The Impact of a Randomized Sleep Education Intervention for College Students

Hershner, Shelley; O’Brien, Louise M.

doi:10.5664/jcsm.6974

Cited by 85 publications

(61 citation statements)

References 51 publications

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“…The Pittsburgh index (PSQI) has been used to assess sleep quality in adults for many years [ 27 ]. In our results, the students obtained scores above five in the pre-lockdown stage and scores above six in the post-lockdown stage, in line with recent studies that reported PSQI scores higher than 5 in 85% of subjects, which is considered pathological [ 28 ].…”

Section: Discussionsupporting

confidence: 91%

Sleep Pattern Changes in Nursing Students during the COVID-19 Lockdown

Romero‐Blanco

Rodríguez‐Almagro

Onieva-Zafra

et al. 2020

IJERPH

151

114

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The prevalence of poor sleep quality among students is very high and, in nursing students, has been associated with reduced performance, behavioral changes, dietary changes, and even aggressive behavior due to changes in sleep patterns. The lockdown in response to COVID-19 may have resulted in lifestyle changes that affected sleep quality. For this reason, the objective of this study is to determine the difference in nursing students’ sleep quality before and during the lockdown, put in place in response to the coronavirus (COVID-19) pandemic. To meet this objective, we conducted a longitudinal observational study on 207 nursing students, with two cut-off points (February and April). The main dependent variable was sleep quality, measured using the Pittsburgh sleep quality index (PSQI) and its seven components. Parametric and nonparametric tests were used for paired and unpaired data, as well as group-stratified analysis. The mean time students spent in bed was 7.6 h (standard deviation (SD) = 1.1 h) before lockdown and 8.5 h (SD = 1.2 h) during lockdown. The PSQI score got 0.91 points worse during lockdown (95% CI, −0.51, −1.31). Of the five components, five were statistically significantly affected (p ≤ 0.05), and of these, the most changed were sleep latency, sleep duration, and sleep efficiency. When stratified by group, we observed differences in women, first-year students, second-year students, alcohol consumers, those of normal weight, and those that live with family. The main conclusion is that although students spent more time in bed, overall sleep quality was worse during lockdown, as well as being worse in five of the seven components.

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Section: Discussionsupporting

confidence: 91%

Sleep Pattern Changes in Nursing Students during the COVID-19 Lockdown

Romero‐Blanco

Rodríguez‐Almagro

Onieva-Zafra

et al. 2020

IJERPH

151

114

View full text Add to dashboard Cite

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“…Sleep hygiene education, cognitive behavioral therapy (CBT), relaxation, mindfulness, and hypnotherapy are effective strategies to improve sleep among higher education students [ 105 , 106 , 107 ]; thus, universities should consider incorporating these strategies to improve sleep quality of these students. One systematic review indicated increased effectiveness of CBT compared to other interventions in improving sleep quality and duration [ 107 ], and another systematic review showed that online CBT for insomnia is effective in improving sleep quality and duration among adults with chronic insomnia by identifying and modifying factors that contribute to poor sleep, including stress [ 108 ].…”

Section: Discussionmentioning

confidence: 99%

The Effects of Sleep Quality and Resilience on Perceived Stress, Dietary Behaviors, and Alcohol Misuse: A Mediation-Moderation Analysis of Higher Education Students from Asia, Europe, and North America during the COVID-19 Pandemic

Zan

Cho

et al. 2021

Nutrients

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Background: The coronavirus disease 2019 (COVID-19) pandemic has increased the already high levels of stress that higher education students experience. Stress influences health behaviors, including those related to dietary behaviors, alcohol, and sleep; yet the effects of stress can be mitigated by resilience. To date, past research studying the connections between dietary behaviors, alcohol misuse, sleep, and resilience commonly investigated singular relationships between two of the constructs. The aim of the current study was to explore the relationships between these constructs in a more holistic manner using mediation and moderation analyses. Methods: Higher education students from China, Ireland, Malaysia, South Korea, Taiwan, the Netherlands, and the United States were enrolled in a cross-sectional study from April to May 2020, which was during the beginning of the COVID-19 pandemic for most participants. An online survey, using validated tools, was distributed to assess perceived stress, dietary behaviors, alcohol misuse, sleep quality and duration, and resilience. Results: 2254 students completed the study. Results indicated that sleep quality mediated the relationship between perceived stress and dietary behaviors as well as the relationship between perceived stress and alcohol misuse. Further, increased resilience reduced the strength of the relationship between perceived stress and dietary behaviors but not alcohol misuse. Conclusion: Based on these results, higher education students are likely to benefit from sleep education and resilience training, especially during stressful events.

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“…A variety of strategies can be adopted by universities to improve students’ sleep, including sleep hygiene education [ 122 , 123 ], cognitive behavioral therapy for insomnia (CBTi), relaxation, mindfulness and hypnotherapy [ 124 ]. CBTi is an intervention that involves cognitive, behavioral and educational interventions [ 125 ].…”

Section: Discussionmentioning

confidence: 99%

Health Behaviors of Higher Education Students from 7 Countries: Poorer Sleep Quality during the COVID-19 Pandemic Predicts Higher Dietary Risk

Zan

Cho

et al. 2021

Clocks & Sleep

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Health behaviors of higher education students can be negatively influenced by stressful events. The global COVID-19 pandemic presents a unique opportunity to characterize and compare health behaviors across multiple countries and to examine how these behaviors are shaped by the pandemic experience. Undergraduate and graduate students enrolled in universities in China, Ireland, Malaysia, South Korea, Taiwan, the Netherlands and the United States (USA) were recruited into this cross-sectional study. Eligible students filled out an online survey comprised of validated tools for assessing sleep quality and duration, dietary risk, alcohol misuse and physical activity between late April and the end of May 2020. Health behaviors were fairly consistent across countries, and all countries reported poor sleep quality. However, during the survey period, the COVID-19 pandemic influenced the health behaviors of students in European countries and the USA more negatively than Asian countries, which could be attributed to the differences in pandemic time course and caseloads. Students who experienced a decline in sleep quality during the COVID-19 pandemic had higher dietary risk scores than students who did not experience a change in sleep quality (p = 0.001). Improved sleep quality was associated with less sitting time (p = 0.010). Addressing sleep issues among higher education students is a pressing concern, especially during stressful events. These results support the importance of making education and behavior-based sleep programming available for higher education students in order to benefit students’ overall health.

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The Impact of a Randomized Sleep Education Intervention for College Students

Abstract: A brief and personalized online sleep education intervention improved sleep behaviors, sleep quality, and depressions scores. This novel approach to address sleep deprivation, poor sleep habits, and mood among college students may offer an effective and inexpensive remedy.

Cited by 85 publications

References 51 publications

Sleep Pattern Changes in Nursing Students during the COVID-19 Lockdown

Sleep Pattern Changes in Nursing Students during the COVID-19 Lockdown

The Effects of Sleep Quality and Resilience on Perceived Stress, Dietary Behaviors, and Alcohol Misuse: A Mediation-Moderation Analysis of Higher Education Students from Asia, Europe, and North America during the COVID-19 Pandemic

Health Behaviors of Higher Education Students from 7 Countries: Poorer Sleep Quality during the COVID-19 Pandemic Predicts Higher Dietary Risk

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