Perceived Barriers and Facilitating Factors in Implementing Delayed School Start Times to Improve Adolescent Sleep Patterns

2020 ◽  
Author(s):  
Julia M. Fitzpatrick ◽  
Graciela E. Silva ◽  
Kimberly D. Vana
2018 ◽  
Vol 4 (12) ◽  
pp. eaau6200 ◽  
Author(s):  
Gideon P. Dunster ◽  
Luciano de la Iglesia ◽  
Miriam Ben-Hamo ◽  
Claire Nave ◽  
Jason G. Fleischer ◽  
...  

Most teenagers are chronically sleep deprived. One strategy proposed to lengthen adolescent sleep is to delay secondary school start times. This would allow students to wake up later without shifting their bedtime, which is biologically determined by the circadian clock, resulting in a net increase in sleep. So far, there is no objective quantitative data showing that a single intervention such as delaying the school start time significantly increases daily sleep. The Seattle School District delayed the secondary school start time by nearly an hour. We carried out a pre-/post-research study and show that there was an increase in the daily median sleep duration of 34 min, associated with a 4.5% increase in the median grades of the students and an improvement in attendance.


2020 ◽  
pp. 0044118X2096902
Author(s):  
Daniel C. Semenza ◽  
Dylan B. Jackson ◽  
Alexander Testa ◽  
Ryan C. Meldrum

Susceptibility to peer influence among adolescents is associated with a variety of negative interpersonal and psychosocial outcomes. Although proper sleep is crucial for adolescent development and well-being, no study to date has examined the influence of sleep problems on susceptibility to peer influence. We assess this relationship using two waves of data ( n = 907; 50% male, 18% non-White) from the Study of Early Child Care and Youth Development (SECCYD). Results of a series of multivariate regression models demonstrate that sleep problems are positively associated with susceptibility to peer influence, net of pertinent demographic characteristics, theoretical controls, and prior susceptibility to peer influence. These findings suggest that efforts to improve sleep quality and quantity among adolescents, including educational sleep hygiene programs and later school start times, may serve to curtail susceptibility to peer influence and improve various aspects of wellbeing.


2018 ◽  
Vol 52 (4) ◽  
pp. 592-617 ◽  
Author(s):  
Jenna Gaarde ◽  
Lindsay T. Hoyt ◽  
Emily J. Ozer ◽  
Julie Maslowsky ◽  
Julianna Deardorff ◽  
...  

Adolescent sleep deprivation is a pressing public health issue in the United States as well as other countries. The contexts of adolescents’ lives are changing rapidly, but little is known about the factors that adolescents themselves believe affect their sleep. This study uses a social-ecological framework to investigate multiple levels of perceived influence on sleep patterns of urban adolescents. Data were drawn from interviews and surveys conducted in three California public high schools. Most participants identified homework as their primary barrier to sleep, particularly those engaged in procrastinating, multitasking, or those with extracurricular demands. Results indicate that the home context has important implications for adolescent sleep, including noise, household rules, and perceived parent values. These findings identify important areas for future research and intervention, particularly regarding the roles of parents.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Hang Ding ◽  
Marlien Varnfield ◽  
Chi-Keung Lee ◽  
Johanna VanVeen ◽  
Desre Arnold ◽  
...  

Introduction: Despite recognized benefits of cardiac rehabilitation (CR), utilization of traditional centre based CR programs has been poor (16–19% of eligible patients) in Australia and USA. To address this issue, an innovative home care model (CAP), based on smart phone technologies, was developed by the Australian e-Health Research Centre and Queensland Health. The aims of this study were to assess perceived barriers of dropouts in traditional CR (TC) and observe the efficacy of the CAP in overcoming these barriers through a randomized control trial. Method: Following consent, 120 patients from the Metro North Health Services District, Queensland, were randomised to the CAP (n=60) and control, TC (n=60) CR groups. Dropout rates were observed between the two groups and their perceived barriers were analysed through questionnaires and categorized according to: 1) life demands (work and family commitments), 2) facilitating factors (difficulties in transportation and/or parking), 3) group preference (exercise in groups), 4) medical reasons (deterioration in health), 5) technical difficulties, 6) lack of motivation, 7) lack of need for CR (due to improvement in health) and 8) other reasons. The dropout rates were analysed by the two sided Fisher’s exact test in SPSSvs16. Results: Patients’ ages (Mean±SD) between the CAP (59±12 yrs) and TC (59±9 yrs) groups were similar. Dropouts for the TC were mainly due to Categories 1 and 2 (C1 TC =21.7%, C2 TC =21.7%); and they were reduced significantly (p<0.05) for CAP (C1 CAP =5.0%, C2 CAP =3.3%). No significant difference was found for the remaining categories between the two groups. Category 7 was not responsible for any dropouts in either of the groups. Conclusion: The study demonstrates that both competing life demands and facilitating factors were the key barriers to patient dropouts from traditional CR programs, despite patients’ recognition of need to participate in the CR programs. The CAP was able to overcome these two barriers, and hence improve the rate of utilization of CR programs.


SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A104-A105
Author(s):  
Cara A Palmer ◽  
Candice A Alfano ◽  
Joanne L Bower

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