A Campus-Wide Public Health Initiative Margaret Jasinski, MPH, CHES, CWHC Andrea Kimura, M.Ed., CHES, CWHC Terry Wilson, RN, M.Ed., CHES
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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: [email protected]
Andrea Kimura, M.Ed., CHES, CWHC
Email: [email protected]
Terry Wilson, RN, M.Ed., CHES
Email: [email protected]
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