdjOR = 0.32, 95% CI: 0.13-0.76) and possible anxiety (subgroup 2: AdjOR = 0.47, 95% CI: 0.27-0.82; subgroup 3: AdjOR = 0.33, 95% CI: 0.14-0.78) compared with the controls over the 12-month follow-up. Conclusions Adolescents at risk for insomnia can be classified into different subgroups according to their psychological profiles, which were associated with differential responses to the insomnia prevention program. These findings indicate the need for further phenotyping and subgrouping at-risk adolescents to develop personalized insomnia prevention. En ligne : https://doi.org/10.1111/jcpp.13904 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528 [article] Subtyping at-risk adolescents for predicting response toward insomnia prevention program [Texte imprimé et/ou numérique] / Shirley Xin LI, Auteur ; Jihui ZHANG, Auteur ; Siu Ping LAM, Auteur ; Joey Wing Yan CHAN, Auteur ; Kate Ching-Ching CHAN, Auteur ; Albert Martin LI, Auteur ; Charles M. MORIN, Auteur ; Yun Kwok WING, Auteur ; Ngan Yin CHAN, Auteur . - 2024 . - p.764-775. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.764-775 Index. décimale : PER Périodiques Résumé : Background Previous study has shown that a brief cognitive-behavioral prevention insomnia program could reduce 71% risk of developing insomnia among at-risk adolescents. This study aimed to evaluate the differential response to insomnia prevention in subgroups of at-risk adolescents. Methods Adolescents with a family history of insomnia and subthreshold insomnia symptoms were randomly assigned to a 4-week insomnia prevention program or nonactive control group. Assessments were conducted at baseline, 1 week, and 6- and 12-month after the intervention. Baseline sleep, daytime, and mood profiles were used to determine different subgroups by using latent class analysis (LCA). Analyses were conducted based on the intention-to-treat approach. Results LCA identified three subgroups: (a) insomnia symptoms only, (b) insomnia symptoms with daytime sleepiness and mild anxiety, and (c) insomnia symptoms with daytime sleepiness, mild anxiety, and depression. The incidence rate of insomnia disorder over the 12-month follow-up was significantly reduced for adolescents receiving intervention in subgroup 3 compared with the controls (hazard ratio [HR] = 0.37; 95% confidence interval [CI]: 0.13-0.99; p = .049) and marginally for subgroup 2 (HR = 0.14; 95% CI: 0.02-1.08; p = .059). In addition, adolescents who received intervention in subgroups 2 and 3 had a reduced risk of excessive daytime sleepiness (subgroup 2: adjusted OR [AdjOR] = 0.45, 95% CI: 0.23-0.87; subgroup 3: AdjOR = 0.32, 95% CI: 0.13-0.76) and possible anxiety (subgroup 2: AdjOR = 0.47, 95% CI: 0.27-0.82; subgroup 3: AdjOR = 0.33, 95% CI: 0.14-0.78) compared with the controls over the 12-month follow-up. Conclusions Adolescents at risk for insomnia can be classified into different subgroups according to their psychological profiles, which were associated with differential responses to the insomnia prevention program. These findings indicate the need for further phenotyping and subgrouping at-risk adolescents to develop personalized insomnia prevention. En ligne : https://doi.org/10.1111/jcpp.13904 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528

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