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Starting an hour later: Adolescents' concerns and positive expectations regarding introducing later school start times: A qualitative study
Jönköping University, School of Health and Welfare, HHJ, Department of Nursing.ORCID iD: 0000-0003-4735-1281
Jönköping University, School of Health and Welfare, HHJ, Department of Nursing. Department of Neurobiology Care Sciences and Society, Karolinska Institute, Stockholm, Sweden; School of Nursing, KCMC University, Moshi, Tanzania; Division of Anesthesia, Operation, and Intensive Care, Södertälje Hospital, Södertälje, Sweden.ORCID iD: 0000-0003-1445-900X
Jönköping University, School of Health and Welfare, HHJ, Department of Nursing. Jönköping University, School of Health and Welfare, HHJ. CHILD. Division of Anesthesia, Operation, and Intensive Care, Södertälje Hospital, Södertälje, Sweden.ORCID iD: 0000-0002-8798-5345
Jönköping University, School of Health and Welfare, HHJ, Department of Nursing. Jönköping University, School of Health and Welfare, HHJ. CHILD. Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa.ORCID iD: 0000-0003-4599-155X
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2026 (English)In: Sleep Health, ISSN 2352-7218, E-ISSN 2352-7226, Vol. 12, no 4, p. 565-572, article id S2352-7218(26)00078-1Article in journal (Refereed) Published
Sustainable development
00. Sustainable Development, 03. Good health and well-being, 04. Quality education
Abstract [en]

OBJECTIVES: Adequate sleep and a schedule aligned with circadian rhythms are essential for healthy development in adolescents. One strategy to improve sleep, mental health, and academic performance is to delay school start times. A few Swedish schools have implemented later school start times, but these changes or the perceptions of these changes have not been formally studied. The present study aimed to illuminate adolescents' concerns and positive expectations regarding later school start times.

METHODS: The study included 314 adolescents aged 13-15 years (52% self-identified as girls) at 2 secondary schools in Sweden. Adolescents were to start their school days an hour later, from 8:00-9:00 am, beginning in August 2024. Data were collected from June 2024-August 2024 through 28 individual interviews and one open-ended survey question answered by 286 adolescents. These data were analyzed using inductive qualitative content analysis.

RESULTS: Adolescents' concerns and positive expectations were summarized into 4 categories. They expected the change to result in altered morning routines, as well as improved well-being and performance during the school day. They also anticipated changes in leisure time, with more energy but less free time, and both improvements (longer sleep duration and easier sleep onset) and potential drawbacks (later bedtimes) regarding sleep. Their views reflected both enthusiasm and apprehension, thereby highlighting ambivalence toward the upcoming change.

CONCLUSION: The impending shift to later school start times was largely viewed positively, offering hopes of better sleep and well-being, including longer sleep duration and an easier time falling asleep due to reduced pressure to go to bed early. However, the impending shift also raised concerns regarding longer school days and less leisure time. These findings indicate a predominantly positive perspective, although some ambivalence remains about both opportunities and challenges. Follow-up research should further clarify adolescents' experiences.

Place, publisher, year, edition, pages
Elsevier, 2026. Vol. 12, no 4, p. 565-572, article id S2352-7218(26)00078-1
Keywords [en]
Circadian rhythm, Education, Mental health, Sleep, Stress, Teenagers
National Category
Pediatrics Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:hj:diva-71670DOI: 10.1016/j.sleh.2026.04.009PubMedID: 42191507Scopus ID: 2-s2.0-105040540733Local ID: HOA;;1085537OAI: oai:DiVA.org:hj-71670DiVA, id: diva2:2065773
Note

This work was supported by funding from the Lia & Erik von Sydow Foundation.

Available from: 2026-06-04 Created: 2026-06-04 Last updated: 2026-08-21Bibliographically approved

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