Sleeping Healthy, Living Healthy for Insomnia
What You Need to Know Before You Apply
What is the purpose of this trial?
The overall study goal is to test the efficacy and cost-effectiveness of Sleeping Healthy, Living Healthy (SHLH), a novel intervention that combines healthy sleep practices with mind-body integrative health (MBIH) approaches to improve sleep health among urban adolescents. The study will also use a mixed-methods multi-stakeholder process evaluation to understand barriers and facilitators to adoption and implementation of SHLH across geographically diverse high schools, and to inform future dissemination and scale-up efforts.
Aim #1: To evaluate the efficacy of SHLH in 294 urban adolescents with lower than recommended sleep duration for age. The study will randomize students from 12 NYC public high schools over 3 years, following them at four timepoints for 1-year post-intervention. While adolescents are the primary respondent for all outcomes, caregivers will be interviewed at the same intervals. School attendance data and grades will be obtained from schools.
Aim #2: To assess the cost-effectiveness of SHLH compared to an attention control sleep intervention from the school system and societal perspectives. Outcomes will be cost per day of school absences and tardiness avoided (school system perspective) and cost per quality-adjusted life year (QALY) gained (societal perspective).
Aim #3: To track the extent of uptake and delivery of SHLH across students and schools, and to identify multi-level factors that influence the implementation of SHLH, with the goal of informing future dissemination and scale-up of SHLH.
Who Is on the Research Team?
Jean-Marie Bruzzese, PhD
Principal Investigator
Professor of Developmental Psychology (in Nursing) at Columbia University
Are You a Good Fit for This Trial?
This trial is for urban adolescents who are getting less sleep than recommended for their age. Participants will be students from NYC public high schools. There are no detailed exclusion criteria listed.Inclusion Criteria
Exclusion Criteria
What Are the Treatments Tested in This Trial?
Interventions
- Sleep for Teens
- Sleeping Healthy, Living Healthy (SHLH)
Trial Overview
The study tests 'Sleeping Healthy, Living Healthy' (SHLH), a program that teaches healthy sleep habits and mind-body techniques, compared to another school-based sleep education program. Students are randomly assigned to groups and followed for one year.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Adolescents randomized to the intervention group will receive SHLH. Grounded in social cognitive theory and motivational interviewing, SHLH consists of six group sessions. Each session intermixes didactic instruction, group activities, and discussions, and uses motivational interviewing skills, including open-ended questions, affirmations, reflective listening and summaries. Sessions are spaced one week apart to allow students time to practice the techniques and to build their self-efficacy in using them.
Adolescents randomized to the attention control group will receive Sleep for Teens. Developed by study investigators during a pilot study at Columbia University, it meets the requirements for a comparison treatment for testing behavioral interventions: equivalent in contact time, credible, interesting, and exerts limited treatment effects. In 6 weekly sessions, adolescents learn the importance of sleep and some behavioral sleep strategies. They also learn about other topics relevant to adolescents and how they impact sleep.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Columbia University
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
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