Evidence map›Paper›PMID 34989300›Full record

ArticleBehavioral sleep medicine

Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/ Alaska Native Adolescents.

Wendy M Troxel, Alina I Palimaru, David J Klein, Lu Dong, Daniel L Dickerson, Ryan A Brown, Carrie L Johnson, Elizabeth J D'Amico

Open access · greenAbstract read
In one paragraph

Article in Behavioral sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Wendy M TroxelDivision of Behavior and Policy Sciences, RAND Corporation, Pittsburgh, Pennsylvania, USA.
Alina I PalimaruDivision of Behavior and Policy Sciences, RAND Corporation, Santa Monica, California, USA.ORCID 0000-0002-2777-4079
David J KleinDivision of Behavior and Policy Sciences, RAND Corporation, Santa Monica, California, USA.
Lu DongDivision of Behavior and Policy Sciences, RAND Corporation, Santa Monica, California, USA.
Daniel L DickersonUCLA Integrated Substance Abuse Program, Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA.
Ryan A BrownDivision of Behavior and Policy Sciences, RAND Corporation, Santa Monica, California, USA.
Carrie L JohnsonSacred Path Indigenous Wellness Center, Los Angeles, California, USA.
Elizabeth J D'AmicoDivision of Behavior and Policy Sciences, RAND Corporation, Santa Monica, California, USA.
RAND Corporation · US

Funding

Examining the Role of Sleep Disturbances in Contributing to Health Risk Behaviors and Cardiometabolic Outcomes in Urban Native American YouthR01MD012190 · NIMHD · RAND CORPORATION · PI D'AMICO, ELIZABETH J., DICKERSON, DANIEL LEE · 2017 to 2021
$3.5M
NIMHD NIH HHS R01 MD012190
6 · The paper itself

Abstract

backgroundCOVID-19 has profoundly affected sleep, although little research has focused on high-risk populations for poor sleep health, including American Indian/Alaska Native (AI/AN) adolescents.

methodsThis is the first longitudinal study to examine changes in sleep with surveys completed before the pandemic and during the early months of COVID-19 in a sample of urban AI/AN adolescents (N = 118; mean age = 14 years at baseline; 63% female). We use a mixed-methods approach to explore how COVID-19 affected urban AI/AN adolescents' sleep, daily routines, and interactions with family and culture. Quantitative analysis examined whether pandemic-related sleep changes were significant and potential moderators of COVID-19's effect on sleep, including family and community cohesion and engagement in traditional practices.

results: Findings demonstrate changes in sleep, including increases in sleep duration, delays in bedtimes and waketimes, and increases in sleep-wake disturbances (

conclusionFindings demonstrate positive and negative changes in sleep during COVID-19 stay-at-home orders, including simultaneous increases in sleep duration and sleep-wake disturbances. Results highlight the importance of considering multi-level influences on adolescent sleep, such as early school start times, family dynamics, and cultural factors. A multi-level approach may help guide prevention and intervention efforts to improve adolescent sleep health.

Indexed as

Alaska NativesCOVID-19Sleep Wake DisordersAdolescentAmerican Indian or Alaska NativeFemaleHumansLongitudinal StudiesMaleSleep

Identifiers

PMID34989300
PMCPMC9167151
OpenAlexW4206830712

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.