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Research & Studies

Sleeping Healthy, Living Healthy: Using Iterative, Participatory Processes to Develop and Adapt an Integrated Sleep Hygiene/Mind-Body Integrative Health Intervention for Urban Adolescents

Citation (APA style): Garbers S, Ancheta AJ, Gold MA, Maier M, and Bruzzese JM. (2023). Sleeping healthy, living healthy: Using iterative, participatory processes to develop and adapt an integrated sleep hygiene/mind-body integrative health intervention for urban adolescents. Health Promotion Practice, 15248399231184453. doi:10.1177/15248399231184453

Abstract

Racial and ethnic minority adolescents living in urban settings experience sleep disparities. Few interventions have been developed to address these disparities. Guided by principles of participatory design and inclusion, our team developed a novel intervention that combined sleep hygiene education with mind-body integrative health (MBIH) practices to improve sleep quality among adolescents in New York City. The goal of this article is to describe our iterative development and design process, the final product, and future directions. Our participatory approach incorporated information from formative work with adolescents having lived experience, practitioners, and syntheses of published literature. The final intervention-Sleeping Healthy, Living Healthy-consists of six, 40-minute group sessions and one 20-minute individual session designed for high school students. Each session has a set of learning objectives, combining instruction, group activities, and discussions on sleep hygiene and MBIH topics. Our manualized intervention includes handouts created by a graphic design team that served as a review and reminder for home practice. We describe intervention implementation to two unique cohorts and detail our methods used to fine-tune the intervention between cohorts. Our partnership with and insights from both adolescents and practitioners serve as a guide for researchers aiming to use participatory methods to develop interventions to decrease health disparities in specific populations.

Keywords

acupressure, adolescent, adolescent health, community-based participatory research, emotional freedom technique tapping, focus groups, implementation science, intervention development, mind-body integrative health, mindfulness, participatory methods, school-based health, sleep, sleep hygiene, urban health