{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T07:52:56Z","timestamp":1791013976122,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001515","name":"Cure Kids","doi-asserted-by":"publisher","award":["3621"],"award-info":[{"award-number":["3621"]}],"id":[{"id":"10.13039\/501100001515","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Digital sleep interventions offer scalable early mental health support for youth. This study evaluated the feasibility and preliminary impact of Sleep Ninja, a self-guided Cognitive Behavioural Therapy for Insomnia (CBT-I) app, on insomnia and depression symptoms among adolescents in Aotearoa, New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Participants aged 16\u201318 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 47, 11% M\u0101ori,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5) with a self-reported desire to improve sleep were recruited via social media and snowball sampling. Users engaged with the app for 30 days. Online assessments of insomnia, depression, and well-being occurred at baseline, post-intervention (30 days), and follow-up (90 days). App acceptability and feasibility were explored via the User Version of the Mobile Application Rating Scale (uMARS) and qualitative interviews (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 7).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Quantitative results showed high app acceptability (uMARS) and feasibility, with participants engaging for an average of 17 days. Significant improvements in insomnia and depression symptoms and well-being were observed at 30 days, with some effects sustained at 90 days. Qualitative interviews further supported acceptability; participants emphasised the importance of cultural relevance and suggested incorporating Te Reo M\u0101ori to enhance engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sleep Ninja is acceptable to adolescents in Aotearoa, New Zealand. Preliminary results suggest improvements in insomnia, depression, and well-being, supporting further evaluation in a larger trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261491672","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:02:57Z","timestamp":1790758977000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Wh\u012bria moe: a pilot trial of the Sleep Ninja CBT-I app for adolescents in Aotearoa, New Zealand"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0399-7558","authenticated-orcid":false,"given":"Nicola M.","family":"Ludin","sequence":"first","affiliation":[{"name":"University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7949-775X","authenticated-orcid":false,"given":"Helena","family":"Challis","sequence":"additional","affiliation":[{"name":"University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew M.D.M.","family":"Pawley","sequence":"additional","affiliation":[{"name":"AUT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Fortune","sequence":"additional","affiliation":[{"name":"University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy R.","family":"Warman","sequence":"additional","affiliation":[{"name":"University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2376-3575","authenticated-orcid":false,"given":"Barbara","family":"Galland","sequence":"additional","affiliation":[{"name":"The University of Otago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9046-6159","authenticated-orcid":false,"given":"Aliza","family":"Werner-Seidler","sequence":"additional","affiliation":[{"name":"Black Dog Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Hetrick","sequence":"additional","affiliation":[{"name":"University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4675-9894","authenticated-orcid":false,"given":"Tania","family":"Cargo","sequence":"additional","affiliation":[{"name":"University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413514489"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/03036758.2022.2072349"},{"key":"e_1_3_7_4_2","volume-title":"Bridging cultural perspectives. 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