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 Competent problem-solving, strong memory recall, focused alertness

Difficulty with decision-making, forgetfulness, trouble focusing

Impact of Sleep

Sense of contentment, quality communication, stress management

Irregular moods, difficulty communicating, increased stress reactivity

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

Quick reaction time, sustained energy, inclined to be physically active, improved posture

Slowed reaction time, lethargy, decreased physical activity & movement, slouched posture

Quick reaction time, sustained energy, inclined to be physically active, improved posture

Competent problem-solving, strong memory recall, focused alertness

Difficulty with decision-making, forgetfulness, trouble focusing

Impact of Sleep

Irregular moods, difficulty communicating, increased stress reactivity

Increase in ghrelin (hunger hormone) and cravings for simple carbs, fats, sugars, salts Weakened immune system, inflammation, and overall slowed body functioning Slowed reaction time, lethargy, decreased physical activity & movement, slouched posture

Sense of contentment, quality communication, stress management

Normal hunger and satiety cues, food choices are more likely to be nutritious

Strong immune system, normal and efficient body functioning

Impact of Sleep on Academic Performance & Retention

• Sleep disorder potentially linked to lower GPA (<2.0)2

• Sleep loss associated with poor procedural learning3

• Pre-frontal cortex vulnerable due to sleep loss3

• Poor academic standing students likely to report sleep difficulties4

• Preserved exam performance1

• Retention of new information1

• Integration of new information1

• 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

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

Logic Model: Sleep Initiative

INPUTS

OUTPUTS Limited Resources More Resources

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

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

OUTPUTS Limited Resources More Resources

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

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

OUTPUTS Limited Resources More Resources SHORT-TERM

OUTCOMES

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

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

Increase access of resources and education to

improve sleep hygiene and

overall quality of sleep

Logic Model: Sleep Initiative

INPUTS

OUTPUTS Limited Resources More Resources LONG-TERM

OUTCOMES SHORT-TERM OUTCOMES

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

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

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

Socio-ecological Model

Community

Relationship

Individual • Health coaching • Mindfulness practices • Sleep hygiene &

education handouts

Health coaching

Socio-ecological Model

Community

Relationship

Individual

• Drop-in meditation & yoga

• Academic/non-academic classes

• Presentations • Health center provider

referrals • Breathe student

organization • Stressbusters student

organization • Peer-to-peer tabling

Socio-ecological Model

Community

Relationship

Individual

• Napping map • Social media • Campus emails • Residence hall posters • National Public Radio

broadcast • Health center TV lobby

slides • Website updates &

content

Socio-ecological Model

Community

Interpersonal

Individual

• 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

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.acha-ncha.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), 231-237.

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: jasinskim@health.missouri.edu

Andrea Kimura, M.Ed., CHES, CWHC

Email: kimuraa@health.missouri.edu

Terry Wilson, RN, M.Ed., CHES

Email: wilsont@health.missouri.edu