# Development and Pilot Testing of Sleeping Healthy/Living Healthy a Comprehensive Sleep Intervention for Adolescents in Urban SBHCs

> **NIH NIH R21** · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2020 · $209,633

## Abstract

Background: Poor sleep quality, which contributes to impaired functioning, is elevated in urban, ethnic/racial
minority adolescents due, in part, to poor sleep hygiene. Despite successful sleep hygiene interventions in
younger children, none focus on adolescents, a group with unique developmental needs. Urban adolescents
face unique contextual stressors, which may contribute to ineffective use of sleep hygiene behaviors. Mind-
body integrative (MBIH) approaches (e.g. yoga, meditation) improve sleep quality in adults, but are rarely
applied to adolescents. MBIH has been shown to reduce stress among adolescents. Taken together, this
suggests that integrating MBIH with sleep hygiene strategies has the potential for a synergistic effect on
improving sleep quality. Yet no interventions concurrently use MBIH and sleep hygiene with adolescents.
Process evaluations are often lacking during intervention development. We address these treatment and
methodological gaps. Aims: This pilot study will: (1) develop Sleeping Healthy/Living Healthy, a school-based
health center (SBHC) intervention that combines MBIH and sleep hygiene strategies to improve sleep quality in
urban adolescents with poor sleep quality; (2) evaluate the feasibility and acceptability of intervention
procedures; and (3) assess the preliminary intervention effects on sleep quality in urban adolescents.
Hypotheses: (1) The intervention will be feasible and acceptable as evidenced by high rates of recruitment,
adherence to treatment protocols, and high intervention satisfaction ratings; and (2) over [
three
] months,
compared to controls, adolescents randomized to the intervention will have improvement on two primary sleep
quality outcomes, (a) sleep duration and (b) sleep fragmentation (sleep efficiency and disruptions), measured
objectively (actigraphs) and subjectively (using validated instruments). Methods: This study includes a
development phase and a pilot individually-randomized group treatment (IRGT) phase. In Year 1 we will
develop the novel integrated intervention using an iterative participatory design process. We will be guided by
input from adolescents via focus groups and by interviews with SBHC medical and mental health providers,
health educators, and staff. In Year 2, we will conduct an IRGT trial with [
60
] adolescents with insufficient sleep
recruited from two SBHCs in New York City. Adolescents will be randomized 1:1 to receive the intervention or
an attention control. Process evaluation interviews guided by a rigorous fidelity framework with adolescents
and with SBHC providers and personnel will be conducted to obtain feedback regarding intervention
procedures. Significance: This study has high public health significance because it (1) will reach urban racial
and ethnic minority adolescents, a vulnerable population [
with specific needs
] greatly impacted by poor sleep
quality but largely ignored in the intervention literature to date; (2) simultaneously leverages MBIH a...

## Key facts

- **NIH application ID:** 10057549
- **Project number:** 1R21MD013991-01A1
- **Recipient organization:** COLUMBIA UNIVERSITY HEALTH SCIENCES
- **Principal Investigator:** Jean-Marie Bruzzese
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $209,633
- **Award type:** 1
- **Project period:** 2020-08-03 → 2022-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10057549

## Citation

> US National Institutes of Health, RePORTER application 10057549, Development and Pilot Testing of Sleeping Healthy/Living Healthy a Comprehensive Sleep Intervention for Adolescents in Urban SBHCs (1R21MD013991-01A1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10057549. Licensed CC0.

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