0390 Adapted Behavioral Sleep And Yoga Interventions For Adults In Low-income And Racial/ethnic Minority Communities

Abstract

Introduction: Inadequate sleep is common among low‐income and racial/ethnic minority communities. This may be related to health behaviors as well as psychological, social, and environmental demands. While sleep education and yoga interventions may be adapted to optimize sleep‐related behaviors and reduce reactivity to contextual stressors, there is sparse research evaluating sleep interventions adapted for populations with higher risk of poor sleep and associated comorbidities. Methods: We conducted a 10‐week randomized controlled pilot study of behavioral interventions with content and delivery adapted for adults residing in low‐income housing. Adults with reported sleep duration ≤6 hours/night (n=33) were randomized to group sleep education (SE) or SE plus yoga (SE+yoga). SE comprised of two, one‐hour group educational sessions. Those randomized to SE+yoga then participated in weekly one‐hour yoga classes for eight weeks. We assessed self‐reported sleep duration, sleep‐related impairment, sleep disturbance, sleep hygiene behaviors, and intervention acceptability. Results: Participants were 45.9 years ±13.1; 90.9% were female; 42.4% identified as non‐Hispanic Black and 39.4% as Hispanic, and 33.3% graduated college. Pre/post intervention improvements were observed in self‐reported sleep duration (SE: 1.3±1.4 hours/night; SE+yoga: 0.8±0.9 hours/night; overall test‐of‐change p<0.001), PROMIS sleep‐related impairment T‐score (SE: ‐3.1±10.5; SE+yoga: ‐7.8±7.0; p<0.001), PROMIS sleep disturbance T‐score (SE: ‐8.6±16.4; SE+yoga: ‐8.9±9.8; p<0.01), and sleep hygiene index scores (SE: ‐2.5±5.5; SE+yoga: ‐2.9±5.5; p=0.01). No significant between‐group differences were observed. Attendance was satisfactory (86.7% attended both SE groups; 66.7% attended at least 4 of 8 yoga classes). Quantitative data and post‐intervention focus groups indicated high intervention acceptability: about 90% of participants rated SE sessions as helpful/very helpful; 92.3% agreed/strongly agreed that yoga class left them feeling relaxed/less stressed; and 70% reported yoga helped their sleep. Conclusion: Our preliminary work suggest that adapted SE and yoga interventions are acceptable and may improve sleep behaviors, as well as sleep duration, sleep disturbance, and sleep‐related impairment. Future work is needed to identify the potential additive effects of SH and yoga, and whether participant characteristics may enhance the efficacy of one or both interventions.