Sleep Hygiene Education for Improved Sleep Health

Overseen By Cate Caldwell

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Black Hills State University

Disqualifiers: Untreated sleep disorder, Inability to wear device

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

120 Participants Needed

Trial Summary

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of this treatment for improving sleep health?

Research shows that educational videos and behavioral training can improve sleep habits. For example, a televised behavioral training program helped people fall asleep faster and sleep longer, suggesting that similar educational approaches can be effective for sleep improvement. ^{1 2 3 4 5}

Is Sleep Hygiene Education safe for humans?

Sleep Hygiene Education, including programs like 'Sleep 101,' is generally considered safe for humans as it involves teaching healthy sleep practices and attitudes without any physical interventions. ^{6 7 8 9 10}

How does sleep hygiene education differ from other treatments for sleep issues?

Sleep hygiene education focuses on teaching healthy sleep habits and attitudes, which can be a cost-effective and accessible way to improve sleep without medication. Unlike cognitive-behavioral therapy for insomnia (CBT-I), which is more intensive, sleep hygiene education can be delivered in various formats, such as workshops or online, making it more flexible and widely available. ^{6 8 10 11 12}

What is the purpose of this trial?

This will be a study looking at trying to change older adults' behavior in regard to good sleep hygiene practices. Investigators will assess the efficacy through subjective outcome measures and objective physiological markers of good sleep through data collected with wearable technology devices.

Research Team

Ashley M Pfeiffer

Principal Investigator

Black Hills State University

Eligibility Criteria

This trial is for adults aged 50-80 who want to improve their sleep. Participants must own a smartphone that can receive text messages.

Inclusion Criteria

You have a smartphone that can receive text messages.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2 weeks

1 visit (in-person)

Baseline Data Collection

Participants' sleep data is tracked using a Fitbit device for two weeks before any intervention

2 weeks

Data collection via wearable device

Intervention

Group One watches a one-time educational video on sleep hygiene, Group Two watches the video and receives daily automated text messages, Group Three is a control group with no intervention

4 weeks

Remote intervention

Follow-up

Participants are monitored for changes in sleep health and other outcomes after the intervention

6 weeks

1 visit (in-person) for follow-up testing

Treatment Details

Interventions

• Educational video plus repeated education
• One-time educational video

Trial Overview The study tests if a one-time educational video or an educational video with repeated education can help older adults practice better sleep hygiene, monitored through wearable tech.

Participant Groups

Group I: Group Two, Video Plus Texts Experimental Treatment 1 Intervention

One-time sleep hygiene education plus repeated education through automated text messaging

Group II: Group One, Video Experimental Treatment 1 Intervention

One-time sleep hygiene education

Group III: Group Three, Active Control 1 Intervention

Control group with no intervention assigned

Who Is Running the Clinical Trial?

Black Hills State University

Lead Sponsor

Trials

5

Recruited

400+

National Institute of General Medical Sciences (NIGMS)

Collaborator

Trials

315

Recruited

251,000+

Findings from Research

A randomized controlled trial involving 120 newly diagnosed sleep apnea patients found that video instruction for using CPAP machines is as effective as traditional in-person instruction by a nurse, with no significant differences in outcomes between the two methods.

The study suggests that video instruction is a feasible alternative to physical attendance for CPAP start-up, potentially saving time for both healthcare workers and patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

In-person versus video instruction of patients with sleep apnoea in the use of continuous positive airway pressure (CPAP). Fuglsang, M., Duez, C., Dahl, LB., et al.[2022]

A simple education program that included a 90-minute lecture and a 2-week practice session significantly improved sleep knowledge and habits among 6th-year medical students, with notable enhancements in sleep quality and attitudes towards sleep management.

Students who participated in both the lecture and practice learning session showed greater improvements in sleep-related issues, such as nightmares and daytime sleepiness, compared to those who only attended the lecture, highlighting the effectiveness of hands-on practice in medical education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Preparation and effect of a behavioral science-based education program for sleep improvement among medical students]. Ueda, M., Adachi, Y., Hayama, J., et al.[2011]

An educational video aimed at improving CPAP adherence in patients at risk of poor adherence did not result in any significant improvement in CPAP usage compared to usual care, with both groups averaging around 3.3 to 3.5 hours of use per day after 30 days.

The study involved 212 patients and found that adherence worsened in those who did not attend their follow-up sleep clinic appointments, highlighting the importance of follow-up care in managing obstructive sleep apnea.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Educational video to improve CPAP use in patients with obstructive sleep apnoea at risk for poor adherence: a randomised controlled trial. Guralnick, AS., Balachandran, JS., Szutenbach, S., et al.[2018]

A psycho-educational training course for sleep disorders, viewed by about 200,000 people, led to a significant decrease in sleep latency by 25 minutes and an increase in total sleep duration by nearly 40 minutes among participants.

Approximately 40% of participants who were using hypnotic drugs stopped their use after completing the course, indicating that this approach is not only effective but also cost-effective by reducing reliance on medication.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The treatment of insomnia through mass media, the results of a televised behavioral training programme. Oosterhuis, A., Klip, EC.[2019]

Patients who received education on using sleep-enhancing tools (like eye masks and white noise machines) experienced a significant reduction in fatigue compared to those who only received general sleep information, indicating that targeted education can improve patient outcomes.

While the education intervention showed benefits in fatigue, it did not significantly affect other sleep-related issues or the length of hospital stay, suggesting that while helpful, the approach may need to be part of a broader strategy for improving overall patient well-being.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of Sleep Tool Education During Hospitalization: A Randomized Controlled Trial. Farrehi, PM., Clore, KR., Scott, JR., et al.[2019]

A psychoeducational program called 'Sleep 101' significantly improved sleep hygiene knowledge and reduced negative beliefs about sleep among college students, as shown by a study involving sleep log recordings and workshops.

