{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:33:14Z","timestamp":1792114394969,"version":"4.4.0"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>While the presence of fatigue and inadequate sleep are well\u2010described in children with inflammatory bowel disease (IBD), little data exist on potential sleep improvement interventions. We aimed to determine if sleep tracking and sleep hygiene counseling can result in sleep behavior change and reduced fatigue in children\/adolescents with IBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010center, prospective, randomized controlled trial. Patients 12\u201320 years old with IBD, in clinical remission, completed validated Pediatric Quality of Life\u2010Multidimensional Fatigue Scales (PedsQL\u2010MDFS). Those who were found to have impaired sleep\/rest fatigue (score &lt;60) were randomized 1:1 into two intervention groups (A and B). Both groups were asked to track their sleep for 2 weeks using a standardized sleep log. Group B also had in\u2010person sleep hygiene counseling. Outcomes were assessed 2 weeks after intervention implementation through repeat PedsQL\u2010MDFS, self\u2010reported behavior change surveys, and analysis of 2\u2010week sleep logs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010six patients were enrolled. The mean age was 16.5 years, 53% male, 71% Crohn's disease, and 25% ulcerative colitis. Forty\u2010three patients met criteria for randomization into the intervention groups. There was a significant improvement in the PedsQL\u2010MDFS Sleep\/Rest Fatigue score in both intervention groups. Sleep hygiene counseling for Group B resulted in a significant increase in patients putting their electronic screens away 30\u2009min before bedtime.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sleep tracking and in\u2010person sleep counseling positively impact sleep\/rest fatigue scores and sleep behavior change. These simple interventions hold the promise of improving sleep and fatigue in children and adolescents with IBD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.70066","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T03:29:59Z","timestamp":1746674999000},"page":"62-68","source":"Crossref","is-referenced-by-count":3,"title":["Sleep tracking and sleep hygiene counseling improve fatigue in pediatric patients with inflammatory bowel disease"],"prefix":"10.1002","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8271-2301","authenticated-orcid":false,"given":"Sydney","family":"Kuzoian","sequence":"first","affiliation":[{"name":"Division of Digestive Diseases, Hepatology, and Nutrition Connecticut Children's Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"Jerson","sequence":"additional","affiliation":[{"name":"Division of Digestive Diseases, Hepatology, and Nutrition Connecticut Children's Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Brimacombe","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Pediatrics Connecticut Children's Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynelle","family":"Schneeberg","sequence":"additional","affiliation":[{"name":"Division of Behavioral Sleep Medicine Connecticut Children's Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey S.","family":"Hyams","sequence":"additional","affiliation":[{"name":"Division of Digestive Diseases, Hepatology, and Nutrition Connecticut Children's Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v25.i5.632"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.1982"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/cpp0000491"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2009.01.022"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9072304"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.11.1487"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.08.032"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101518"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002156"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.10428"},{"issue":"12","key":"e_1_2_7_12_1","first-page":"2494","article-title":"The PedsQL Multidimensional Fatigue Scale in pediatric rheumatology: reliability and validity","volume":"31","author":"Varni JW","year":"2004","journal-title":"J Rheumatol"},{"key":"e_1_2_7_13_1","unstructured":"American Academy of Sleep Medicine. One in Three Americans Have Used Electronic Sleep Trackers Leading to Changed Behavior for Many. 2023.https:\/\/aasm.org\/one-in-three-americans-have-used-electronic-sleep-trackers-leading-to-changed-behavior-for-many\/"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.07.007"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6288"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2015.1126595"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13578"}],"container-title":["Journal of Pediatric Gastroenterology and Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpn3.70066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T12:12:00Z","timestamp":1754914320000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpn3.70066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,8]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/jpn3.70066"],"URL":"https:\/\/doi.org\/10.1002\/jpn3.70066","archive":["Portico"],"relation":{},"ISSN":["0277-2116","1536-4801"],"issn-type":[{"value":"0277-2116","type":"print"},{"value":"1536-4801","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,8]]}}}