Graduation Year

2025

Document Type

Senior Thesis

Degree

Bachelor of Science in Nursing

Primary Major

Nursing

Primary Minor

Psychology

Thesis Advisor

Deborah Meshel, BSN, MSN

Abstract

Modern-day adolescents are increasingly at risk for poor sleep quality due to rapid physical and physiological changes and stressors from technology and social media. Recent research suggests poor sleep affects endocrine function and contributes to insulin resistance (IR), a precursor to Type II Diabetes Mellitus (T2DM). This proposed quasi-experimental study will examine if a nurse-led sleep education program can improve sleep quality and decrease the incidence of IR in adolescents with poor sleep. A total of 100 participants aged 12-18 across Berkley, California who score ≥ 5 on the Pittsburgh Sleep Quality Index (PSQI) will be randomly assigned to either the control or intervention group. Control group participants will receive standardized care while the intervention group participants will receive nurse-led sleep education and will be asked to set three personal sleep goals. Baseline and 16-week follow-up fasting glucose and insulin tests, along with PSQI scores will assess outcomes. Descriptive and inferential statistical analysis, including t-tests, will evaluate intervention effects. Significant results may support nurse-led sleep education in primary care to prevent metabolic diseases. Further research in different geographical locations and the use of objective sleep measures will improve the validity and efficacy of results across populations.

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