A Quality Improvement Project: Improving Sleep Quality and Duration among Pediatric Mental Health Patients

Abstract

This article is a report of a project to improve the quality and duration of sleep among patients ages 3–17 years in an outpatient mental health clinic. The Pediatric Insomnia Severity Index (PISI) (now the Behavioral Sleep Medicine Clinic Sleep Questionnaire) was administered at baseline. Patients and parents were provided with education about the American Academy of Pediatrics sleep tips. Compliance with the sleep tips was tracked using an electronic health record (EHR) checklist. The PISI was administered again after the interventions and showed overall improvement in sleep quality and duration. Some patients experienced no change or a decline in sleep quality or duration and some had an increase in daytime somnolence.

Keywords

pediatric insomnia sleep quality sleep duration pediatric mental health

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References

American Academy of Pediatrics. (2016). Sleep tips for your family's mental health. https://www.healthychildren.org/English/healthy-living/sleep/Pages/Sleep-and-Mental-Health.aspx.

Byars

K. C.

Simon

S. L.

Peugh

, & Beebe

D. W.

(2017). Validation of a brief insomnia severity measure in youth clinically referred for sleep evaluation. Journal of Pediatric Psychology 42(4), 466–475. https://doi.org/10.1093/jpepsy/jsw077.

Dewald-Kaufmann

J. F.

de Bruin

, & Michael

(2019). Cognitive behavioral therapy for insomnia (CBT-i) in school-aged children and adolescents. Sleep Medicine Clinics 14 155–165. https://doi.org/10.1016/j.jsmc.2019.02.002.

Gohil

, & Hannon

T. S.

(2018). Poor sleep and obesity: Concurrent epidemics in adolescent youth. Frontiers in Endocrinology 9 364 https://doi.org/10.3389/fendo.2018.00364.

Gregory

A. M.

, & Sadeh

(2016). Annual research review: Sleep problems in childhood psychiatric disorders–a review of the latest science. Journal of Child Psychology and Psychiatry 57(3), 296–317. https://doi.org/10.1111/jcpp.12469.

Hysing

Sivertsen

Garthus-Niegel

, & Eberhard-Gran

(2016). Pediatric sleep problems and social-emotional problems. A population-based study. Infant Behavior and Development 42 111–118. https://doi.org/10.1016/j.infbeh.2015.12.005.

Jirout

LoCasale-Crouch

Turnbull

Cubides

Garzione

Evans

Weltman

, & Kranz

(2019). How lifestyle factors affect cognitive and executive function and the ability to learn in children. Nutrients 11(8), 1–29. https://doi.org/10.3390/nu11081953.

Leis

J. A.

, & Shojania

K. G.

(2017). A primer on PDSA: Executing plan-do-study-act cycles in practice, not just in name. BMJ Quality and Safety 26 572–577. https://doi.org/10.1136/bmjqs-2016-006245.

Owens

A. J.

Chervin

R. D.

, & Hoppin

A. G.

(2019). Behavioral sleep problems in children. https://www.uptodate.com/contents/behavioral-sleep-problems-in-children.

10.

Zhang

Paksarian

Lamers

Hickie

I. B.

, & Merikangas

K. R.

(2017). Sleep patterns and mental health correlates in US adolescents. The Journal of Pediatrics 182 137–143. https://www-clinicalkey-com.libproxy.usouthal.edu/#!/content/playContent/1-s2.0-S0022347616312355?returnurl=null&referrer=null.