title: Knowledge of sleep in Italian high school students: pilot-test of a school-based sleep educational program.
abstract: OBJECTIVE
  To evaluate knowledge about sleep and the effect of a sleep educational program on a group of Italian adolescents.
  
  
  METHODS
  The program consisted of a 2-hour interactive sleep educational course. To assess students' sleep patterns and habits, the School Sleep Habits Survey was completed by 540 students, aged 17 to 19 years, who were attending three secondary public schools. Students were randomly assigned to the control and intervention group. Only the latter participated in the educational program. A pre-test evaluated baseline knowledge about sleep, a post-test measured the gain in knowledge after the course, and a 3-month follow-up test evaluated long-term retention of information. Improvement in knowledge was measured by increase in correct answers and comparisons of means between baseline and follow-up mean scores. Control group completed only baseline and 3-month follow-up tests. Data were analyzed using repeated measures analysis of variance, Cochran Q, and McNemar tests.
  
  
  RESULTS
  Paired data were available for 425 students. Results showed unhealthy sleeping habits in 34% of students associated with high level of subjective sleepiness, increased vulnerability to injuries, and poor daytime functioning. Pre-test score showed a value of 4.2, post-test of 8.6 and 3-month follow-up of 6.7. Low baseline knowledge about sleep, an increase in knowledge, with an average of 50% gain in the percentage of correct answers immediately after the course, with a good long-term retention of information were found for the students who received the intervention as compared with control group.
  
  
  CONCLUSIONS
  Sleep educational programs for secondary students are recommended to improve information about sleep.
authors.affiliation: Center of Pediatric Sleep Disorders, Department of Developmental Neurology and Psychiatry, University of Rome La Sapienza, Rome, Italy. flavia.cortesi@uniroma1.it
authors.forename: Flavia
authors.initials: F
authors.lastname: Cortesi
authors.forename: Flavia
authors.initials: F
authors.lastname: Giannotti
authors.forename: Teresa
authors.initials: T
authors.lastname: Sebastiani
authors.forename: Oliviero
authors.initials: O
authors.lastname: Bruni
authors.forename: Salvatore
authors.initials: S
authors.lastname: Ottaviano
mesh_terms: D000293:Adolescent; D000328:Adult; D004522:Educational Status; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D007558:Italy; D008297:Male; D012890:Sleep; D011795:Surveys and Questionnaires