Advancing Adolescent Bedtime by MI and Text Reminders

NCT03614572 | Completed

• 1 other identifier: 15163071
• Study Type: interventional
• Target: 212
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic sleep deprivation among adolescents is a prevalent health problem across the world and is associated with a series of short and long term consequences. However, effective interventions targeting on this vulnerable adolescent population is very limited. Majority of the previous sleep education programme are conducted in a school context which personal factors and individualized problems were not addressed. In addition, failure to address "knowledge-action gap" may also explain why individual fail to enact health behaviors even holding positive motivation. In regard to this, investigators proposed an active and person-oriented protocol with the aid of advanced technology in order to improve adolescent sleep health.

Conditions

Sleep Deprivation

Keywords

Sleep deprivation; Motivational Interviewing; Text reminders

Outcome Measures

Primary Outcomes (2)

• Change of Sleep duration by sleep diary

  Daily sleep diary for consecutive seven days. Sleep parameter estimated by daily sleep diary: total sleep time (TST) in hours

  Baseline, 1 week, 3 month and 6 month after treatment

• Change of Sleep duration by actigraphy

  Sleep parameter estimated by actigraphy: total sleep time (TST) in hours

  Baseline, 1 week, 3 month and 6 month after treatment

Secondary Outcomes (10)

• Change of Sleep knowledge

  Baseline, 1 week, 3 month and 6 month after treatment

• Change of Daytime Sleepiness

  Baseline, 1 week, 3 month and 6 month after treatment

• Change of Quality of Life

  Baseline, 1 week, 3 month and 6 month after treatment

• Change of Sleep Hygiene

  Baseline, 1 week, 3 month and 6 month after treatment

• Change of Anxiety and depressive symptoms

  Baseline, 1 week, 3 month and 6 month after treatment

Study Arms (2)

Group MI

EXPERIMENTAL

The structure and content of the active intervention programme will be developed and adopted on the basis of previous research on sleep educational programme and motivational interviewing techniques. The whole treatment package consists of 4 sessions of group therapy (n=6-8) followed by 3 week daily text reminders.

Behavioral: Group MI

Control group

NO INTERVENTION

Control group will no receive any intervention

Interventions

Group MI BEHAVIORAL

refer to the arm description

Also known as: Motivational interviewing

Group MI

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Chinese aged 12-18 years old
• Written informed consent of participation into the study is given by adolescents and his/her parents;
• Being able to comply with the study protocol;
• Having weekday sleep duration less than 7 hours for past 1 month as reported by questionnaire and average of \<7hr weekday sleep as reported by sleep diary as an indication of chronic sleep deprivation status.
• Possess a mobile phone

You may not qualify if:

• A current or past history of neuropsychiatric disorder(s);
• A prominent medical condition or taking medication with potential side effects that may influence sleep quantity and quality
• Having a clinical sleep disorder that may potentially contribute to the disruption of sleep quantity and quality as ascertained by both Structured Diagnostic Interview for Sleep patterns and Disorders such as insomnia, delayed sleep phase and narcolepsy.
• have enrolled in any intervention programme that may affect their sleep patterns in the past three months or are planning to join intervention programme in the next three month

Sponsors & Collaborators

• Chinese University of Hong Kong: lead
• The University of Hong Kong: collaborator

Study Sites (1)

Department of Psychiatry

Shatin, Hong Kong

Location

Related Publications (1)

• Chan NY, Chen SJ, Ngan CL, Li SX, Zhang J, Lam SP, Chan JWY, Yu MWM, Chan KCC, Li AM, Wing YK. Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial. J Child Psychol Psychiatry. 2025 Jul;66(7):1005-1017. doi: 10.1111/jcpp.14115. Epub 2025 Jan 20.

  PMID: 39834005 DERIVED

MeSH Terms

Conditions

Sleep Deprivation

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Ngan Yin Chan, Mphi

  Chinese University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The assessor will be blinded to the condition of the subjects
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Associate

Study Record Dates

• First Submitted: July 21, 2018
• First Posted: August 3, 2018
• Study Start: September 1, 2018
• Primary Completion: October 31, 2021
• Study Completion: October 31, 2021
• Last Updated: November 30, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)