588 Wake Up and Learn: A School Based Sleep Education and Surveillance Program. (3rd May 2021)

• Record Type: Journal Article
• Authors: Morse, Anne Marie; Blessing, Kristina; Snyder, Mallory; Liscum, Denise
• Is Part Of: Sleep. Volume 44(2021)Supplement 2
• Page Start: A232
• Page End: A232
• Publication Date: 2021-05-03
• Subjects: Sleep -- Physiological aspects -- Periodicals; Sleep disorders -- Periodicals; Sommeil -- Aspect physiologique -- Périodiques; Sommeil, Troubles du -- Périodiques; Sleep disorders; Sleep -- Physiological aspects; Sleep -- physiological aspects; Sleep Wake Disorders; Psychophysiology; Electronic journals; Periodicals; 616.8498
• DOI: 10.1093/sleep/zsab072.586
• Languages: English
• ISSNs: 0161-8105

Abstract

Abstract: Introduction: Insufficient sleep, especially for students, has been a hot topic in news for the past few years. However, despite this increase in media attention, the number of adolescents with unrecognized sleep difficulties continues to grow. A partnership between Janet Weis Children's Hospital (Geisinger) and Montgomery School District was established to pilot a program called "Wake Up and Learn" (WUAL). WUAL is a population based preventative sleep screening and education program for 7th to 12th graders through an asynchronous virtual platform. This is a descriptive summary of implementation of WUAL and early phase results. Methods: The WUAL team consists of a board-certified pediatric sleep specialist, school guidance counselor and 2 project managers. The Protection of Pupil Rights Amendment (PPRA) was considered. A letter describing the program with an opt-out option was provided. WUAL website was developed to serve as an educational resource and to access the surveys. The surveys were generated using REDcap and included the Epworth sleepiness scale -CHAD (ESS) and the childhood sleep habits questionnaire (CHSQ). The surveys became available online and the students were instructed access the website and complete the surveys as part of class time. Results: A total of 289 surveys were accessed, 287 ESS (99%) and 281 CSHQ (97%) were completed. Pathologic ESS scores (> 9), suggesting excessive daytime sleepiness (EDS), was identified in 75 students (26%). Scores suggestive of sleep dysfunction (> 41) on the CSHQ was found in 184 students (65%). Out of the 184 students 64 students also had an abnormal ESS. Conclusion: This method of screening has demonstrated a high degree of successful completion. Based on early data, sleep pathology may be more prevalent than typically reported in children (20–25%). EDS was common, present in a quarter of students. However, of 184 students with abnormal CHSQ only 35% also had EDS. This suggests that there may be a need to identify alternative daytime dysfunction, such as school performance or mental health symptoms. This is an ongoing program that will have further updates and plans for expansion to more school districts. Support (if any): Grant Funding Support from Jazz Pharmaceuticals and Janet Weis Children's Hospital (Geisinger)