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Effects of Delayed School Start Times on Sleep, Mental Health, and Academic Performance Among Norwegian Adolescents

Not Applicable
Recruiting
Conditions
Sleep
Sleep Disorders, Circadian Rhythm
Psychiatric Disorder
Sleepiness, Daytime
Registration Number
NCT06657482
Lead Sponsor
University of Bergen
Brief Summary

The aim is to investigate whether later school start times have positive effects on high school students' sleep patterns, mental health and daytime functioning.

Detailed Description

The current study is a randomized controlled study investigating whether later school start times on Mondays and Tuesdays have positive impact on high school students' sleep patterns, mental health, and daytime functioning. 1st year high school students are randomly assigned to classes starting either two hours later on Mondays and one hour later on Tuesday and ordinary school start times (8:15 ± 15 min) for the rest of the week, or to classes starting at regularly school start times (8:15 ± 15 min.) all weekdays. The students will be invited to respond to a web-based survey assessing sleep, mental health, and daytime functioning by the beginning and end of the school year. Official school grades and school absence data will be collected through the county administration for consenting students. Cognitive tests and objective sleep record through Somnofy are planned for a subgroup by the end of the 2024-25 school year. The study will last for two school years and involve two different cohorts of 1st year high school students.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • 1st year high school students at study preparatory program of participating schools
Exclusion Criteria
  • Parent consent not obtained/documented for participants under 16 years

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Average sleep duration on school daysBaseline and at the end of the school year (at about 8 months follow-up)

Average sleep duration across the arms will be calculated using the Munich ChronoType Questionnaire (MCTQ), adjusted for nocturnal awakenings

Preferred school start time (late vs. early Mondays and Tuesdays)At the end of the school year (at about 8 months follow-up)

A conditioned item asking how satisfied the students are starting early or later on Mondays and Tuesdays, or ranging from "Very satisfied" to "very dissatisfied", will be included.

Daytime sleepiness on school daysCADSS: Baseline and at the end of the school year (at about 8 months follow-up). KSS: At the end of the school year (at about 8 months follow-up)-up

Daytime sleepiness will be assessed based on the Karolinska Sleepiness Scale (KSS; adjusted to target sleepiness on each weekday) and The Chinese adolescent daytime sleepiness scale (CADSS).

Secondary Outcome Measures
NameTimeMethod
School absence and academic performance (self-reported and objective)Self-reported data: Baseline and end of school year. Objective data: At the end of the school year (at about 8 months follow-up)-up

Data gathered from school authorities.

Mental healthBaseline and at the end of the school year (at about 8 months follow-up)

Anxiety and depression will be assessed during the past two weeks using the Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-9, respectively.

Social jetlagBaseline and at the end of the school year (at about 8 months follow-up)

Social jetlag, calculated as the discrepancy in sleep timing on free vs. weekdays, will be calculated based on the MCTQ

Sleep duration, school days with early vs. late startAt the end of the school year (at about 8 months follow-up)

Sleep duration for late starting days will be compared with early starting days

Trial Locations

Locations (1)

University of Bergen

🇳🇴

Bergen, Vestland, Norway

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