Sleep Quality in High School Students With Asthma



Status:Enrolling by invitation
Conditions:Asthma, Insomnia Sleep Studies
Therapuetic Areas:Psychiatry / Psychology, Pulmonary / Respiratory Diseases
Healthy:No
Age Range:13 - Any
Updated:1/31/2018
Start Date:April 17, 2017
End Date:September 2018

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A Pilot Study to Improve Sleep Quality in Urban High School Students With Asthma

The overall goal of this project is to develop and to preliminarily validate a novel
intervention to be delivered in the high school setting that integrates two evidence-based,
school-based interventions for urban adolescents with proven efficacy: (1) Asthma
Self-Management for Adolescents (ASMA), an intervention for adolescents with uncontrolled
asthma and (2) the Sleep-Smart Program (Sleep-Smart), which focuses on sleep hygiene and
behaviors in urban adolescents.

The aim for Phase I is to develop and integrate school-based interventions to improve asthma
self-management and sleep hygiene in urban high school students via interviews.

The aims for Phase II are: (1) to evaluate the feasibility and acceptability of the
intervention procedures; and (2) to assess the preliminary evidence of the effects of the
intervention on improving sleep quality in urban high school students with persistent asthma
over a 2-month follow-up period.

This record is for Phase I only.

Sleep quality among adolescents is poor and asthma's impact is significant among adolescents.
Asthma control is an important risk factor for poor sleep and poor academic performance. In
addition, poor asthma control, poor sleep hygiene, and poor sleep quality are more likely in
urban settings. Interventions to promote sleep quality by targeting both asthma control and
sleep hygiene in this vulnerable population are lacking.

To adapt ASMA and Sleep-Smart, the investigators will use a 3-step iterative process that
will consist of (1) interviewing high school students and their caregivers, (2) interviewing
high school teachers and (3) conducting separate focus groups with students and caregivers.
The investigators hypothesize that the intervention will be feasible and acceptable. This
study is a multi-site trial and collaboration between Columbia University Medical Center and
Rhode Island Hospital (RIH).

ADOLESCENT-CAREGIVER DYADS (20 adolescents with persistent asthma and poor sleep, and their
caregivers - 10 in Step 1 and 10 in Step 3)

Inclusion Criteria:

1. a prior asthma diagnosis in the prior 12 months;

2. use of prescribed asthma medications;

3. persistent asthma (defined as (i) daytime symptoms 3+ days a week, (ii) night
awakenings 3+ nights per month, (iii) 2+ Emergency Department visits or (iv) 1+
hospitalization for asthma); and

4. sleep duration < 8 hours

Exclusion Criteria:

1. report of prior diagnosis of a sleep disorder, such as sleep disordered breathing,
restless leg syndrome, periodic limb movement syndrome;

2. A Pediatric Sleep Questionnaire (PSQ) score of 0.33 or more, a well-validated measure
of sleep disordered breathing risk;

3. active immunotherapy;

4. additional pulmonary disease; and

5. significant developmental delay and/or severe psychiatric or medical conditions that
preclude completion of study procedures or confound analyses.

SCHOOL TEACHERS (4 high school teachers - 2 from New York and 2 from Rhode Island in Step
2)

Inclusion Criteria:

- Teach at the high school level.

Exclusion Criteria:

- Unwilling to participate in the study.
We found this trial at
2
sites
116th St and Broadway
New York, New York 10027
(212) 854-1754
Columbia University In 1897, the university moved from Forty-ninth Street and Madison Avenue, where it...
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New York, NY
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593 Eddy Street
Providence, Rhode Island 02903
401-444-4000
Rhode Island Hospital Founded in 1863, Rhode Island Hospital in Providence, RI, is a private,...
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Providence, RI
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