Sleeping Healthy/Living Healthy Development
Condition: Sleep; Psychological Stress
MeSH terms: Stress, Psychological
Study type: Interventional

Summary: 
      This pilot study will: (1) develop Sleeping Healthy/Living Healthy, a school-based health
      center (SBHC) intervention that combines MBIH and sleep hygiene strategies to improve sleep
      quality in urban adolescents with poor sleep quality; (2) evaluate the feasibility and
      acceptability of intervention procedures; and (3) assess the preliminary intervention effects
      on sleep quality in urban adolescents.

      This study includes a development phase and a pilot individually-randomized group treatment
      (IRGT) phase. In Year 1, the investigators will develop the novel integrated intervention
      using an iterative participatory design process. In Year 2, the investigators will conduct an
      IRGT trial with 60 adolescents with insufficient sleep recruited from two SBHCs in New York
      City. Adolescents will be randomized 1:1 to receive the intervention or an attention control
      of equal intensity and duration. Process evaluation interviews guided by a rigorous fidelity
      framework with adolescents and with SBHC providers and personnel will be conducted to obtain
      feedback regarding intervention procedures.
    

Detailed description: 
      Poor sleep quality, which contributes to impaired functioning, is elevated in urban,
      ethnic/racial minority adolescents due, in part, to poor sleep hygiene. Despite successful
      sleep hygiene interventions in younger children, none focus on adolescents, a group with
      unique developmental needs. Urban adolescents face unique contextual stressors, which may
      contribute to ineffective use of sleep hygiene behaviors. Mind-body integrative (MBIH)
      approaches (e.g. yoga, meditation) improve sleep quality in adults, but are rarely applied to
      adolescents. MBIH has been shown to reduce stress among adolescents. Taken together, this
      suggests that integrating MBIH with sleep hygiene strategies has the potential for a
      synergistic effect on improving sleep quality, yet no interventions concurrently use MBIH and
      sleep hygiene with adolescents.
    

Intervention name(s): Sleeping Healthy/Living Healthy; Attention Control
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Sleeping Healthy/Living Healthy will be a school based health center (SBHC)-based intervention integrating mind-body integrative health (MBIH) and sleep hygiene strategies to improve sleep quality in urban adolescents. The Sleeping Healthy/Living Healthy intervention content and format will be determined in a Development Phase 1. The investigator anticipates the intervention will consist of two group and two one-on-one sessions. The intervention will be grounded in social-cognitive theory and use motivational interviewing to support MBIH and sleep hygiene strategies. Sessions will be delivered once per week by SBHC providers and health educators.; The Attention Control Intervention condition will meet the requirements for a comparison treatment for testing behavioral interventions - equivalent in contact time, credible and interesting, and exert limited treatment effects.
In the same number of sessions and format as the Sleeping Healthy/Living Healthy intervention (anticipated to be two group and two one-on-one sessions delivered once per week by SBHC providers and health educators), the study will teach participants about sleep and other health topics relevant to adolescents (e.g., nutrition, injury prevention) devoid of the MBIH elements in our integrated intervention.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment