Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate Students

BACKGROUND: Sleep hygiene is a set of behavioral and environmental factors that promote healthy sleep (1). The digital age has changed the way we learn by incorporating technology with textbooks. Screens emitting blue light suppress melatonin release and alter the Circadian rhythm, leading to an irr...

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Main Authors: Hania Latif Sami, Syeda Fatemah Raza Zaidi, Mian Ahmed Haroon, Ata Ul Haiy
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2025-01-01
Series:International Journal of Medical Students
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Online Access:http://ijms.info/IJMS/article/view/2966
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author Hania Latif Sami
Syeda Fatemah Raza Zaidi
Mian Ahmed Haroon
Ata Ul Haiy
author_facet Hania Latif Sami
Syeda Fatemah Raza Zaidi
Mian Ahmed Haroon
Ata Ul Haiy
author_sort Hania Latif Sami
collection DOAJ
description BACKGROUND: Sleep hygiene is a set of behavioral and environmental factors that promote healthy sleep (1). The digital age has changed the way we learn by incorporating technology with textbooks. Screens emitting blue light suppress melatonin release and alter the Circadian rhythm, leading to an irregular sleep-wake cycle and poor sleep quality, which can be measured by sleep hygiene (2-9). Healthcare students are at an increased risk of developing poor sleep hygiene due to their long study and clinical hours. This study explores the relationship between different learning modes (textbook, virtual, and hybrid) and sleep hygiene among students at Shalamar Institute of Health Sciences. METHODS: An IRB-approved, cross-sectional, questionnaire-based study was conducted with a sample size of 400 students from Shalamar Institute of Health Sciences. Participants were selected through simple randomization, ensuring equal representation from each academic year. The study utilized a Sleep Hygiene Questionnaire, which included demographic questions, mode of study, study screen time, and the validated Sleep Hygiene Index (SHI) (6). SHI scores were categorized into three groups based on the Likert scale: healthy (scores <26), normal (scores 27-43), and unhealthy (scores >35). Data were analyzed using SPSS 20, employing chi-square tests to assess associations between learning modes and SHI scores, correlation analysis to examine the relationship between study screen time and SHI scores, and ANOVA to identify differences in SHI scores among different learning modes. Tukey’s HSD post hoc test was used to further interpret significant findings. RESULTS: Of the 400 students, 20.9% identified as textbook learners, 20.9% as virtual learners, and 58.1% as hybrid learners. Analysis of SHI scores revealed that 22.4% of students had unhealthy sleep hygiene, 23.3% had normal sleep hygiene, and 54.4% had healthy sleep hygiene. The chi-square test showed a significant association between learning mode and SHI scores (p < 0.05). Additionally, a positive correlation was observed between study screen time and SHI scores (r = 0.36, p = 0.01), indicating that higher screen time is associated with poorer sleep hygiene. ANOVA results revealed significant differences in SHI scores among different learning modes, with virtual learners scoring worse compared to textbook and hybrid learners. The Tukey’s HSD test provided further details on these differences, showing that virtual learners had significantly higher SHI scores, suggesting poorer sleep hygiene. CONCLUSION: The study concluded that virtual learners exhibited poorer sleep hygiene compared to textbook and hybrid learners. Increased screen time associated with virtual learning is linked to higher SHI scores, suggesting that extended use of electronic devices negatively affects sleep hygiene. These findings highlight the need for strategies to manage screen time and promote better sleep practices among students engaged in virtual learning.
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spelling doaj-art-71cc8d36464f4b77a957031a7330bc8b2025-01-01T13:37:43ZengUniversity Library System, University of PittsburghInternational Journal of Medical Students2076-63272025-01-0112Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate StudentsHania Latif Sami0Syeda Fatemah Raza Zaidi1Mian Ahmed Haroon2Ata Ul Haiy3Shalamar Medical and Dental College, Lahore, PakistanUniversity College of Medicine and Dentistry, Lahore, PakistanShalamar Medical and Dental CollegeKing Edward Medical University, Lahore, PakistanBACKGROUND: Sleep hygiene is a set of behavioral and environmental factors that promote healthy sleep (1). The digital age has changed the way we learn by incorporating technology with textbooks. Screens emitting blue light suppress melatonin release and alter the Circadian rhythm, leading to an irregular sleep-wake cycle and poor sleep quality, which can be measured by sleep hygiene (2-9). Healthcare students are at an increased risk of developing poor sleep hygiene due to their long study and clinical hours. This study explores the relationship between different learning modes (textbook, virtual, and hybrid) and sleep hygiene among students at Shalamar Institute of Health Sciences. METHODS: An IRB-approved, cross-sectional, questionnaire-based study was conducted with a sample size of 400 students from Shalamar Institute of Health Sciences. Participants were selected through simple randomization, ensuring equal representation from each academic year. The study utilized a Sleep Hygiene Questionnaire, which included demographic questions, mode of study, study screen time, and the validated Sleep Hygiene Index (SHI) (6). SHI scores were categorized into three groups based on the Likert scale: healthy (scores <26), normal (scores 27-43), and unhealthy (scores >35). Data were analyzed using SPSS 20, employing chi-square tests to assess associations between learning modes and SHI scores, correlation analysis to examine the relationship between study screen time and SHI scores, and ANOVA to identify differences in SHI scores among different learning modes. Tukey’s HSD post hoc test was used to further interpret significant findings. RESULTS: Of the 400 students, 20.9% identified as textbook learners, 20.9% as virtual learners, and 58.1% as hybrid learners. Analysis of SHI scores revealed that 22.4% of students had unhealthy sleep hygiene, 23.3% had normal sleep hygiene, and 54.4% had healthy sleep hygiene. The chi-square test showed a significant association between learning mode and SHI scores (p < 0.05). Additionally, a positive correlation was observed between study screen time and SHI scores (r = 0.36, p = 0.01), indicating that higher screen time is associated with poorer sleep hygiene. ANOVA results revealed significant differences in SHI scores among different learning modes, with virtual learners scoring worse compared to textbook and hybrid learners. The Tukey’s HSD test provided further details on these differences, showing that virtual learners had significantly higher SHI scores, suggesting poorer sleep hygiene. CONCLUSION: The study concluded that virtual learners exhibited poorer sleep hygiene compared to textbook and hybrid learners. Increased screen time associated with virtual learning is linked to higher SHI scores, suggesting that extended use of electronic devices negatively affects sleep hygiene. These findings highlight the need for strategies to manage screen time and promote better sleep practices among students engaged in virtual learning. http://ijms.info/IJMS/article/view/2966Sleep HygieneScreen TimeCircadian Rhythm
spellingShingle Hania Latif Sami
Syeda Fatemah Raza Zaidi
Mian Ahmed Haroon
Ata Ul Haiy
Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate Students
International Journal of Medical Students
Sleep Hygiene
Screen Time
Circadian Rhythm
title Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate Students
title_full Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate Students
title_fullStr Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate Students
title_full_unstemmed Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate Students
title_short Comparison Of Sleep Hygiene Index In Virtual, Textbook And Hybrid Learners In Undergraduate Students
title_sort comparison of sleep hygiene index in virtual textbook and hybrid learners in undergraduate students
topic Sleep Hygiene
Screen Time
Circadian Rhythm
url http://ijms.info/IJMS/article/view/2966
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AT mianahmedharoon comparisonofsleephygieneindexinvirtualtextbookandhybridlearnersinundergraduatestudents
AT ataulhaiy comparisonofsleephygieneindexinvirtualtextbookandhybridlearnersinundergraduatestudents