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. 2022 Nov 1;18(11):2681–2694. doi: 10.5664/jcsm.10224

Table 2.

Study methodology among middle schools with later start time (n = 10).

Author Study Description and Sampling DST Amount of Shift (min) Longitudinal (within) Cross-Sectional (between) Length of Data Collection Methodology
Lufi et al27 Design: Experimental, posttest only control design Sampling: Random assignment to experimental group (n = 26) and control (n = 21) 8:30 60 Experimental group compared within participant from week 1 (began at 8:30 am) to week 2 (began at 7:30 am) Experimental group compared between participants with control group at week 1 and week 2 2-week span, 5 days for each week (Saturday night– Thursday morning) One class was randomly assigned to start school at 8:30 am during week 1 and resume at 7:30 am week 2. One class was randomly assigned to start class at 7:30 am both weeks. All participants wore an actigraph and completed sleep diaries for 2 weeks.
Das-Friebel et al30 Design: Cross-sequential Sampling: Convenience 8:00 20 Two different cohorts at 3 different schools experienced a DST and were compared before and after the DST Between participants: One cohort did not experience a DST and were compared to the 2 cohorts that did experience a DST Before and after DST across 2013–14 and 2015–16 academic years Data were collected twice, once before the DST and once after the DST at the end of each academic year for 2 different cohorts, including academic year 2013–14 to 2014–15 and 2014–15 to 2015–16.
Edwards20 Design: Retrospective historical cross-sequential Sampling: Archival 8:30 60 Compared same students who made shift from 7:30 am to 8:30 am Compared schools with start times ranging from 7:30 am or 8:30 am 1999 to 2006 Data were collected for every student in NC between 1999 and 2006 and included SST and state reading and math scores. Data was analyzed cross-sectionally and longitudinally across time.
Lo et al28 Design: Prospective longitudina Sampling: Convenience 8:15 45 The same cohort of students were compared before DST, 1-month DST, and 9-month DST Baseline (April 2016), 1-month follow-up (August 2016) and 9-month follow-up (April 2017) Data were collected during a period of 1 month per phase data collection phase. Students completed online surveys and wore wrist actigraph for 1 week during each data collection phase.
Kim et al29 Design: Prospective longitudinal Sampling: Observational 9:00 40 The same cohort of students were compared 2-month after DST and 12-months after DST November 2014 (2-month follow-up) and September 2015 (12-month follow-up) Students completed questionnaires at each time point after DST. Researchers divided students into 2 groups based on whether TST increased or decreased from 2 month to 12 months. Researchers compared outcomes between the 2 different groups across time.
Wolfson et al24 Design: Cross-sectional Sampling: Random cluster selection x x Compared early-starting school E (7:15 am) to late-starting school L (8:37 am) Fall 2003 and Spring 2004 School L and school E were from the same school district. Students at each school completed questionnaires at each data collection time point. Comparisons were made between groups across both time periods.
Owens et al*17 Design: Repeated cross-sectional Sampling: Convenience x x Compared 2 different cohorts of students at the same school that advanced start time 8:00 am to 7:30 am March 2015–June 2015 compared to March 2016–June 2016 Students completed online surveys during the Spring term before the start time advance and after the start time advance.
Lewin et al26 Design: Retrospective case-control Sampling: Convenience x x Compared 3 different SST: “earliest” (7:20–7:30), “early” (7:40–7:55), and “latest” (8:00–8:10). 2008, 2010, 2012 annual survey Data was collected from a publicly available data set. Survey responses were analyzed across 3 different years for 8th graders with various school start times.
Temkin et al25 Design: Cross-sectional Sampling: Convenience x x Compared later SST (7:55–8:05 am for 7–8th) and earlier SST (7:20–7:25 am for 7th–12th). Spring 2015 Students completed online surveys and school records were obtained during the Spring 2015 term. Comparisons were made across different schools with “later” or “earlier” start times
Whitaker et al18 Design: Repeated cross-sectional Sampling: Convenience x x Compared 2 different cohorts of students at the same school that advanced start time 8:00 am to 7:30 am March 2015–June 2015 compared to March 2016–June 2016 Students completed online surveys during the Spring term before the start time advance and after the start time advance.

DST = delay start time, NC = North Carolina, SST = school start time, x = did not delay SST.