Sandler School of Social Work, Florida Atlantic University, Boca Raton, FL, USA.
Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.
Complement Ther Clin Pract. 2020 May;39:101121. doi: 10.1016/j.ctcp.2020.101121. Epub 2020 Feb 21.
and purpose: Inadequate sleep is highly prevalent among socioeconomically disadvantaged and racial/ethnic minority communities and is often related to maladaptive sleep behaviors and stress. There is scant research investigating the delivery of these interventions in underserved communities. The purpose of this study was to develop and test the feasibility and acceptability of a sleep education and yoga intervention for socioeconomically disadvantaged and racial/ethnic diverse adults.
We present quantitative and qualitative data from a single-arm sleep education and yoga pilot study (n = 17) conducted in two affordable housing communities, and the multi-modal process we employed to refine the intervention for a future trial.
Participants were age 43.6 years on average (±19.3 years) and 88.2% were female. Nearly 56% identified as non-Hispanic Black and 19% as Hispanic/Latino. Results showed significant pre/post-intervention improvements in sleep duration (5.4 ± 1.2 h/night vs 6.9 ± 1.7 h/night; p < 0.01), sleep-related impairment (-8.15; p < 0.01), sleep disturbance (-5.95; p < 0.01), and sleep hygiene behaviors (-5.50; p < 0.01).
This study indicates intervention acceptability and improvements in sleep and sleep hygiene. Future randomized controlled trials are needed to assess efficacy.
在社会经济处于不利地位和种族/民族少数群体社区中，睡眠不足的情况非常普遍，而且往往与不良的睡眠行为和压力有关。很少有研究调查这些干预措施在服务不足的社区中的实施情况。本研究旨在制定和测试针对社会经济处于不利地位和种族/民族多样化的成年人的睡眠教育和瑜伽干预措施的可行性和可接受性。
我们从一项单臂睡眠教育和瑜伽试点研究（n=17）中呈现了定量和定性数据，该研究在两个经济适用房社区中进行，以及我们为未来试验改进干预措施所采用的多模式过程。
参与者的平均年龄为 43.6 岁（±19.3 岁），88.2%为女性。近 56%的人是非西班牙裔黑人，19%的人是西班牙裔/拉丁裔。结果显示，睡眠持续时间（5.4±1.2 小时/晚与 6.9±1.7 小时/晚；p<0.01）、与睡眠相关的损害（-8.15；p<0.01）、睡眠障碍（-5.95；p<0.01）和睡眠卫生行为（-5.50；p<0.01）均有显著的预/后干预改善。
本研究表明干预措施具有可接受性，并改善了睡眠和睡眠卫生。需要进一步的随机对照试验来评估疗效。
