Download A Campus-Wide Public Health Initiative

A Campus-Wide Public Health Initiative
Margaret Jasinski, MPH, CHES, CWHC
Andrea Kimura, M.Ed., CHES, CWHC
Terry Wilson, RN, M.Ed., CHES
Objectives
1. Define the impact of sleep on well-being
2. Identify generation-specific public health strategies for
raising awareness of the importance of quality sleep
3. List innovative resources for quality sleep information and
skills
4. Discuss successful strategies for implementing a sleep
initiative on college campuses
Impact of Sleep
Difficulty with decisionmaking, forgetfulness,
trouble focusing
Competent problem-solving,
strong memory recall,
focused alertness
Impact of Sleep
Irregular moods,
difficulty communicating,
increased stress reactivity
Sense of contentment,
quality communication,
stress management
Impact of Sleep
Increase in ghrelin
(hunger hormone) and
cravings for simple carbs,
fats, sugars, salts
Normal hunger and satiety
cues, food choices are more
likely to be nutritious
Impact of Sleep
Weakened immune system,
inflammation, and overall
slowed body functioning
Strong immune system,
normal and efficient body
functioning
Impact of Sleep
Slowed reaction time,
lethargy, decreased physical
activity & movement,
slouched posture
Quick reaction time, sustained
energy, inclined to be
physically active, improved
posture
Impact of Sleep
Difficulty with decisionmaking, forgetfulness,
trouble focusing
Competent problem-solving,
strong memory recall,
focused alertness
Irregular moods,
difficulty communicating,
increased stress reactivity
Sense of contentment,
quality communication,
stress management
Increase in ghrelin
(hunger hormone) and
cravings for simple carbs,
fats, sugars, salts
Normal hunger and satiety
cues, food choices are more
likely to be nutritious
Weakened immune system,
inflammation, and overall
slowed body functioning
Strong immune system,
normal and efficient body
functioning
Slowed reaction time,
lethargy, decreased physical
activity & movement,
slouched posture
Quick reaction time, sustained
energy, inclined to be
physically active, improved
posture
Impact of Sleep
on Academic Performance & Retention
• Sleep disorder potentially
linked to lower GPA (<2.0)2
• Preserved exam
performance1
• Sleep loss associated with
poor procedural learning3
• Retention of new
information1
• Pre-frontal cortex vulnerable
due to sleep loss3
• Integration of new
information1
• Poor academic standing
students likely to report
sleep difficulties4
• Effective problem solving1
Sleep Initiative
Purpose: increase students’ awareness of the importance of
quality sleep and provide skills-based education for enhancing
sleep hygiene
Sleep Initiative
• Incorporate generation-specific public health strategies
• Saturate campus with sleep information
• Use target marketing approach
• Internal and external health center referrals
• Integrate sleep education, innovative resources, and
services
• Collaborative student organization involvement
Sleep & Mindfulness
• Participants randomized in case-control study
• 8 week Mindfulness-Based Cognitive Therapy including
mindfulness meditation
• Waitlist with no intervention
• Results for MBCT group
• Decreased wake time
• Increased sleep efficiency
Logic Model: Sleep Initiative
INPUTS
Human Resources
Access to web
design & campus
mass
communication
portals
Campus reports or
NCHA-II data on
sleep quality and
sleep debt among
student population
Logic Model: Sleep Initiative
INPUTS
Human Resources
Access to web
design & campus
mass
communication
portals
Campus reports or
NCHA-II data on
sleep quality and
sleep debt among
student population
OUTPUTS
Limited Resources
More Resources
Sleep hygiene
handouts, posters,
flyers
Content on health
center’s website with
resources and
education
Material distribution
at campus events,
residence halls and in
the clinic
Create or link to
mindfulness
relaxation audios and
videos available on
website
Logic Model: Sleep Initiative
INPUTS
Human Resources
Access to web
design & campus
mass
communication
portals
Campus reports or
NCHA-II data on
sleep quality and
sleep debt among
student population
OUTPUTS
Limited Resources
More Resources
Sleep hygiene
handouts, posters,
flyers
Content on health
center’s website with
resources and
education
Material distribution
at campus events,
residence halls and in
the clinic
Create or link to
mindfulness
relaxation audios and
videos available on
website
Outreach services
through student
organizations
Individual health
coaching
appointments for
sleep issues
Non-academic,
drop-in meditation
and yoga classes
Academic credit
courses for
mindfulness
Logic Model: Sleep Initiative
INPUTS
Human Resources
Access to web
design & campus
mass
communication
portals
Campus reports or
NCHA-II data on
sleep quality and
sleep debt among
student population
OUTPUTS
Limited Resources
More Resources
Sleep hygiene
handouts, posters,
flyers
Content on health
center’s website with
resources and
education
Material distribution
at campus events,
residence halls and in
the clinic
Create or link to
mindfulness
relaxation audios and
videos available on
website
SHORT-TERM
OUTCOMES
Outreach services
through student
organizations
Individual health
coaching
appointments for
sleep issues
Non-academic,
drop-in meditation
and yoga classes
Academic credit
courses for
mindfulness
Increase access of
resources and
education to
improve sleep
hygiene and
overall quality of
sleep
Logic Model: Sleep Initiative
INPUTS
Human Resources
Access to web
design & campus
mass
communication
portals
Campus reports or
NCHA-II data on
sleep quality and
sleep debt among
student population
OUTPUTS
Limited Resources
More Resources
Sleep hygiene
handouts, posters,
flyers
Content on health
center’s website with
