Pilot study of a mindfulness-based, multi-component, in-school group sleep intervention in adolescent girls.
Study Goal
The researchers aimed to examine the feasibility and potential benefits of a mindfulness-based, multi-component group sleep intervention for improving sleep and reducing anxiety in adolescents.
Results Summary
The intervention significantly improved objective and subjective sleep measures, including sleep onset latency, sleep efficiency, total sleep time, and sleep quality, but showed minimal impact on overall anxiety scores.
Population
Grade 9 female students (aged 13-15) with self-reported poor sleep.
Effective Dosage
Six sessions covering mindfulness concepts, sleep hygiene, and related practices.
Duration
Six sessions (duration per session not specified).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness-based, multi-component group sleep intervention | decrease | objective sleep onset latency (SOL) | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significant improvement | #1 |
mindfulness-based, multi-component group sleep intervention | increase | sleep efficiency | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significant improvement | #2 |
mindfulness-based, multi-component group sleep intervention | increase | total sleep time | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significant improvement | #3 |
mindfulness-based, multi-component group sleep intervention | decrease | bedtime | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significantly earlier | #4 |
mindfulness-based, multi-component group sleep intervention | decrease | rise time | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significantly earlier | #5 |
mindfulness-based, multi-component group sleep intervention | decrease | day-to-day bedtime variation | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significantly smaller | #6 |
mindfulness-based, multi-component group sleep intervention | decrease | post-intervention global PSQI scores | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | were significantly lower | #7 |
mindfulness-based, multi-component group sleep intervention | decrease | subjective SOL | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significant improvement | #8 |
mindfulness-based, multi-component group sleep intervention | increase | sleep quality | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significant improvement | #9 |
mindfulness-based, multi-component group sleep intervention | decrease | sleep-related daytime dysfunction | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed significant improvement | #10 |
mindfulness-based, multi-component group sleep intervention | increase | some subscales of the SCAS | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | showed small improvements | #11 |
mindfulness-based, multi-component group sleep intervention | no change | SCAS total score | grade 9 students (aged 13-15) at a girls' school with self-reported poor sleep | - | change was minimal | #12 |
AIM: Existing literature links poor sleep and anxiety symptoms in adolescents. This pilot study aimed to develop a practical method through which a program to improve sleep could reach adolescents in need and to examine the feasibility of a mindfulness-based, multi-component group sleep intervention using sleep and anxiety as outcome measures. METHODS: Sixty-two grade 9 students (aged 13-15) at a girls' school were screened with the Pittsburgh Sleep Quality Index (PSQI) and Spence Children's Anxiety Scale (SCAS). Ten participants with self-reported poor sleep were enrolled into a six-session program based on Bootzin & Stevens, with added stress/anxiety-specific components. Sessions covered key aspects of basic mindfulness concepts and practice, sleep hygiene, sleep scheduling, evening/daytime habits, stimulus control, skills for bedtime worries and healthy attitudes to sleep. Treatment changes were measured by pre-post scores on the PSQI, SCAS and 7-day actigraphy-measured sleep. RESULTS: The program demonstrated high acceptability, with a completion rate of 90%. Based on effect-size analysis, participants showed significant improvement on objective sleep onset latency (SOL), sleep efficiency and total sleep time; actigraphy data also showed significantly earlier bedtime, rise time and smaller day-to-day bedtime variation. Post-intervention global PSQI scores were significantly lower than that of pre-intervention, with significant improvement in subjective SOL, sleep quality and sleep-related daytime dysfunction. There were small improvements on some subscales of the SCAS, but change on its total score was minimal. CONCLUSIONS: A mindfulness-based, multi-component, in-school group sleep intervention following brief screening is feasible, and has the potential to improve sleep. Its impact on anxiety needs further investigation.