Literature DB >> 12405609

How well do school-aged children comply with imposed sleep schedules at home?

Gahan Fallone1, Ronald Seifer, Christine Acebo, Mary A Carskadon.   

Abstract

STUDY
OBJECTIVES: To quantitatively assess compliance and experimental success with imposed sleep schedules among healthy children involved in an experimental comparison of optimized and restricted sleep.
DESIGN: We asked children to follow assigned sleep schedules at home that created optimized (at least 10 hours time-in-bed per night) and restricted (6.5 to 8 hours time-in-bed per night) sleep conditions across 2 weeks during the school year. Self-report or parent-report of bedtime and risetime was obtained daily and continuous actigraphy was recorded.
SETTING: Home. PARTICIPANTS: 78 healthy children (41 boys, 37 girls; mean age, 10.2 years; age range, 6.5 to 12.9 years)
INTERVENTIONS: N/A. MEASUREMENTS AND
RESULTS: We used reported time-in-bed to assess noncompliance with assigned schedules. Experimental failure was assessed with actigraphically based estimates of sleep period (time from sleep onset to sleep offset) and total sleep time (minutes of scored sleep during sleep period). Reported time-in-bed averaged 3.45 hours less per night under restricted versus optimized conditions. Sleep period and total sleep time showed similar differences (2.97 and 2.32 hours less, respectively). Four children met a priori criteria for noncompliance (3 for optimized nights and 1 for restricted). Eight children met a priori criteria for experimental failure within conditions (7 for optimized nights and 1 for restricted), but most achieved a substantial difference in sleep behavior across optimized and restricted weeks.
CONCLUSIONS: In general, healthy children as young as 6 years of age can maintain substantial changes in their usual schedules across several nights at home and should be considered for inclusion in experimental studies of sleep extension and restriction. This paper offers a methodologic "road-map" for scientists interested in pursuing this goal.

Entities:  

Mesh:

Year:  2002        PMID: 12405609     DOI: 10.1093/sleep/25.7.739

Source DB:  PubMed          Journal:  Sleep        ISSN: 0161-8105            Impact factor:   5.849


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