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Trial registered on ANZCTR
Registration number
ACTRN12612001177842
Ethics application status
Approved
Date submitted
2/11/2012
Date registered
6/11/2012
Date last updated
2/03/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
The SENSE Study (Sleep and Education: learning New Skills Early)
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Scientific title
In an at-risk cohort of early-to-mid adolescents, is a brief sleep intervention (Sleep SENSE) more effective than a study skills intervention (Study SENSE) in improving sleep and cardiovascular health and preventing the onset of depression at two-year follow up?
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Secondary ID [1]
280802
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
The SENSE Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Depression
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Cardiovascular disease
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Sleep
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Condition category
Condition code
Mental Health
287187
287187
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0
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Depression
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Cardiovascular
287188
287188
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0
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Normal development and function of the cardiovascular system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The sleep intervention (Sleep SENSE) is a group intervention run over seven weekly sessions of 1.5 hours duration. The groups will include no more than 12 participants and will be led by two researchers, one of whom will be a registered clinical psychologist. Quarterly ‘booster’ sessions will be offered for participants to revise components of the interventions and ask any questions for two years following the intervention.
A summary of the Sleep SENSE session content is as follows:
Session 1. Introduction: education about sleep, developing motivation to change.
Session 2. Good sleep habits and overcoming barriers to sleep.
Session 3. Establishing a regular schedule for sleep and media use at bedtime.
Session 4. Mindfulness: Techniques for managing stress and improving sleep.
Session 5. Positive Thinking: Managing worries and unhelpful beliefs about sleep.
Session 6. Managing worries.
Session 7. Your sleep into the future.
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Intervention code [1]
285233
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Prevention
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Intervention code [2]
285234
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Lifestyle
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Intervention code [3]
285235
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Behaviour
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Comparator / control treatment
The study intervention (Study SENSE) is a group intervention run over seven weekly sessions of 1.5 hours duration. The groups will include no more than 12 participants and will be led by two researchers, one of whom will have extensive expertise in the delivery of educational programs. Quarterly ‘booster’ sessions will be offered for participants to revise components of the interventions and ask any questions for two years following the intervention.
A summary of the Study SENSE session content is as follows:
Session 1. Introduction: Why study skills and habits are important for academic success.
Session 2. Personal organisation, time management and the home study environment.
Session 3. Active listening, learning, and note-taking strategies.
Session 4. Memory, memorisation techniques, and different ways of learning.
Session 5. Test-taking and essay writing strategies.
Session 6. Public speaking and presenting.
Session 7. Review of Study SENSE program and problem solving strategies.
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Control group
Active
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Outcomes
Primary outcome [1]
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Onset of Major Depressive Disorder assessed using the revised Schedule for Affective Disorders and Schizophrenia for School Aged Children, Present and Lifetime version, 2009 (K-SADS-PL)
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Assessment method [1]
287481
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Timepoint [1]
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Pre-intervention, post-intervention and 2-year follow-up
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Secondary outcome [1]
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Sleep improvement assessed using subjective self-report measures: Pittsburgh Sleep Quality Index (PSQI) and a sleep diary. Sleep improvement assessed using objective measures: actigraphy and, in a subsample of participants, polysomnography (PSG) measures.
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Assessment method [1]
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Timepoint [1]
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Pre-intervention, post-intervention and 2-year follow-up
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Secondary outcome [2]
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Cardiovascular health determined by the disturbance of cardiac autonomic tone. This will be assessed by measuring heart rate using ECG and blood pressure using an arterial volume clamp method (Portapres Model 2, TNO-TPD, Biomedical Instrumentation, Amsterdam, The
Netherlands).
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Assessment method [2]
298261
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Timepoint [2]
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Pre-intervention and 2-year follow-up
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Secondary outcome [3]
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Cardiovascular health determined by arterial stiffness. This will be measured by a standard measure of endothelial function, the arterial dilatation response to the release of brachial artery occlusion. The dilation response will be measured by peripheral arterial tonometry (Endo-PAT2000, Itamar Medical, Israel).
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Assessment method [3]
299849
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Timepoint [3]
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Pre-intervention and 2-year follow-up
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Secondary outcome [4]
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Cardiovascular health detremined by immune system and platelet activation and cytokine, glucose and oxidized LDL levels. This will be assessed by taking blood and saliva samples.
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Assessment method [4]
299850
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Timepoint [4]
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Pre-intervention and 2-year follow-up
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Eligibility
Key inclusion criteria
Self-reported sleeping difficulties using the Pittsburgh Sleep Quality Index (PSQI) and self-reported anxiety symptoms using the Spence Children's Anxiety Scale (SCAS).
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Minimum age
12
Years
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Maximum age
16
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
A history of Major Depressive Disorder, bipolar or psychotic disorders prior to entry into the study.
