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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if teaching older adults about good sleep habits can improve their sleep quality. Participants will watch an educational video, and some will receive follow-up text messages to reinforce the information. Wearable technology that tracks sleep will measure the effectiveness of these methods. Suitable participants are those who own a smartphone capable of receiving texts and do not have untreated sleep disorders. As an unphased study, this trial offers participants the opportunity to contribute to valuable research that could enhance sleep quality for older adults.

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.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that learning about good sleep habits, whether through a one-time session or ongoing lessons, is safe and manageable. Studies have found that watching a video about sleep tips does not cause any adverse effects. For example, one study showed that participants who watched a video once and received daily text reminders reported no negative side effects.

Additionally, learning about sleep habits typically helps improve sleep. Simple tips, such as going to bed at the same time every night and avoiding caffeine before sleeping, are easy to follow and aim to enhance sleep quality, making them a safe choice for most people.

In summary, both the one-time video and ongoing text reminders have proven safe and effective for improving sleep habits without causing harm. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Sleep Hygiene Education treatments because they offer a fresh, accessible approach to improving sleep health. Traditional treatments for sleep issues often involve medication or cognitive behavioral therapy, but these educational interventions empower individuals with knowledge and habits they can apply directly to their daily routines. The unique aspect of this trial is the use of an educational video, either as a one-time session or paired with ongoing support through automated text messages. This innovative delivery method makes sleep hygiene education more engaging and continuous, potentially leading to better long-term sleep health.

What evidence suggests that this trial's treatments could be effective for improving sleep hygiene?

Research has shown that learning about good sleep habits can greatly improve sleep quality. In this trial, participants in Group One will receive a one-time educational video on sleep hygiene. Group Two will receive the same video plus repeated education through automated text messaging. Studies suggest that educational videos and training on sleep behaviors can help individuals fall asleep faster and sleep more deeply. Reinforcing this education with reminders, such as text messages, strengthens these benefits. One study found that ongoing education through digital methods effectively improved sleep habits. Overall, these educational strategies are promising for better sleep health. ^{2 6 7 8 9}

Who Is on the Research Team?

Ashley M Pfeiffer

Principal Investigator

Black Hills State University

Are You a Good Fit for This Trial?

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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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 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]

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]

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 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]

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]

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]

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 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]

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]

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]

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