Participants in the Sleep 101 program experienced shorter sleep onset times compared to those in the control group, suggesting that such brief educational interventions can effectively promote healthier sleep practices in young adults.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A "Sleep 101" Program for College Students Improves Sleep Hygiene Knowledge and Reduces Maladaptive Beliefs about Sleep. Kloss, JD., Nash, CO., Walsh, CM., et al.[2022]

New mothers prefer technology-based educational materials over traditional paper handouts for learning about safe sleep practices for their newborns, indicating a shift in how educational content should be delivered.

Participants rated video teaching materials significantly higher than paper handouts, suggesting that healthcare organizations should adapt their patient education strategies to align with modern learning preferences.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Format of Parent Education Material Preferred by New Mothers. Raines, DA., Robinson, J.[2021]

A study involving 32 participants showed that both face-to-face and online sleep education significantly improved parental knowledge about infant sleep, with initial knowledge levels being low (69% scored less than 50%).

There was no significant difference in knowledge acquisition between the two delivery methods, indicating that online education is an effective alternative for reaching parents in rural and remote areas, making sleep health information more accessible.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluating Accessible Sleep Health Information in Rural and Urban Contexts: Delivery Face-to-Face or Online? Osborne, JM., Blunden, S.[2022]

Participants who viewed an appearance-based intervention were able to recognize how their looks changed with varying sleep durations, indicating that visual feedback can influence perceptions of attractiveness related to sleep.

While the appearance-based intervention improved sleep hygiene practices among participants, it did not significantly increase actual sleep duration as measured by actigraphy, suggesting it may be more effective as a complementary approach rather than a standalone solution.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Web-Based Photo-Alteration Intervention to Promote Sleep: Randomized Controlled Trial. Perucho, I., Vijayakumar, KM., Talamas, SN., et al.[2020]

Sleep education programs in schools are crucial for improving sleep knowledge and hygiene among children and adolescents, as these factors are linked to better neuropsychological and psychosocial outcomes.

The review identified two main types of sleep education programs: those focused on changing sleep behavior and those aimed at simply providing information, highlighting the need for future programs to learn from past studies to enhance their effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Lessons Learned from Sleep Education in Schools: A Review of Dos and Don'ts. Blunden, S., Rigney, G.[2022]

Sleep hygiene education (SHE) showed significant improvements in sleep quality with small to medium effect sizes, but it was less effective than cognitive-behavioral therapy for insomnia (CBT-I), which had medium to large effect sizes in comparison.

The average improvement in sleep efficiency from SHE was about 5%, while the difference in effectiveness between SHE and CBT-I was around 8%, indicating that while SHE can help, CBT-I is a more robust treatment option for insomnia.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Sleep hygiene education as a treatment of insomnia: a systematic review and meta-analysis. Chung, KF., Lee, CT., Yeung, WF., et al.[2019]

A cluster control trial involving 330 participants showed that a brief behavioral program, specifically self-control strategies, significantly improved sleep parameters such as sleep onset latency and sleep efficiency compared to a bibliotherapy group.

Both groups experienced improvements in total sleep time and number of awakenings, but the self-control group demonstrated more pronounced benefits, highlighting the importance of behavior setting and self-monitoring in enhancing sleep quality.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Non-face-to-face sleep improvement program in a workplace: bibliotherapy with and without behavioral self-control procedure]. Adachi, Y., Kunitsuka, K., Taniyama, K., et al.[2019]

References

1. Denmark pubmed.ncbi.nlm.nih.gov

In-person versus video instruction of patients with sleep apnoea in the use of continuous positive airway pressure (CPAP). [2022]

2. Japan pubmed.ncbi.nlm.nih.gov

[Preparation and effect of a behavioral science-based education program for sleep improvement among medical students]. [2011]

3. England pubmed.ncbi.nlm.nih.gov

Educational video to improve CPAP use in patients with obstructive sleep apnoea at risk for poor adherence: a randomised controlled trial. [2018]

4. England pubmed.ncbi.nlm.nih.gov

The treatment of insomnia through mass media, the results of a televised behavioral training programme. [2019]

5. United States pubmed.ncbi.nlm.nih.gov

Efficacy of Sleep Tool Education During Hospitalization: A Randomized Controlled Trial. [2019]

6. United States pubmed.ncbi.nlm.nih.gov

A "Sleep 101" Program for College Students Improves Sleep Hygiene Knowledge and Reduces Maladaptive Beliefs about Sleep. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

Format of Parent Education Material Preferred by New Mothers. [2021]

8. United States pubmed.ncbi.nlm.nih.gov

Evaluating Accessible Sleep Health Information in Rural and Urban Contexts: Delivery Face-to-Face or Online? [2022]

9. Canada pubmed.ncbi.nlm.nih.gov

A Web-Based Photo-Alteration Intervention to Promote Sleep: Randomized Controlled Trial. [2020]

10. United States pubmed.ncbi.nlm.nih.gov

Lessons Learned from Sleep Education in Schools: A Review of Dos and Don'ts. [2022]

11. England pubmed.ncbi.nlm.nih.gov

Sleep hygiene education as a treatment of insomnia: a systematic review and meta-analysis. [2019]

12. Japan pubmed.ncbi.nlm.nih.gov

[Non-face-to-face sleep improvement program in a workplace: bibliotherapy with and without behavioral self-control procedure]. [2019]