Wolfson Amy R, Harkins Elizabeth, Johnson Michaela, Marco Christine
Department of Psychology, College of the Holy Cross, 1 College Street, Worcester, MA 01610.
Department of Psychology, Rhode Island College, 600 Mount Pleasant Avenue, Horace Mann Hall, Providence, RI 02908.
Sleep Health. 2015 Sep;1(3):197-204. doi: 10.1016/j.sleh.2015.07.002. Epub 2015 Aug 13.
Using a social learning model, the aim of the Sleep Smart Program was to primarily improve sleep health behaviors and secondarily improve academic performance and behavioral well-being.
Randomized control trial for a social learning-based preventive intervention program.
A diverse group of seventh graders from 2 urban, middle schools were randomly assigned, according to school, to an 8-session Sleep Smart Program (SS = 70) or a comparison group (comparison = 73).
Sleep patterns, sleep hygiene, and sleep health efficacy; academic performance; and behavioral well-being were assessed at 4 times of measure (baseline, postintervention, 2 follow-up times in eighth grade).
SS seventh graders experienced significantly greater sleep health efficacy, improved physiological and emotional sleep hygiene, more time in bed, and earlier bedtimes vs comparison group. SS (vs comparison) participants also reported a significant decrease in internalizing behavior problems and sustained academic performance. Finally, although not maintained at time 4, SS participants continued to report improved sleep health efficacy at time 3, whereas the comparison group participants' sleep health efficacy declined.
The Sleep Smart preventive intervention was effective in improving sleep health efficacy, sleep hygiene, time in bed, and bedtimes; in maintaining grades; and in reducing internalizing behavior problems, yet these changes were not sustained at follow-up.
运用社会学习模型，“智能睡眠计划”的目标主要是改善睡眠健康行为，其次是提高学业成绩和行为幸福感。
针对基于社会学习的预防性干预计划的随机对照试验。
来自两所城市中学的一群多样化的七年级学生，根据学校被随机分配到一个为期8节的“智能睡眠计划”组（SS = 70）或一个对照组（对照组 = 73）。
在4个测量时间点（基线、干预后、八年级的2个随访时间点）评估睡眠模式、睡眠卫生和睡眠健康效能；学业成绩；以及行为幸福感。
与对照组相比，“智能睡眠计划”组的七年级学生睡眠健康效能显著更高，生理和情绪睡眠卫生得到改善，卧床时间更长，就寝时间更早。“智能睡眠计划”组（与对照组相比）的参与者还报告内化行为问题显著减少，学业成绩持续保持。最后，尽管在第4个时间点未保持，但“智能睡眠计划”组的参与者在第3个时间点继续报告睡眠健康效能有所改善，而对照组参与者的睡眠健康效能下降。
“智能睡眠”预防性干预在改善睡眠健康效能、睡眠卫生、卧床时间和就寝时间；维持成绩；以及减少内化行为问题方面是有效的，但这些变化在随访时未持续。
