Baseline Sleep Literacy, Habits, and Perceptions Among Primary School Children: Foundations for a MAIEC-Guided Community Intervention in Sleep and Mental Health

Sleep plays a fundamental role in children's cognitive, emotional, and behavioral development, and inadequate sleep hygiene is increasingly recognized as a modifiable risk factor for mental-health vulnerability. <b>Background/Objectives:</b> This article presents the child level baseline component of a broader quasi experimental study grounded in the Community Assessment, Intervention and Empowerment Model (MAIEC). The aim was to characterize Sleep Habits, sleep-hygiene knowledge, and sleep-related perceptions among third-grade children from two primary-school communities in northern Portugal, prior to the implementation of a MAIEC-based community intervention. <b>Methods:</b> Regarding the reporting, only the baseline child level assessment of the study presented in the manuscript, a structured questionnaire, integrating the Portuguese version of the Children's Sleep Habits Questionnaire (CSHQ PT) and questions about Sleep Habits and sleep-hygiene literacy were administered to 40 children. Three composite indices were computed: Sleep Literacy (SLI), Sleep Habits (SHI), and Sleep Symptoms and Perceptions (SSPI). <b>Results:</b> Baseline results revealed heterogeneous Sleep Habits and variable sleep-hygiene knowledge. Children in the experimental community demonstrated higher scores across all indices, with the difference in Sleep Habits (SHI) approaching statistical significance (<i>p</i> = 0.052) and moderate effect sizes observed overall. No sex-based differences were found. <b>Conclusions:</b> These findings identify modifiable behavioral and knowledge-related sleep determinants linked to emotional regulation and mental-health risk. This article reports baseline child-level data from a broader MAIEC-guided study, with the quasi-experimental intervention currently underway and community empowerment already assessed. Future work will present the evaluation of community processes. Overall, these baseline results provide a structured diagnostic foundation for a MAIEC-based community intervention aimed at promoting healthy sleep and strengthening mental-health resilience in primary-school settings.

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Journal
Healthcare
Published
2026-02-03
DOI
https://doi.org/10.3390/healthcare14030390
Primary Topic
Sleep and related disorders
Type
article
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article

Baseline Sleep Literacy, Habits, and Perceptions Among Primary School Children: Foundations for a MAIEC-Guided Community Intervention in Sleep and Mental Health

Jóni André Borges Madureira, Joana Bastos, Paula I. Moreira, Pedro Augusto Mendes de Castro Melo et al.
Healthcare
Sleep and related disorders
article

Baseline Sleep Literacy, Habits, and Perceptions Among Primary School Children: Foundations for a MAIEC-Guided Community Intervention in Sleep and Mental Health

Jóni André Borges Madureira, Joana Bastos, Paula I. Moreira, Pedro Augusto Mendes de Castro Melo, Filipe Rodrigues-Pires, Carlos Mota Pinto, Ana Paula Cantante, Teresa Martins, Bárbara Ferreira, Vanessa Monteiro
article en

Abstract

Sleep plays a fundamental role in children's cognitive, emotional, and behavioral development, and inadequate sleep hygiene is increasingly recognized as a modifiable risk factor for mental-health vulnerability. <b>Background/Objectives:</b> This article presents the child level baseline component of a broader quasi experimental study grounded in the Community Assessment, Intervention and Empowerment Model (MAIEC). The aim was to characterize Sleep Habits, sleep-hygiene knowledge, and sleep-related perceptions among third-grade children from two primary-school communities in northern Portugal, prior to the implementation of a MAIEC-based community intervention. <b>Methods:</b> Regarding the reporting, only the baseline child level assessment of the study presented in the manuscript, a structured questionnaire, integrating the Portuguese version of the Children's Sleep Habits Questionnaire (CSHQ PT) and questions about Sleep Habits and sleep-hygiene literacy were administered to 40 children. Three composite indices were computed: Sleep Literacy (SLI), Sleep Habits (SHI), and Sleep Symptoms and Perceptions (SSPI). <b>Results:</b> Baseline results revealed heterogeneous Sleep Habits and variable sleep-hygiene knowledge. Children in the experimental community demonstrated higher scores across all indices, with the difference in Sleep Habits (SHI) approaching statistical significance (<i>p</i> = 0.052) and moderate effect sizes observed overall. No sex-based differences were found. <b>Conclusions:</b> These findings identify modifiable behavioral and knowledge-related sleep determinants linked to emotional regulation and mental-health risk. This article reports baseline child-level data from a broader MAIEC-guided study, with the quasi-experimental intervention currently underway and community empowerment already assessed. Future work will present the evaluation of community processes. Overall, these baseline results provide a structured diagnostic foundation for a MAIEC-based community intervention aimed at promoting healthy sleep and strengthening mental-health resilience in primary-school settings.

HealthcareVol. 14(3)
Universidade do Porto (PT)
Quality Education
Openalex Percentile: Top 70%
Sleep and related disorders
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