| Literature DB >> 34923707 |
Joëlle N Albrecht1,2, Helene Werner1,2,3, Mei Ling Yaw1, Oskar G Jenni1,2, Reto Huber1,2,4.
Abstract
Early morning school start times conflict with biologically determined sleep phase preference and thus contribute to common sleep deficits. This conflict is most pronounced in adolescents, and numerous studies have confirmed that later school start times are beneficial for their sleep and health. However, the conflict continues to exist beyond adolescence and, accordingly, also teachers might benefit from later school start times, but this has gained little attention so far. Importantly, teachers' resistance to delay school start time is one of the key barriers for a successful implementation and, therefore, teachers' school start time preferences and influencing factors are important to consider. To this end, we conducted an online survey. Teachers (n = 694, 56.1% female) from 17 high schools in Zurich, Switzerland, participated in the study. They indicated their school start time preference. In addition, four predictor blocks were assessed: sociodemographic, school-/work-related, and sleep characteristics, as well as teachers' perception of students in the first morning lesson. Mixed models were applied to predict the preference. The majority (51%) endorsed later school start times (median preferred delay 25.2 min). School start time, sleep characteristics and perception of students in the first morning lesson were significant predictors for the preference. Thus, teachers with more misaligned sleep and higher awareness for students' issues in the early morning were more likely to report a preference. This suggests psychoeducation about sleep biology throughout life span to be an effective measure to increase teachers' support to delay school start time, especially because also they themselves are likely to benefit from later school start times.Entities:
Keywords: circadian rhythms; first morning lesson; high school; multilevel logistic regression analysis; online survey; sleep
Mesh:
Year: 2021 PMID: 34923707 PMCID: PMC9539707 DOI: 10.1111/jsr.13534
Source DB: PubMed Journal: J Sleep Res ISSN: 0962-1105 Impact factor: 5.296
Sample characteristics (n = 694)
| Female sex, | 389 (56.1%) |
| Age class, | |
| 18–26 years | 16 (2.3) |
| 27–35 years | 160 (23.1) |
| 36–44 years | 202 (29.1) |
| 45–53 years | 189 (27.2) |
| 54–65 years | 127 (18.3) |
| Mother tongue, | |
| Swiss German | 495 (71.3) |
| Other | 193 (27.8) |
| Missing | 6 (0.9) |
| Frequency of teaching in first morning lesson per week, | |
| Never | 85 (12.2) |
| Once or twice | 312 (45.0) |
| Three or four times | 226 (32.6) |
| Five times | 17 (2.4) |
| Missing | 54 (7.8) |
| Number of lessons per week, median (IQR) | 17 (13–20) |
| Duration of school commute (hr), median (IQR) | 0.58 (0.33–0.83) |
| Means of transport, | |
| Public | 404 (58.2) |
| Private | 284 (40.9) |
| Missing | 6 (0.9) |
| Current stress, | |
| None | 76 (11.0) |
| Small | 240 (34.6) |
| Rather strong | 206 (29.7) |
| Strong | 119 (17.1) |
| Very strong | 46 (6.6) |
| Missing | 7 (1.0) |
IQR, interquartile range.
Self‐reported sleep–wake patterns on SC and FR days, and for all days combined
| SC days | FR days | ||||||||
|---|---|---|---|---|---|---|---|---|---|
|
| Median | IQR |
| Median | IQR |
|
|
| |
| Bedtime | 623 | 23:00 | 22:29–23:17 | 613 | 23:30 | 23:00–00.00 | 613 | < .001 | .14 (.11, .18) |
| Wake‐up time | 612 | 06:00 | 05:45–06:30 | 606 | 08:00 | 07:00–08:30 | 600 | < .001 | .46 (.43, .50) |
| Sleep period, hr | 612 | 7.28 | 6.75–7.83 | 606 | 8.09 | 7.50–9.00 | 600 | < .001 | .24 (.20, .28) |
| Mid‐sleep point time | 612 | 02:27 | 2:04–2:50 | 606 | 03:30 | 03:00–04:15 | 600 | < .001 | .37 (.33, .41) |
CI, confidence interval; FR, free; IQR, interquartile range; MSFsc, mid‐sleep point corrected for sleep deficit accumulated during scheduled days; SC, scheduled.
Mixed model was performed.
Semi‐partial R 2 statistic (Jaeger et al., 2017).
Average sleep period defined by weighted sleep period for SC and FR days (= (5 × sleep period on SC + 2 × sleep period on FR)/7).
Regression coefficients of fixed effects in the multilevel logistic regression analysis with preference for later SSTs in the morning as dependent variable (n = 515, full model)
| Fixed effects | Prediction of the preference for later school start | ||
|---|---|---|---|
|
| SE | OR, 95% CI | |
| Intercept | 16.30 | 8.24 | |
| Sociodemographic characteristics | |||
| Age class | 0.13 | 0.12 | 1.14 (0.90, 1.44) |
| Male sex | 0.16 | 0.26 | 1.18 (0.71, 1.96) |
| Non‐Swiss German mother tongue | 0.26 | 0.27 | 1.29 (0.76, 2.20) |
| School‐/work‐related characteristics | |||
| SST, hr | −3.19 | 1.06 | 0.04 (0.01, 0.33) |
| School first lesson, frequency per week | −0.10 | 0.13 | 0.90 (0.70, 1.16) |
| Number of lessons per week | −0.04 | 0.03 | 0.96 (0.91, 1.02) |
| Commute to school, duration hr | 0.79 | 0.46 | 2.21 (0.90, 5.40) |
| Private transport | −0.19 | 0.28 | 0.82 (0.48, 1.43) |
| Current stress, scale 1–5 | 0.03 | 0.12 | 1.03 (0.82, 1.29) |
| Sleep characteristics | |||
| Average sleep period, hr | 0.53 | 0.18 | 1.70 (1.19, 2.43) |
| Sleep deficit, hr | 0.28 | 0.12 | 1.33 (1.05, 1.68) |
| MSFsc, hr | 0.90 | 0.16 | 2.45 (1.81, 3.33) |
| Daytime sleepiness score, range 0–24 | 0.07 | 0.03 | 1.07 (1.01, 1.14) |
| Perception of students in first morning lesson | |||
| Students’ sleepiness, scale 0–10 | 0.37 | 0.06 | 1.45 (1.29, 1.64) |
| Students’ receptiveness, scale 0–10 | −0.21 | 0.06 | 0.81 (0.71, 0.92) |
B = regression coefficients; CI, confidence interval; MSFsc, mid‐sleep point corrected for sleep deficit accumulated during scheduled days; OR, odds ratio; SD, standard deviation; SE B = standard error of regression coefficient; SST, school start time.
p < .05; ** p < .01, *** p < .001.