6138 Can introduction of sleep hygiene videos improve sleep and concentration in 5th and 6th graders? Interventional study

Objectives Insomnia is a very common condition in childhood with a prevalence of 25 -50% (Pacheco, 2020). It can present as difficulty with initiating and maintaining sleep with frequent disruptions throughout the night. Sleep insomnia is known to affect children's development and contribute to poor attention and memory. Establishing a good sleep routine will have a beneficial effect not just on the child's wellbeing and development but the whole family. A cross sectional study conducted in the USA back in 2007, found that 81% of cases where children presenting to a medical professional for insomnia, led to medical prescription (Stojanovski, 2007). A review that was published in 2006, found that behavioural therapy is effective in children below 5 years of age (Morgenthaler, 2006). In this interventional study, we are analysing the effectiveness of sleep hygiene videos as a single therapy in children from 10 to 11 years of age (grade 5 and 6), with the aim to improve sleep quality and subsequently cognitive function. Methods Two cartoon videos on sleep hygiene were designed along with a child friendly questionnaire to be filled by grade 5 and 6 students in two different schools in the city of Leeds, England. Questionnaires were filled prior to viewing the videos and two to three weeks afterward to assess response to the video contents. The videos were viewed in April and May 2022. Results In the East of Leeds School, 49 students participated. In the North of Leeds School, 45 students participated. Significance of outcomes were analysed using the Wilcoxon Signed Rank test. In the first school, there was a significant improvement in sleep duration by 13.6%, sleep disturbance by 10.9%, sleep latency by 22%, daytime dysfunction due to sleepiness by 8.7%, sleep efficiency by 10% (p<0.05) (table 1). In the second school, there was a significant improvement in sleep duration by 5.9%, sleep disturbance by 6.7%, sleep latency by 3.7% (p<0.05) (table 2). Conclusion Poor sleep function is a major issue in children. The results demonstrated that the use of Sleep hygiene videos can support children with sleep difficulties and help them to modify their ehavior through self-health promotion References Pacheco D. Sleep Foundation. 2020. [Online]. Accessed on: 4/03/2021. Stojanovski SD. Trends in medication prescribing for pediatric sleep difficulties in US outpatient settings. 2007;30(8):1013–1017. Morgenthaler TI. Practice parameters for behavioral treatment of bedtime problems and night wakings in infants and young children. 2006. Oct;29(10):1277–81.