Integrating GPS, GIS, and Ecological Momentary Assessment to Determine the Effect of Home and Neighborhood Context on Adolescent Sleep

整合 GPS、GIS 和生态瞬时评估来确定家庭和邻里环境对青少年睡眠的影响

• 批准号: 10300610
• 负责人: Stephanie Mayne
• 金额: $ 16.41万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10300610
• 关键词: Address; Adolescent; Adult; Area; Cardiovascular Diseases; Cellular Phone; Characteristics; Child; Child Health; Childhood; Clinical; Crime; Data; Data Analyses; Data Collection; Development; Diabetes Mellitus; Disease; Ecological momentary assessment; Enrollment; Environment; Environmental Exposure; Environmental Impact; Environmental Risk Factor; Exposure to; Family; Foundations; Funding; Future; Geographic Information Systems; Goals; Green space; Health; Health Policy; Health behavior; Health behavior outcomes; High School Student; Home; Hour; Household; Housing; Hypertension; Individual; Intervention; K-Series Research Career Programs; Knowledge; Light; Longevity; Longitudinal Studies; Measures; Mentorship; Methodology; Methods; Modeling; Neighborhoods; Noise; Outcome; Patient Self-Report; Pediatric Hospitals; Pennsylvania; Philadelphia; Positioning Attribute; Primary Health Care; Public Health; Race; Recommendation; Research; Research Personnel; Research Training; Resolution; Risk; Schools; Science; Sleep; Sleep Deprivation; Sleep Disorders; Sleep disturbances; Socioeconomic Status; Surveys; Testing; Text Messaging; Time; Training; Universities; Variant; Work; Youth; actigraphy; adolescent health; aged; base; cardiovascular disorder risk; cardiovascular health; cohesion; cohort; epidemiology study; evidence base; improved; innovation; mHealth; novel; obesity risk; person centered; poor sleep; preventive intervention; programs; prospective; public health intervention; research study; skills; sleep health; sleep pattern; sleep quality; social; socioeconomics; spatiotemporal; stress management; stressor; trend; urban area

Project Summary/Abstract Insufficient sleep doubles the risk of obesity among youth and increases the risk of cardiovascular disease (CVD) in adulthood. Over 75% of US high school students do not meet national sleep recommendations. Given these alarming trends, a better understanding of the environmental determinants of sleep in adolescents is needed in order to identify targets for interventions and public health strategies to promote healthy sleep. While research increasingly suggests that home and neighborhood context impact sleep, key methodological issues limit understanding of the environmental determinants of adolescent sleep. Research on the influence of neighborhood-level factors (e.g. crime, disorder) on sleep typically focuses on the area surrounding adolescents' homes. This approach does not account for mobility and the accumulation of exposures across multiple contexts (e.g. home, school, in transit) during daily activities, leading to exposure misclassification. The home sleep environment (e.g. light, noise) may also vary by night, but is typically assessed at a single timepoint. Mobile health methods including smartphone GPS tracking and ecological momentary assessment (EMA) offer an innovative opportunity to overcome the limitations of past studies by developing person- centered measures of environmental exposures that account for variation over space and time. With this career development award, I will develop critical skills in environmental exposure assessment and health behavior science necessary to pursue a novel independent research program that identifies modifiable environmental determinants of sleep and other CVD-related outcomes and their mechanisms of effect using advanced, cutting-edge methods. In the proposed research study, I will enroll a diverse cohort of 160 adolescents aged 15-18 through a large urban pediatric primary care research network. I will use smartphone GPS tracking, EMA, geographic information systems (GIS), and actigraphy to collect high-resolution longitudinal data on adolescents' exposures to the home and neighborhood context and sleep outcomes over a 14-day period. The research aims include 1) quantifying adolescents' exposure during daily activities to neighborhood factors hypothesized to influence sleep, 2) determining the extent to which adolescents' exposure to adverse sleep environments varies across nights and by housing conditions, and 3) determining the extent to which daily measures of home and neighborhood exposures are associated with adolescent sleep outcomes. With guidance from an expert, interdisciplinary mentorship team at the Children's Hospital of Philadelphia and the University of Pennsylvania, I will obtain training in 1) space-time data collection and analysis, 2) ecological momentary assessment, and 3) sleep research. Completion of the K01 research and training plan will prepare me to compete successfully for R01-level research funding and will uniquely position me as an independent investigator who conducts large-scale epidemiologic investigations on spatiotemporal, environmental determinants of child and adolescent health behaviors related to cardiovascular health.

项目总结/摘要 睡眠不足会使年轻人肥胖的风险增加一倍，并增加患心血管疾病的风险 (CVD)在成年期。超过75%的美国高中生没有达到国家睡眠建议。给定 这些令人担忧的趋势，更好地了解青少年睡眠的环境决定因素， 为了确定促进健康睡眠的干预措施和公共卫生战略的目标，我们需要这样做。而 越来越多的研究表明，家庭和邻里环境影响睡眠，关键的方法论问题， 限制了对青少年睡眠的环境决定因素的理解。的影响研究 邻里水平的因素（如犯罪，疾病）对睡眠通常集中在周围的地区 青少年之家这种方法没有考虑到流动性和风险的积累， 日常活动中的多种环境（例如，家庭、学校、运输途中），导致暴露分类错误。 家庭睡眠环境（例如，光、噪声）也可以随夜晚而变化，但是通常在单个时间点进行评估。 时间点。移动的健康方法，包括智能手机GPS跟踪和生态瞬时评估 (EMA)提供了一个创新的机会，通过发展人，克服过去的研究的局限性， 以环境暴露为中心的测量，解释了空间和时间上的变化。与此 职业发展奖，我将发展在环境暴露评估和健康的关键技能 行为科学必须追求一个新的独立的研究计划，确定可修改的 睡眠和其他CVD相关结果的环境决定因素及其作用机制 先进的尖端技术在拟议的研究中，我将招募一个160人的多样化队列， 15-18岁的青少年通过大型城市儿科初级保健研究网络。我将使用智能手机 GPS跟踪、EMA、地理信息系统（GIS）和活动记录仪，以收集高分辨率数据 关于青少年暴露于家庭和邻里环境以及睡眠结果的纵向数据， 14-日期间。研究目的包括：1）量化青少年在日常活动中的暴露， 邻里因素假设影响睡眠，2）确定青少年的程度， 暴露于不利的睡眠环境在不同的夜晚和住房条件下会有所不同，以及3）确定 家庭和邻里接触的日常措施与青少年睡眠的相关程度 结果。在儿童医院专家、跨学科导师团队的指导下， 在费城和宾夕法尼亚大学，我将获得1）时空数据收集和 分析，2）生态瞬时评估，3）睡眠研究。完成K 01研究， 我的培训计划将使我能够成功地竞争R 01级的研究经费，并将使我处于独特的地位 我作为一个独立的调查员，对时空进行大规模的流行病学调查， 与心血管健康相关的儿童和青少年健康行为的环境决定因素。