Jessica C Levenson1, Hannah A Ford2, Zoe Maria Dominique Reyes3, Aishwarya Mukundan4, Garima Patel5, Sigalle Bahary6, Elizabeth Miller7. 1. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. Electronic address: levensonjc@upmc.edu. 2. Department of Pediatrics, Center for Advancement of Youth, University of Mississippi Medical Center, Jackson, Mississippi, USA; Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, Mississippi, USA; Behavioral Science Division, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA. 3. University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania, USA. 4. Department of Neuroscience, University of Pittsburgh Dietrich School of Arts and Sciences, Pittsburgh, Pennsylvania, USA. 5. Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. 6. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; College of Behavioral and Social Sciences, University of Maryland, College Park, Maryland, USA. 7. Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Abstract
OBJECTIVE: Few sleep promotion programs for adolescents have involved stakeholders as part of the intervention development, which may contribute to their limited accessibility, scalability, acceptability, and feasibility. Specifically asking stakeholders for their input on how to modify factors impacting sleep is critical, as is identifying strategies for motivating sleep behavior change. We report qualitative feedback from stakeholders interested in improving adolescent sleep, data collected specifically to inform the development of an adolescent sleep promotion program. PARTICIPANTS: We conducted 9 focus groups (3 each for young adults (n = 8, ages 21-25), parents of adolescents (n = 12), and healthcare providers working with adolescents (n = 29) following a semistructured approach. DESIGN: Participants reported on contributors to good and poor sleep; motivators for improving sleep; strategies for promoting and sustaining behavior change; and feasibility of a proposed sleep promotion program. We coded and thematically analyzed focus group transcripts using inductive and deductive approaches. RESULTS: Moderate engagement in activities (eg, a job, sports) was seen as a contributor to good sleep, while having too many or too few activities was thought to contribute to poor sleep. Linking improved sleep with personalized outcomes of interest can enhance motivation for changing sleep. Strategies for behavior change should rely on increasing internal motivation, personalizing intervention content, and having parents model desired behaviors. CONCLUSIONS: Key stakeholders are critical to the development of acceptable interventions that can be implemented effectively in real-world settings. Future work should test whether the identified themes contribute to increased feasibility, scalability, and effectiveness of sleep programs.
OBJECTIVE: Few sleep promotion programs for adolescents have involved stakeholders as part of the intervention development, which may contribute to their limited accessibility, scalability, acceptability, and feasibility. Specifically asking stakeholders for their input on how to modify factors impacting sleep is critical, as is identifying strategies for motivating sleep behavior change. We report qualitative feedback from stakeholders interested in improving adolescent sleep, data collected specifically to inform the development of an adolescent sleep promotion program. PARTICIPANTS: We conducted 9 focus groups (3 each for young adults (n = 8, ages 21-25), parents of adolescents (n = 12), and healthcare providers working with adolescents (n = 29) following a semistructured approach. DESIGN: Participants reported on contributors to good and poor sleep; motivators for improving sleep; strategies for promoting and sustaining behavior change; and feasibility of a proposed sleep promotion program. We coded and thematically analyzed focus group transcripts using inductive and deductive approaches. RESULTS: Moderate engagement in activities (eg, a job, sports) was seen as a contributor to good sleep, while having too many or too few activities was thought to contribute to poor sleep. Linking improved sleep with personalized outcomes of interest can enhance motivation for changing sleep. Strategies for behavior change should rely on increasing internal motivation, personalizing intervention content, and having parents model desired behaviors. CONCLUSIONS: Key stakeholders are critical to the development of acceptable interventions that can be implemented effectively in real-world settings. Future work should test whether the identified themes contribute to increased feasibility, scalability, and effectiveness of sleep programs.
Authors: Bei Bei; Michelle L Byrne; Clare Ivens; Joanna Waloszek; Michael J Woods; Paul Dudgeon; Greg Murray; Christian L Nicholas; John Trinder; Nicholas B Allen Journal: Early Interv Psychiatry Date: 2012-07-03 Impact factor: 2.732
Authors: Mirja Quante; Neha Khandpur; Emily Z Kontos; Jessie P Bakker; Judith A Owens; Susan Redline Journal: Sleep Med Date: 2018-12-15 Impact factor: 3.492