Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep a before-after pilot study 英文参考文献.docVIP

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Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep a before-after pilot study 英文参考文献.doc

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Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep a before-after pilot study 英文参考文献

Tanetal.BMCPediatrics2012,12:189 /1471-2431/12/189 RESEARCH ARTICLE OpenAccess Sleephygieneinterventionforyouthaged10to 18yearswithproblematicsleep:abefore-after pilotstudy EvanTan1,DioneHealey2,AndrewRGray3andBarbaraCGalland1* Abstract Background:Thecurrentstudyaimedtoexaminethechangesfollowingasleephygieneinterventiononsleep hygienepractices,sleepquality,anddaytimesymptomsinyouth. Methods:Participantsaged10–18yearswithself-identifiedsleepproblemscompletedourage-appropriateF.E.R.R. E.T(anacronymforthecategoriesofFood,Emotions,Routine,Restrict,EnvironmentandTiming)sleephygiene programme;eachcategoryhasthreesimplerulestoencouragegoodsleep.Participants(andparentsas appropriate)completedtheAdolescentSleepHygieneScale(ASHS),PittsburghSleepQualityIndex(PSQI),Sleep DisturbanceScaleforChildren(SDSC),PediatricDaytimeSleepinessScale(PDSS),andworeActicalWmonitorstwice before(1and2weeks)andthreetimesafter(6,12and20weeks)theintervention.Anthropometricdatawere collectedtwoweeksbeforeand20weekspost-intervention. Results:Thirty-threeyouths(meanage12.9years;M/F=0.8)enrolled,andretentionwas100%.ASHSscores significantlyimproved(p=0.005)fromabaselinemean(SD)of4.70(0.41)to4.95(0.31)post-intervention,asdid PSQIscores[7.47(2.43)to4.47(2.37);p0.001]andSDSCscores[53.4(9.0)to39.2(9.2);p0.001].PDSSscores improvedfromabaselineof16.5(6.0)to11.3(6.0)post-intervention(p0.001).BMIz-scoreswithabaselineof 0.79(1.18)decreasedsignificantly(p=0.001)post-interventionto0.66(1.19).Despitetheseimprovements,sleep durationasestimatedbyActicalaccelerometrydidnotchange.Therewashoweverasignificantdecreasein daytimesedentary/lightenergyexpenditure. Conclusions:OurfindingssuggesttheF.E.R.R.E.Tsleephygieneeducationprogrammemightbeeffectivein improvingsleepinchildrenandadolescents.Howeverbecausethiswasabeforeandafterstudyandapilotstudy withseverallimitations,thefindingsneedtobeaddressedwithcaution,andwouldneedtobereplicatedwithina randomisedcontrolledtrialtoproveefficacy. Trialregistration:AustralianNewZealandC