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

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