Promoting Sleep to Prevent Substance Use in Adolescence

促进睡眠以防止青春期吸毒

• 批准号: 8892131
• 负责人: Allison G Harvey
• 金额: $ 23.2万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-15 至 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8892131
• 关键词: Academic achievement; Adolescence; Adolescent; Aftercare; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Anxiety; Attention; Behavioral; Biological; Biological Factors; Caffeine; Circadian Rhythms; Data; Deltastab; Development; Education; Effectiveness; Epidemic; Ethnic Origin; Experimental Designs; Future; Gender; Goals; Health; Health Promotion; Internet; Intervention; Intervention Studies; Marijuana; Measures; Mediating; Mental Depression; Mental Health; National Institute of Drug Abuse; Outcome; Outcome Measure; Participant; Pattern; Performance; Pharmaceutical Preparations; Phase; Population; Preparation; Prevention program; Process; Program Effectiveness; Prospective Studies; Puberty; Public Health; Randomized; Reporting; Research; Research Design; Risk; Risk Behaviors; Risk Factors; Schedule; School-Age Population; Schools; Sleep; Sleep Disorders; Source; Stress; Students; Substance Use Disorder; Techniques; Technology; Teenagers; Testing; Time; Tobacco; United States National Institutes of Health; Youth; adolescent substance use; adverse outcome; aged; anxiety symptoms; base; behavior change; design; emotion regulation; fitness; follow-up; high risk sexual behavior; high school; improved; innovation; meetings; ninth grade; novel; novel strategies; pilot trial; population based; post intervention; prevent; programs; psychosocial; reduced substance use; social; substance use prevention; universal prevention

DESCRIPTION (provided by applicant): Adolescent substance use is prevalent and associated with a broad range of adverse outcomes such as poorer academic performance, risky sexual behavior, mental health problems and increased risk of developing a substance use disorder. The aim of the proposed research is to pilot test a universal intervention to prevent substance use in youth by improving sleep. This indirect approach to substance use prevention is predicated on several lines of evidence: a) few programs directly targeting prevention of substance use in high school populations have been found to be effective, b) multiple cross-sectional and prospective studies have reported that insufficient sleep in youth predates and predicts substance use, c) multiple modifiable factors contribute to the current epidemic of insufficient sleep among youth (e.g., use of technology late into the night, irregular sleep-wake schedules from weekdays to weekends) and d) previous sleep interventions for youth have yielded promising results for improving sleep. We will pilot the 'Sleep Fitness' (SF) intervention. SF is an 8 session, scale-able, school-based prevention program for urban adolescents attending 9th grade (ages 14 to 16; n=300). The SF intervention draws on empirically- supported interventions for sleep problems, adapted to be effective in promoting healthful sleep patterns. The study uses a cluster-randomized experimental design (randomized at classroom level) in schools to test our hypotheses that the SF intervention will be more effective than a Psycho-education (PE) control condition in achieving improvements in sleep, substance use, and selected mental health outcomes (anxiety, depression). Outcome measures will be assessed at baseline, post-intervention, and 6 and 12 months later. We will further examine if reductions in substance use are mediated by improvements in sleep and mental health. All outcome analyses will control for perceived stress. The research conducted as part of this R34 application is intended to inform future large-scale testing of the intervention via: a) Establishig the feasibility of the intervention, study design, and measures in diverse high school settings; b) Generating initial effect size estimates for outcomes and potential moderators; and c) Further adaptation of the intervention for maximal effectiveness, including involvement of students at each school to clarify motivational "levers" for behavior change. The proposed program of research is the first to test a universal intervention to promote sleep as a means of reducing substance initiation and use. If positive, the findings will have major public health implications or adolescent health promotion as well as for the interactive relationships among sleep, substance use, and mental health among urban teenagers.

描述（由申请人提供）：青少年药物使用是普遍的，并与广泛的不良后果相关，如学习成绩较差，危险性行为，精神健康问题和发展药物使用障碍的风险增加。拟议研究的目的是试点测试一种普遍干预措施，通过改善睡眠来防止青少年滥用药物。这种间接预防药物使用的方法基于以下几方面的证据：A)已经发现一些直接针对高中人群中物质使用的预防方案是有效的；b)多项横断面和前瞻性研究报告称，青少年睡眠不足早于并预测了物质使用；c)多种可改变的因素导致了当前青少年中普遍存在的睡眠不足(例如，使用科技产品到深夜；从工作日到周末不规律的睡眠-觉醒时间表)和d)以前对青少年的睡眠干预在改善睡眠方面取得了有希望的结果。我们将试点“睡眠健康”干预措施。

项目成果

Adolescent Technology-use Rules and Sleep in a Large Representative Sample.

大量代表性样本中的青少年技术使用规则和睡眠。

• DOI: 10.1016/j.jadohealth.2021.10.025
• 发表时间: 2022
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Giovanelli,Alison;Ozer,EmilyJ;Adams,SallyH;Park,MJane;Ozer,ElizabethM
• 通讯作者: Ozer,ElizabethM