A Combined Sleep Hygiene and Mindfulness Intervention to Improve Sleep and Well-Being During High-Performance Youth Tennis Tournaments

in International Journal of Sports Physiology and Performance
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Purpose: To investigate the effects of combined sleep hygiene recommendations and mindfulness on actigraphy-based sleep parameters, perceptual well-being, anxiety, and match outcomes during high-performance junior tennis tournaments. Methods: In a randomized crossover design, 17 high-performance junior tennis players completed the baseline, control, and intervention (INT) conditions across 3 separate weeks. The baseline consisted of unassisted, habitual sleep during a regular training week, and the control was unassisted sleep during a tournament week. The players attended a sleep education workshop and completed a nightly sleep hygiene protocol during a tournament week for the INT. Analysis was performed on the weekly means and on the night prior to the first match of the tournament (T-1). Results: Significant differences were observed for increased time in bed, total sleep time, and an earlier bedtime (P < .05) across the INT week. These parameters also significantly improved on T-1 of the INT. A moderate effect size (P > .05, d > 1.00) was evident for decreased worry on T-1 of the INT. Small effect sizes were also evident for improved mood, cognitive anxiety, and sleep rating across the INT week. The match performance outcomes remained unchanged (P > .05). Conclusions: Sleep hygiene INTs increase the sleep duration of high-performance junior tennis players in tournament settings, including the night prior to the tournament’s first match. The effects on perceptual well-being and anxiety are unclear, although small trends suggest improved mood, despite no effect on generic match performance outcomes.

Lever, Duffield, and Fullagar are with the Sport & Exercise Discipline Group, UTS: Health, University of Technology, Moore Park, NSW, Australia. Murphy is with the Sports Science and Sports Medicine Unit, Tennis Australia, Sydney, NSW, Australia.

Lever (jonathon.r.lever@student.uts.edu.au) is corresponding author.
  • 1.

    Lastella M, Roach GD, Halson SL, Sargent C. Sleep/wake behaviours of elite athletes from individual and team sports. Eur J Sport Sci. 2015;15(2):94100. PubMed ID: 24993935 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Copenhaver EA, Diamond AB. The value of sleep on athletic performance, injury, and recovery in the young athlete. Pediatr Ann. 2017;46(3):E106E111. PubMed ID: 28287684 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Juliff LE, Halson SL, Peiffer JJ. Understanding sleep disturbance in athletes prior to important competitions. J Sci Med Sport. 2015;18(1):1318. PubMed ID: 24629327 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Erlacher D, Ehrlenspiel F, Adegbesan OA, Galal El-Din H. Sleep habits in German athletes before important competitions or games. J Sports Sci. 2011;29(8):859866. PubMed ID: 21506041 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Reid MP, Quinlan G, Kearney S, Jones D. Planning and periodization for the elite junior tennis player. Strength Cond J. 2009;31(4):6976. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Lewis FR, Knight CJ, Mellalieu SD. Emotional experiences in youth tennis. Psychol Sport Exerc. 2017;29:6983. doi:

  • 7.

    Maraga N, Duffield R, Gescheit D, Perri T, Reid M. Playing not once, not twice but three times in a day: the effect of fatigue on performance in junior tennis players. Int J Perform Anal Sport. 2018;18(1):104114. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Roberts SSH, Teo WP, Warmington SA. Effects of training and competition on the sleep of elite athletes: a systematic review and meta-analysis. Br J Sports Med. 2019;53(8):513522. PubMed ID: 30217831 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Fernandez-Fernandez J, Boullosa DA, Sanz-Rivas D, Abreu L, Filaire E, Mendez-Villanueva A. Psychophysiological stress responses during training and competition in young female competitive tennis players. Int J Sports Med. 2015;36(1):2228. PubMed ID: 25251448 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Gescheit DT, Duffield R, Skein M, Brydon N, Cormack SJ, Reid M. Effects of consecutive days of match play on technical performance in tennis. J Sports Sci. 2017;35(20):19881994. PubMed ID: 27779438 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Silva M, Paiva T. Sleep, precompetitive stress and achievements in young performance athletes. Sleep Med. 2013;14:e269. doi:

  • 12.

    Dumortier J, Mariman A, Boone J, et al. Sleep, training load and performance in elite female gymnasts. Eur J Sport Sci. 2018;18(2):151161. PubMed ID: 29072537 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Bonnar D, Bartel K, Kakoschke N, Lang C. Sleep interventions designed to improve athletic performance and recovery: a systematic review of current approaches. Sports Med. 2018;48(3):683703. PubMed ID: 29352373 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    O’Donnell S, Driller MW. Sleep-hygiene education improves sleep indices in elite female athletes. Int J Exerc Sci. 2017;10(4):522530.

  • 15.

