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在加拿大高中实施青少年睡眠应用程序:支持健康睡眠习惯的可接受性、参与度和能力的初步证据。

Implementation of a teen sleep app in Canadian high schools: Preliminary evidence of acceptability, engagement, and capacity for supporting healthy sleep habits.

机构信息

Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.

出版信息

J Sleep Res. 2024 Dec;33(6):e14199. doi: 10.1111/jsr.14199. Epub 2024 Mar 20.

Abstract

High school students suffer from mental health challenges and poorer academic performance resulting from sleep disturbances. Unfortunately, approaches to this problem sometimes focus on increasing sleep duration by going to bed early; a strategy with limited success because teens experience a phase delay in bedtimes. There is a need for approaches that leverage behavioural sleep science and are accessible, scalable, and easily disseminated to students. DOZE (Delivering Online Zzz's with Empirical Support) is a self-management app that is grounded in sleep and circadian basic science. Although initial testing supports it as a feasible and acceptable app in a research context, it has not been tested as a strategy to use in schools. The present study tested DOZE in private high schools in Canada. Two-hundred and twenty-three students downloaded the app and completed daily sleep diaries over 4 weeks. Students reported a more regularised routine for bedtime, M = -0.43 h, p < 0.001, 95% CI [-0.65, -0.21], and rise time, M = -0.61 h, p < 0.001, 95% CI [-0.84, -0.38], in addition to a higher total sleep time, M = 0.18 h, p < 0.008, 95% CI [0.05, 0.31]. Students also rated DOZE to be highly acceptable. The evidence suggests that students find DOZE to be acceptable and engagement in this nonclinical population was reasonably high under minimal researcher supervision. This makes DOZE an attractive option and a step towards broad-based sleep health services. High powered replications with control groups are needed to increase empirical rigour.

摘要

高中生由于睡眠障碍而出现心理健康问题和学业成绩下降。不幸的是,解决这个问题的方法有时侧重于通过早睡来增加睡眠时间;但由于青少年的睡眠时间延迟,这种策略收效甚微。需要采用利用行为睡眠科学且易于获取、可扩展和易于向学生传播的方法。DOZE(利用实证支持提供在线睡眠)是一款基于睡眠和昼夜节律基础科学的自我管理应用程序。尽管初步测试表明它在研究背景下是一种可行且可接受的应用程序,但它尚未作为一种在学校使用的策略进行测试。本研究在加拿大的私立高中测试了 DOZE。223 名学生下载了该应用程序,并在 4 周内每天填写睡眠日记。学生报告说,他们的就寝时间更加规律,M=−0.43 小时,p<0.001,95%置信区间为[−0.65,−0.21],起床时间 M=−0.61 小时,p<0.001,95%置信区间为[−0.84,−0.38],此外,总睡眠时间增加,M=0.18 小时,p<0.008,95%置信区间为[0.05,0.31]。学生还对 DOZE 的可接受程度给予高度评价。证据表明,学生认为 DOZE 是可以接受的,在最小的研究人员监督下,非临床人群的参与度相当高。这使得 DOZE 成为一个有吸引力的选择,并朝着广泛的睡眠健康服务迈进了一步。需要进行有对照组的强有力复制研究来提高实证严谨性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e054/11596989/2181f338576b/JSR-33-e14199-g001.jpg

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