Transdiagnostic Sleep and Circadian Intervention for Adolescents Plus Text Messaging: Randomized Controlled Trial 12-month Follow-up.

Transdiagnostic Sleep and Circadian Intervention for Adolescents Plus Text Messaging: Randomized Controlled Trial 12-month Follow-up.
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青少年跨诊断睡眠和昼夜节律干预加短信:随机对照试验 12 个月随访。

DOI:
10.1080/15374416.2021.1978295
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发表时间:
2023-11
影响因子:
4.2
通讯作者:
Harvey, Allison G.
Harvey, Allison G.
中科院分区:
心理学1区
文献类型:
--
作者:
Dolsen, Emily A.;Dong, Lu;Harvey, Allison G.

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青少年跨诊断睡眠和昼夜节律干预(transdiagnosis Sleep and Circadian Intervention for Youth,transS-C)旨在改善青少年的睡眠和昼夜节律功能。本研究比较了TransS-C与心理教育(PE)的12个月效果。我们还调查了短信干预是否可以促进治疗效果的维持。基线时,将具有晚上性生理时钟类型的青少年(58%为女性,平均年龄= 14.8岁)随机分配至TranS-C组(n = 89)或PE组(n = 87)。在6个月的随访中,参与者被随机分配接受重复治疗信息的短信(n = 47),提示回忆治疗信息的短信(n = 50)或没有短信(n = 47)。相对于PE,从基线至12个月随访,TransS-C与夜间活动减少相关(B = 2.06,p = 0.005,d = 0.29)。相对于PE,通过接收短信,与不接收短信相比,从基线到12个月随访(B = 1.38,p = 0.008,d = 0.28)和从6个月到12个月随访(B = 1.07,p = 0.046,d = 0.21)的夜间活动增强了transS-C治疗效果。Trans-C和短信与其他主要结局均无显著相关性。通过随访,transS-C和短信与选择的次要睡眠和健康结果的改善显著相关。与PE相比,对于具有晚上性生理时钟类型的青少年,TransS-C在12个月内维持了选定结局的睡眠和昼夜节律功能改善。通过12个月的随访,短信增强了TransS-C的效果。
The Transdiagnostic Sleep and Circadian Intervention for Youth (TranS-C) was developed to improve sleep and circadian functioning in adolescents. This study examined the 12-month effects for TranS-C compared with psychoeducation (PE). We also investigated if a text messaging intervention can promote maintenance of treatment effects. At baseline, adolescents (58% female, average age = 14.8 years) with an eveningness chronotype were randomized to TranS-C (n = 89) or PE (n = 87). At 6-month follow-up, participants were randomized to receive text messages that repeated treatment information (n = 47), text messages that prompted recall of treatment information (n = 50), or no text messages (n = 47). Relative to PE, TranS-C was associated with reduced eveningness (b = 2.06, p = 0.005, d = 0.29) from baseline to 12-month follow-up. TranS-C treatment effects, relative to PE, were augmented by receiving text messages, compared to no text messages, for eveningness from baseline to 12-month follow-up (b = 1.38, p = 0.008, d = 0.28) and from 6- to 12- month follow-up (b = 1.07, p = 0.046, d = 0.21). Neither TranS-C nor text messages were significantly associated with other primary outcomes. TranS-C and text messages were significantly associated with improvement on select secondary sleep and health outcomes through follow-up. For adolescents with an eveningness chronotype, improved sleep and circadian functioning on selected outcomes were maintained over 12 months for TranS-C compared with PE. Text messages boosted effects of TranS-C through 12-month follow-up.
DOI: 10.1016/j.sleep.2014.09.008
发表时间: 2015-01-01
期刊: SLEEP MEDICINE
影响因子: 4.8
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发表时间: 1993-04-01
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