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Sleep coach intervention for teens with type 1 diabetes: Randomized pilot study

2020; Wiley; Volume: 21; Issue: 3 Linguagem: Inglês

10.1111/pedi.12991

1399-5448

Sarah S. Jaser, Emily R. Hamburger, Erin M. Bergner, Rodayne Williams, James C. Slaughter, Jill H. Simmons, Beth A. Malow,

Adolescent and Pediatric Healthcare

Pediatric DiabetesVolume 21, Issue 3 p. 473-478 CLINICAL CARE AND TECHNOLOGY Sleep coach intervention for teens with type 1 diabetes: Randomized pilot study Sarah S. Jaser, Corresponding Author sarah.jaser@vumc.org orcid.org/0000-0002-7958-7662 Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee Correspondence Sarah S. Jaser, PhD, Vanderbilt University Medical Center, Department of Pediatrics, 2525 West End Ave., Suite 1200, Nashville, TN 37212. Email: sarah.jaser@vumc.orgSearch for more papers by this authorEmily R. Hamburger, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorErin M. Bergner, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorRodayne Williams, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorJames C. Slaughter, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorJill H. Simmons, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorBeth A. Malow, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this author Sarah S. Jaser, Corresponding Author sarah.jaser@vumc.org orcid.org/0000-0002-7958-7662 Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee Correspondence Sarah S. Jaser, PhD, Vanderbilt University Medical Center, Department of Pediatrics, 2525 West End Ave., Suite 1200, Nashville, TN 37212. Email: sarah.jaser@vumc.orgSearch for more papers by this authorEmily R. Hamburger, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorErin M. Bergner, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorRodayne Williams, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorJames C. Slaughter, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorJill H. Simmons, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this authorBeth A. Malow, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TennesseeSearch for more papers by this author First published: 31 January 2020 https://doi.org/10.1111/pedi.12991Citations: 5Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat Abstract Background Teens with type 1 diabetes (T1D) experience increased sleep disturbances, which have been linked to problems with adherence and glycemic control. As such, sleep represents a novel target to improve outcomes in teens. Objective To evaluate the feasibility, acceptability, and preliminary efficacy of a sleep-promoting intervention in teens with T1D. Research Design and Methods Teens aged 13 to 17 with T1D (n = 39) completed measures of sleep quality and diabetes management and wore actigraphs to obtain an objective measure of sleep. Hemoglobin A1C (HbA1c) was collected from medical records. Teens were randomized to Usual Care (n = 19) or the Sleep Coach intervention (n = 20). Teens in the Sleep Coach group received educational materials on healthy sleep habits and completed three individual telephone sessions. Follow-up data were collected at 3 months, including exit interviews with teens and parents. Results Feasibility of the study was excellent; 80% of teens in the Sleep Coach group completed all three sessions, and retention was high (90%). Based on actigraphy data, a significant improvement in sleep efficiency and sleep duration was observed (48-minute increase) among teens randomized to the Sleep Coach intervention, and teens in the control group were 7.5 times more likely to report poor sleep quality after 3 months than intervention participants. No change in HbA1c was observed. Conclusions The Sleep Coach intervention for teens with T1D is a feasible and acceptable program that increased sleep duration and improved sleep quality for this high-risk population. Citing Literature Volume21, Issue3May 2020Pages 473-478 RelatedInformation