城市青少年健康睡眠习惯与身心综合健康干预的初步成果：可行性、可接受性及初步影响。
Preliminary outcomes of healthy sleep practices and mind-body integrative health intervention among urban youth: Feasibility, acceptability, and initial impact.
作者信息
Bruzzese Jean-Marie, Gold Melanie A, Maier Malia C, Ancheta April J, Liu Jianfang, Zhao Yihong, Bertisch Suzanne M, Garbers Samantha
机构信息
Columbia University School of Nursing, New York, New York, USA.
Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA; Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York, USA.
出版信息
Sleep Health. 2025 Sep 1. doi: 10.1016/j.sleh.2025.07.012.
OBJECTIVE
To evaluate feasibility, acceptability, and initial effects of Sleeping Healthy, Living Healthy (SHLH), an integrated behavioral sleep-mind-body integrative health (MBIH) intervention to improve sleep health, among urban adolescents.
METHODS
Sixty-one adolescents (66% female; 84% Hispanic/Latino; 25% Black or African American) who slept less than 8 h/weeknight from two NYC high school campuses were randomized to SHLH (n = 30) or an attention-control group (n = 31). Outcomes assessed at baseline, immediately postintervention, and 10 weeks postintervention included sleep quality (Pittsburgh Sleep Quality Index (PSQI)); PROMIS sleep-related impairment; stress and anxiety; and perceived stress (Perceived Stress Scale). Actigraphy data were collected at each assessment. Generalized linear mixed-effects models with a random subject effect tested effects on outcomes following the intent-to-treat principle.
RESULTS
The median number of sessions adolescents randomized to SHLH attended was 5.0 of seven sessions (interquartile range = 2.50-6.00). They reported high satisfaction with the intervention and used the MBIH techniques taught in the intervention at least once in the past week. Relative to controls, adolescents in SHLH had lower odds of reporting poor sleep quality (OR = 0.12, 95% CI = 0.02, 0.77, p = .026) and reported significant improvements in healthy sleep practices (β = 0.28, 95% CI = 0.04, 0.52, p = .019), PSQI global sleep quality scores (β = -1.52, 95% CI = -3.42, -0.25, p = .27), and PROMIS sleep-related impairment (β = -5.73, 95% CI = -9.42, -2.04, p = .002). They also reported significantly less perceived stress (β = -1.82, 95% CI: -2.88, -0.77). No differences in actigraphy-estimated sleep were observed.
CONCLUSIONS
Preliminary evaluations of SHLH suggest that it is feasible to implement, acceptable to adolescents, and had favorable short-term improvements in sleep. Larger trials are warranted.
目的
评估“健康睡眠，健康生活”（SHLH）这一综合行为睡眠 - 身心整合健康（MBIH）干预措施在城市青少年中改善睡眠健康的可行性、可接受性和初步效果。
方法
从纽约市两个高中校区招募了61名青少年（66%为女性；84%为西班牙裔/拉丁裔；25%为黑人或非裔美国人），他们平日每晚睡眠时间少于8小时，被随机分为SHLH组（n = 30）或注意力控制组（n = 31）。在基线、干预后即刻和干预后10周评估的结果包括睡眠质量（匹兹堡睡眠质量指数（PSQI））；PROMIS睡眠相关损害；压力和焦虑；以及感知压力（感知压力量表）。每次评估时收集活动记录仪数据。采用具有随机受试者效应的广义线性混合效应模型，按照意向性分析原则检验对结果的影响。
结果
随机分配到SHLH组的青少年参加的课程中位数为7节中的5节（四分位间距 = 2.50 - 6.00）。他们对干预措施满意度较高，并且在过去一周内至少使用过一次干预中教授的MBIH技术。与对照组相比，SHLH组青少年报告睡眠质量差的几率较低（OR = 0.12，95%置信区间 = 0.02，0.77，p = 0.026），并且在健康睡眠习惯方面有显著改善（β = 0.28，95%置信区间 = 0.04，0.52，p = 0.019），PSQI全球睡眠质量得分（β = -1.52，95%置信区间 = -3.42，-0.25，p = 0.27），以及PROMIS睡眠相关损害（β = -5.73，95%置信区间 = -9.42，-2.04，p = 0.002）。他们还报告感知压力显著降低（β = -1.82，95%置信区间：-2.88，-0.77）。未观察到活动记录仪估计的睡眠有差异。
结论
对SHLH的初步评估表明，该干预措施实施可行，青少年可接受，并且在短期内对睡眠有良好改善。有必要进行更大规模的试验。
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