Health Promotion in Early Adolescence: Sleep, Activity, and Emotion Regulation

描述(由申请者提供)：本项目的主要目标是检查预防性干预的短期和长期效果，重点关注健康的三个相互关联的维度：改善睡眠、增加体力活动和提高情绪调节技能。这项干预针对处于关键神经成熟期的高危青年-青春期早期-许多人正在经历涉及睡眠、活动和情绪调节的调节系统的新挑战。这一成熟期也是这些领域的习惯、技能和倾向正常发展的关键时期。因此，青春期早期为针对这三个相互关联的监管系统的预防性干预提供了独特的机会。参与者将包括160名10-13岁的儿童，他们的家庭是根据社会人口、儿童和/或家庭风险确定的。儿童将被选为至少在其中一个领域(睡眠、久坐行为或情绪调节)有困难的儿童，然后随机分配到对照组或干预组。所有家庭都将接受对儿童睡眠、体力活动和情绪调节的基线、一年和两年的跟踪评估。预防性干预组的家庭将在初步评估和为期一年的随访后，就这三个儿童领域以及其他育儿和家庭问题(如父母参与、家长自我照顾、学校问题)提供反馈和干预服务。我们假设干预将与干预组的睡眠、体力活动和情绪调节的改善以及社会、行为和情感功能的改善有关。最后，我们将探索父母参与的增加在儿童睡眠、体力活动和情绪调节方面的一些变化的可能性。公共卫生相关性：该项目解决了一系列与公共卫生和政策具有巨大相关性的问题，目标是在发展的敏感时期进行早期干预，以改善睡眠、体力活动和影响调节。支持这些干预措施有效性的证据，并证明青春期早期干预的最佳发展时机产生的持久影响，将对广泛的行为、情绪和身体健康结果产生重大的公共卫生影响。

DESCRIPTION (provided by applicant): The primary goal of this project is to examine the short and long-term effects of a preventive intervention focusing on three interrelated dimensions of health: improving sleep, increasing physical activity, and improving skills in emotion regulation. This intervention targets high-risk youth at a key neuromaturational period-early adolescence-when many individuals are experiencing new challenges to regulatory systems involved in sleep, activity, and emotion regulation. This maturational period is also a crucial time in the normal development of habits, skills, and proclivities in each of these domains. Thus, early adolescence presents unique opportunities for a preventive intervention targeting these three interrelated regulatory systems. Participants will include 160 10-13 year-old children whose families are identified on the basis of sociodemographic, child, and/or family risk. Children will be selected as having difficulties in at least one of these domains (sleep, sedentary behavior, or emotion regulation) and then randomly assigned to either a control or intervention group. All families will receive baseline, one- and two-year follow-up assessments of child sleep, physical activity, and emotion regulation. Families in the preventive intervention group will be offered feedback and intervention services on these three child domains and other parenting and family issues (e.g., parent involvement, parent self-care, school problems) following the initial assessment and the one-year follow up. We hypothesize that the intervention will be associated with improvements in sleep, physical activity, and emotion regulation among those in the intervention group, as well as improvements in measures of social, behavioral, and affective function. Finally, we will explore the possibility that increases in parental involvement mediate some of the changes found in child sleep, physical activity, and emotion regulation. PUBLIC HEALTH RELEVANCE: This project addresses a set of issues with enormous relevance to public health and policy, targeting early intervention to improve sleep, physical activity, and affect regulation, at a sensitive period in development. Evidence supporting the effectiveness of these interventions, and demonstrating enduring effects from the optimal developmental timing of the intervention in early adolescence would have major public health implications relevant to a broad range of behavioral, emotional, and physical health outcomes.