Development and Pilot Testing of Sleeping Healthy/Living Healthy a Comprehensive Sleep Intervention for Adolescents in Urban SBHCs

城市SBHC青少年睡眠健康/健康生活综合睡眠干预措施的开发和试点测试

• 批准号: 10228081
• 负责人: Jean-Marie Bruzzese
• 金额: $ 25.01万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-03 至 2023-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10228081
• 关键词: Acupressure; Address; Adherence; Adolescent; Adult; Aftercare; Aromatherapy; Beds; Behavior; Caffeine; Child; Chronic Disease; Clinical; Cognitive; Consensus; Development; Effectiveness; Evaluation; Face; Feedback; Focus Groups; Future; Group Interviews; Health; Health Educators; Health Personnel; Health education; High School Student; Hispanics; Human Resources; Hygiene; Hypnosis; Impairment; Inadequate Sleep Hygiene; Individual; Integrative Medicine; Intervention; Interview; Literature; Measures; Mediating; Medical center; Medicine; Meditation; Mental Health; Methodology; Methods; Minority; Modality; Motivation; Needs Assessment; New York City; Outcome; Performance; Phase; Pilot Projects; Pittsburgh Sleep Quality Index; Procedures; Process; Provider; Public Health; Randomized; Randomized Controlled Trials; Research; Risk; Schools; Services; Sleep; Sleep Deprivation; Sleep Fragmentations; Stress; Testing; Time; Treatment Efficacy; Treatment Protocols; Vulnerable Populations; Yoga; Youth; acceptability and feasibility; actigraphy; adolescent health outcomes; adolescent patient; age group; attentional control; base; body-mind; community based participatory research; design; diaries; disorder risk; disparity reduction; efficacy testing; ethnic minority population; evidence base; experience; feasibility testing; health disparity; health goals; high risk population; high school; improved; innovation; instrument; interest; intervention effect; male; mindfulness; novel; poor sleep; programs; public health priorities; racial and ethnic; racial minority; recruit; satisfaction; sleep behavior; sleep health; sleep quality; social; stressor; therapy development; treatment effect; treatment group; treatment trial; tv watching; two-arm study; urban school

Background: Poor sleep quality, which contributes to impaired functioning, is elevated in urban, ethnic/racial minority adolescents due, in part, to poor sleep hygiene. Despite successful sleep hygiene interventions in younger children, none focus on adolescents, a group with unique developmental needs. Urban adolescents face unique contextual stressors, which may contribute to ineffective use of sleep hygiene behaviors. Mind- body integrative (MBIH) approaches (e.g. yoga, meditation) improve sleep quality in adults, but are rarely applied to adolescents. MBIH has been shown to reduce stress among adolescents. Taken together, this suggests that integrating MBIH with sleep hygiene strategies has the potential for a synergistic effect on improving sleep quality. Yet no interventions concurrently use MBIH and sleep hygiene with adolescents. Process evaluations are often lacking during intervention development. We address these treatment and methodological gaps. Aims: This pilot study will: (1) develop Sleeping Healthy/Living Healthy, a school-based health center (SBHC) intervention that combines MBIH and sleep hygiene strategies to improve sleep quality in urban adolescents with poor sleep quality; (2) evaluate the feasibility and acceptability of intervention procedures; and (3) assess the preliminary intervention effects on sleep quality in urban adolescents. Hypotheses: (1) The intervention will be feasible and acceptable as evidenced by high rates of recruitment, adherence to treatment protocols, and high intervention satisfaction ratings; and (2) over [ three ] months, compared to controls, adolescents randomized to the intervention will have improvement on two primary sleep quality outcomes, (a) sleep duration and (b) sleep fragmentation (sleep efficiency and disruptions), measured objectively (actigraphs) and subjectively (using validated instruments). Methods: This study includes a development phase and a pilot individually-randomized group treatment (IRGT) phase. In Year 1 we will develop the novel integrated intervention using an iterative participatory design process. We will be guided by input from adolescents via focus groups and by interviews with SBHC medical and mental health providers, health educators, and staff. In Year 2, we will conduct an IRGT trial with [ 60 ] adolescents with insufficient sleep recruited from two SBHCs in New York City. Adolescents will be randomized 1:1 to receive the intervention or an attention control. Process evaluation interviews guided by a rigorous fidelity framework with adolescents and with SBHC providers and personnel will be conducted to obtain feedback regarding intervention procedures. Significance: This study has high public health significance because it (1) will reach urban racial and ethnic minority adolescents, a vulnerable population [ with specific needs ] greatly impacted by poor sleep quality but largely ignored in the intervention literature to date; (2) simultaneously leverages MBIH and sleep hygiene, potentially amplifying intervention effects; and (3) utilizes objective sleep quality measures and rigorous formative process evaluation. Findings from this study will guide the design of a future full-scale IRGT.

背景：睡眠质量差，导致功能受损，在城市，少数民族/种族中升高

项目成果

'Our mind could be our biggest challenge': A qualitative analysis of urban adolescents' sleep experiences and opportunities for mind-body integrative health approaches to improve sleep.

• DOI: 10.1016/j.pecinn.2023.100130
• 发表时间: 2023-12
• 期刊: PEC innovation
• 作者: Maier, Malia C;Scharf, Jodi Y;Gold, Melanie A;Ancheta, April J;Bruzzese, Jean-Marie;Garbers, Samantha
• 通讯作者: Garbers, Samantha

Sleeping Healthy, Living Healthy: Using Iterative, Participatory Processes to Develop and Adapt an Integrated Sleep Hygiene/Mind-Body Integrative Health Intervention for Urban Adolescents.

健康睡眠，健康生活：利用迭代、参与性流程为城市青少年制定和调整综合睡眠卫生/身心综合健康干预措施。

• DOI: 10.1177/15248399231184453
• 发表时间: 2023
• 期刊: Health promotion practice
• 影响因子: 1.9
• 作者: Garbers,Samantha;Ancheta,AprilJ;Gold,MelanieA;Maier,Malia;Bruzzese,Jean-Marie
• 通讯作者: Bruzzese,Jean-Marie

Mind-Body Integrative Health (MBIH) Interventions for Sleep among Adolescents: A Scoping Review of Implementation, Participation and Outcomes.

• DOI: 10.1007/s40894-021-00176-z
• 发表时间: 2022-12
• 期刊: ADOLESCENT RESEARCH REVIEW
• 影响因子: 4.7
• 作者: Garbers, Samantha;Umar, Nawal Q.;Hand, Rachel E.;Usseglio, John;Gold, Melanie A.;Bruzzese, Jean-Marie
• 通讯作者: Bruzzese, Jean-Marie