    Amutio A, Martínez-Taboada C, Hermosilla D, Delgado LC. Enhancing relaxation states and positive emotions in physicians through a mindfulness training program: a one-year study. Psychol Health Med. 2015;20(6):720731. PubMed ID: 25485658 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Bartel K, Huang C, Maddock B, Williamson P, Gradisar M. Brief school-based interventions to assist adolescents’ sleep-onset latency: comparing mindfulness and constructive worry versus controls. J Sleep Res. 2018;27(3):e12668. PubMed ID: 29441644 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev. 2015;22:2336. PubMed ID: 25454674 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Fullagar H, Skorski S, Duffield R, Meyer T. The effect of an acute sleep hygiene strategy following a late-night soccer match on recovery of players. Chronobiol Int. 2016;33(5):490505. PubMed ID: 27031035 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Mah CD, Mah KE, Kezirian EJ, Dement WC. The effects of sleep extension on the athletic performance of collegiate basketball players. Sleep. 2011;34(7):943950. PubMed ID: 21731144 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Schwartz J, Simon RD Jr. Sleep extension improves serving accuracy: a study with college varsity tennis players. Physiol Behav. 2015;151:541544. PubMed ID: 26325012 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Harada T, Wada K, Tsuji F, et al. Intervention study using a leaflet entitled ‘three benefits of “go to bed early! get up early! and intake nutritionally rich breakfast!” a message for athletes’ to improve the soccer performance of university soccer team. Sleep Biol Rhythms. 2016;14:S65S74. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Van Ryswyk E, Weeks R, Bandick L, et al. A novel sleep optimisation programme to improve athletes’ well-being and performance. Eur J Sport Sci. 2017;17(2):144151. PubMed ID: 27574901 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Caia J, Scott TJ, Halson SL, Kelly VG. The influence of sleep hygiene education on sleep in professional rugby league athletes. Sleep Health. 2018;4(4):364368. PubMed ID: 30031530 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Gabilondo JA, Rodríguez O, Moreno M, Galarraga S, Cecchini J. Validation of the Competitive State Anxiety Inventory 2 (CSAI-2 RE) through a web application. Rev Int Med Cienc Act Fís Deporte. 2012;12:539556.

    • Search Google Scholar
    • Export Citation
  • 25.

    Bender AM, Lawson D, Werthner P, Samuels CH. The clinical validation of the athlete sleep screening questionnaire: an instrument to identify athletes that need further sleep assessment. Sports Med Open. 2018;4(1):23. PubMed ID: 29869021 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Montaruli A, Galasso L, Carandente F, Vitale JA, Roveda E, Caumo A. If the Morning-Evening Questionnaire (MEQ) is able to predict the actigraphy-based acrophase, how does its reduced, five-item version (rMEQ) perform? Chronobiol Int. 2017;34(4):443444. PubMed ID: 28426388 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Cellini N, McDevitt EA, Mednick SC, Buman MP. Free-living cross-comparison of two wearable monitors for sleep and physical activity in healthy young adults. Physiol Behav. 2016;157:7986. PubMed ID: 26821185 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Sadeh A. The role and validity of actigraphy in sleep medicine: an update. Sleep Med Rev. 2011;15(4):259267. PubMed ID: 21237680 doi:

  • 29.

    Sadeh A, Sharkey KM, Carskadon MA. Activity-based sleep-wake identification: an empirical test of methodological issues. Sleep. 1994;17(3):201207. PubMed ID: 7939118 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Reyner LA, Horne JA. Sleep restriction and serving accuracy in performance tennis players, and effects of caffeine. Physiol Behav. 2013;120:9396. PubMed ID: 23916998 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Hopkins WG. How to analyze a straightforward crossover trial. 2007. www.newstats.org/xcrossover.xls. Accessed June 20, 2019.

    • Export Citation
  • 32.

    Gallo TF, Cormack SJ, Gabbett TJ, Lorenzen CH. Pre-training perceived wellness impacts training output in Australian football players. J Sports Sci. 2016;34(15):14451451.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Duffield R, Murphy A, Kellett A, Reid M. Recovery from repeated on-court tennis sessions: combining cold-water immersion, compression, and sleep interventions. Int J Sports Physiol Perform. 2014;9(2):273282. PubMed ID: 23799825 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Taylor L, Chrismas BC, Dascombe B, Chamari K, Fowler PM. The importance of monitoring sleep within adolescent athletes: athletic, academic, and health considerations. Front Physiol. 2016;7:101. PubMed ID: 27047387 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Swinbourne R, Miller J, Smart D, Dulson DK, Gill N. The effects of sleep extension on sleep, performance, immunity and physical stress in rugby players. Sports. 2018;6(2):E42. PubMed ID: 29910346 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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