resources and
education
Material distribution
at campus events,
residence halls and in
the clinic
Create or link to
mindfulness
relaxation audios and
videos available on
website
SHORT-TERM
OUTCOMES
LONG-TERM
OUTCOMES
Increase access of
resources and
education to
improve sleep
hygiene and
overall quality of
sleep
Campus reports
or NCHA-II data
depict an
increase in the
number of
students who
report better
quality sleep on
campus
Outreach services
through student
organizations
Individual health
coaching
appointments for
sleep issues
Non-academic,
drop-in meditation
and yoga classes
Academic credit
courses for
mindfulness
Socio-ecological Model
Community
Relationship
•
•
•
Health coaching
Mindfulness practices
Sleep hygiene &
education handouts
Individual
Health coaching
Socio-ecological Model
•
•
•
•
•
•
•
Drop-in meditation &
yoga
Academic/non-academic
classes
Presentations
Health center provider
referrals
Breathe student
organization
Stressbusters student
organization
Peer-to-peer tabling
Community
Relationship
Individual
Socio-ecological Model
•
•
•
•
•
•
•
Napping map
Social media
Campus emails
Residence hall posters
National Public Radio
broadcast
Health center TV lobby
slides
Website updates &
content
Community
Relationship
Individual
Socio-ecological Model
•
•
•
•
•
Napping map
Social media
Campus emails
Residence hall posters
National Public Radio
broadcast
Health center TV lobby
slides
Website updates &
content
•
•
•
•
•
•
•
•
Drop-in meditation &
yoga
Academic/non-academic
classes
Presentations
Health center provider
referrals
Breathe student
organization
Stressbusters student
organization
Peer-to-peer tabling
•
•
•
•
Health coaching
Mindfulness practices
Sleep hygiene &
education handouts
Community
Interpersonal
Individual
Summary: Innovative resources
• Comprehensive interdisciplinary mindfulness-based services for
relaxation, stress management & enhancement of quality sleep
• Small group courses on mindfulness, meditation and restorative yoga
• Website redesign with downloadable handouts, napping map, audios
&videos
• Breathe student org providing student-led meditation sessions and
nature-based mindfulness practices for stress management and quality
sleep
• Stressbusters student organization providing back rubs weekly and by
per request
Questions?
References
1.
American Academy of Sleep Medicine. (2011, June 15). Sleep can boost classroom performance of college students. ScienceDaily. Retrieved May 4, 2016 from
www.sciencedaily.com/releases/2011/06/110614101114.htm.
2.
American College Health Association. American College Health Association - National College Health Assessment (ACHA-NCHA) Web Summary (2014). Retrieved from: http://www.achancha.org/docs/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Spring2014.pdf.
3.
Brown, F. C., Bublotz Jr., W. C. & Soper, B. (2014). Development and Evaluation of the Sleep Treatment and Education Program for Students (STEPS). Journal of American College Health, 54 (4), 231237.
4.
Caldwell, K., Harrison, M., Adams, M., Quin, R. H. & Greeson, J. (2010). Developing Mindfulness in College Students Through Movement-Based Courses: Effects on Self-Regulatory Self-Efficacy, Mood,
Stress, and Sleep Quality. Journal of American College Health, 58 (5), 433-442.
5.
Centers for Disease Control and Prevention. (2013). Sleep and sleep disorders. Retrieved from: http://www.cdc.gov/sleep/.
6.
Curcio, G., Ferrara, M., & Gennaro, L. D. (2006). Sleep loss, learning capacity and academic performance. Sleep Medicine Reviews, 10 (5), 323-337.
7.
Dement, W. C. & Vaughan, C. (1999). The promise of sleep: a pioneer in sleep medicine explores the vital connection between health, happiness, and a good night’s sleep. New York, NY, US: Dell
Publishing Co.
8.
Gaultney, J. (2010). The prevalence of sleep disorders in college students: Impact on academic performance, Journal of American College Health, (59)3, 91-97.
9.
Hilary, G. & Mallinkckrodt, B. (1994). Emotional, social, and academic adjustment of college students: A longitudinal study of retention. Journal of Counseling and Development, 72.3 (281).
10.
Kloss, J. D., Nash, C. O., Walsh, C. M., Horsey, S. & Sexton-Radek, K. (2014). A “Sleep 101” Program for College Students Improves Sleep Hygiene Knowledge and Reduces Maladaptive Beliefs about
Sleep. Behavioral Medicine.
11.
Lund H. G., Rieider, B.D., Whiting, A.B., Prichard, J.R. (2010). Sleep patterns and predictors of disturbed sleep in a large population of college students. Journal of Adolescent Health, (46): 124–32.
12.
Mackert, M., Lazard, A., Guadagno, M. & Wagner, J. H. (2014). The Role of Implied Motion in Engaging Audiences for Health Promotion: Encouraging Naps on a College Campus. Journal of American
College Health, 62 (8), 541-555.
13.
Mednick, S. & Ehrman, M. (2006). Take a Nap! Change Your Life.
14.
National Sleep Foundation. (2015). Retrieved from: http://sleepfoundation.org/.
15.
Pilcher, J. J. & Walters, A. S. (1997). How Sleep Deprivation Affects Psychological Variables Related to College Students’ Cognitive Performance. Journal of American College Health, 46 (3), 121-126.
16.
Trockel, M. T., Barnes, M. D. & Egget, D. L. (2000). Health-Related Variables and Academic Performance Among First-Year College Students: Implications for Sleep and Other Behaviors. Journal of
American College Health, 49 (3), 125-131.
17.
Vargas, P. A., Flores, M. & Robles, E. (2014). Sleep Quality and Body Mass Index in College Students: The Role of Sleep Disturbances. Journal of American College Health, 62 (8), 534-541.
Thank you.
Margaret Jasinski, MPH, CHES, CWHC
Email: [email protected]
Andrea Kimura, M.Ed., CHES, CWHC
Email: [email protected]
Terry Wilson, RN, M.Ed., CHES
Email: [email protected]