A history of significant head injury/ies
Inadequate comprehension of English.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects will be enrolled following completion of the pre-intervention assessments (diagnostic interview to ensure they meet inclusion/exclusion criteria, cardiovascular assessment and sleep assessment)
Treatment allocation will be concealed and done by computerised central randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be stratified by gender and the randomisation sequence will be generated using a
minimisation method available in the MINIM computer program.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/09/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
134
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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Level 1, 16 Marcus Clarke Street (GPO Box 1421)
Canberra ACT 2601
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Country [1]
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Australia
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Funding source category [2]
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University
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Name [2]
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University of Melbourne
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Address [2]
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Melbourne School of Psychological Sciences
Redmond Barry Building
Tin Alley
University of Melbourne
Parkville, VIC 3010
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Country [2]
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Australia
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Primary sponsor type
University
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Name
University of Melbourne
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Address
Melbourne School of Psychological Sciences
Redmond Barry Building
Tin Alley
University of Melbourne
Parkville, VIC 3010
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
284519
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287603
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University of Melbourne Human Research Ethics Committee
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Ethics committee address [1]
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Melbourne Research 161 Barry St (Cnr. Grattan St) Level 5, Alan Gilbert Building The Univerity of Melbourne Carlton, VIC 3010
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Ethics committee country [1]
287603
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Australia
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Date submitted for ethics approval [1]
287603
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Approval date [1]
287603
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19/06/2012
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Ethics approval number [1]
287603
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1237312
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Summary
Brief summary
Adolescent depression is both common and harmful, with an estimated 15-20% of adolescents experiencing clinical depression. Depression is strongly associated with disturbed sleep, a relationship that is particularly marked in adolescence. There is accumulating evidence that disturbed sleep can play a precipitating role in the onset of depression, which suggests that treatment of disturbed sleep might improve resilience against the development of depression. However, efforts to clinically target disturbed sleep as a critical mechanism in treatment or prevention are still in their infancy. Improved sleep can also be expected to benefit cardiovascular health. There is a complex relationship between depression, sleep and cardiovascular disease (CVD) across the lifespan, suggesting that early intervention for sleep may impact on a mechanism jointly associated with risk for CVD and depression. Aim: 1. To deliver a brief sleep intervention to adolescents who are experiencing both anxiety symptoms and sleep disturbance with the aim of preventing the onset of depression and improving cardiovascular health. Research Questions: 1. Can a brief sleep intervention: a. Improve both subjective and objective indices of sleep quality in at-risk adolescents, and will this improvement persist at two-year follow-up? b. Decrease reports of anxiety and mood symptoms, and prevent the onset of case level depression over a two year follow-up period in at-risk adolescents? c. Improve indices of adolescent cardiovascular health at two-year follow-up? 2. Are benefits to both mental and cardiovascular health mediated by measured improvements in sleep that result from the sleep intervention?
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Professor Nick Allen
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Address
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Ann Swindells Professor of Clinical Psychology
Department of Psychology
University of Oregon
Eugene OR 97403-1227
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Country
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United States of America
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Phone
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+1 541 346 4075
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Professor Nicholas Allen
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Address
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Ann Swindells Professor of Clinical Psychology
Department of Psychology
University of Oregon
Eugene OR 97403-1227
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Country
17660
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United States of America
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Phone
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+1 541 346 4075
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Nicholas Allen
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Address
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Ann Swindells Professor of Clinical Psychology
Department of Psychology
University of Oregon
Eugene OR 97403-1227
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Country
8588
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United States of America
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Phone
8588
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+1 541 346 4075
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Fax
8588
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Email
8588
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The SENSE Study (Sleep and Education: learning New Skills Early): a community cognitive-behavioural therapy and mindfulness-based sleep intervention to prevent depression and improve cardiac health in adolescence.
2015
https://dx.doi.org/10.1186/s40359-015-0096-x
Embase
The SENSE Study: Post Intervention Effects of a Randomized Controlled Trial of a Cognitive-Behavioral and Mindfulness-Based Group Sleep Improvement Intervention among At-Risk Adolescents.
2016
https://dx.doi.org/10.1037/ccp0000142
Embase
A cognitive-behavioral and mindfulness-based group sleep intervention improves behavior problems in at-risk adolescents by improving perceived sleep quality.
2017
https://dx.doi.org/10.1016/j.brat.2017.10.006
Embase
Who benefits from adolescent sleep interventions? Moderators of treatment efficacy in a randomized controlled trial of a cognitive-behavioral and mindfulness-based group sleep intervention for at-risk adolescents.
2018
https://dx.doi.org/10.1111/jcpp.12842
N.B. These documents automatically identified may not have been verified by the study sponsor.
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