REST

Real-world evidence for improving sleep in teens

The REST Study

REST is a multi-arm digital sleep intervention trial targeting adolescents aged 12–16 years and their parents or caregivers. The study evaluates three intervention components: Recharge (behaviour-focused teen content on devices, light, and caffeine), Relax (relaxation and mindfulness strategies for teens), and Rest Nest (parent-focused resources), delivered primarily through short-form video reels, audio, and written content on a mobile-first web platform.

Primary outcome:

To evaluate targeted digital sleep interventions for adolescents aged 12–16 years through a 3×2 factorial randomised controlled trial with parallel data collection from teens and parents.

Background

  • The intervention approach was developed over 8 months based on teen screen use research, which found teens primarily consume short-form video content and prefer not to read or be lectured at.

  • Direct teen feedback drove the design: participants asked for content in a familiar short-video format, leading to 24–26 reels maximun 2 minutes each duration 4-6 released each week.

  • Sleep problems in adolescence are common and have significant impacts on mental health, academic performance, and physical wellbeing, yet few digital interventions exist targeting this age group.

  • REST is designed to evaluate multiple intervention components simultaneously using a factorial design, allowing researchers to determine which combinations are most effective.

  • The study is delivered within a purpose-built integrated database platform (Spinnaker) supporting eligibility screening, randomisation, intervention delivery, and structured longitudinal data capture.


Study design

  • 3×2 factorial RCT with 8 randomisation groups; each participant receives 0–3 intervention components (Recharge, Relax, Rest Nest).

  • Target sample size of ~320 teens plus their parents/caregivers.

  • Study duration: 12 weeks per participant.

  • Randomisation stratified by age band (12.0 to <15.0 and 15.0 to <16.0).

  • Questionnaire timepoints: Screening → Baseline → 6 weeks → 12 weeks, with separate questionnaires for teens and parents.

  • Mobile-first web platform with streaming-first content delivery and engagement analytics tracking what, when, how often, and duration of resource use.


Key connections

Spiral project team

Principal investigators

  • Professor Rachael Taylor — Director, Edgar Diabetes and Obesity Research Centre; Karitane Chair in Early Childhood Obesity; Deputy Dean, Dunedin School of Medicine, University of Otago. Primary Investigator and primary contact.

“It is an incredibly agile environment. Whatever comes my way - I jump on it and deal with it”

Spiral’s contribution

Our Spiral Product Owner for the REST study is Amanda Daley

As a Product Owner at Spiral, Amanda oversees software development used in clinical trials. She thrives on solving complex problems and brings a logical mindset to building smarter, streamlined digital platforms.