A Sleep Hygiene Intervention to Improve Sleep Quality in Urban, Latino Middle School Children

改善城市拉丁裔中学生睡眠质量的睡眠卫生干预措施

• 批准号: 9385058
• 负责人: GLORISA J CANINO
• 金额: $ 24.95万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2020-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9385058
• 关键词: 13 year old; Address; Affect; Area; Asthma; Behavior; Belief; Caregivers; Child; Child health care; Chronic; Collaborations; Communities; Control Groups; Development; Disease Outcome; Education; Effectiveness; Energy Intake; Ensure; Evidence based intervention; Exposure to; Family; Focus Groups; Future; Goals; Health; High Prevalence; Hygiene; Impairment; Inadequate Sleep Hygiene; Institution; Intervention; Interview; Language; Latino; Link; Measures; Mediating; Middle School Student; Monitor; Morbidity - disease rate; Obesity; Outcome; Parents; Participant; Performance; Problem Solving; Procedures; Psychological reinforcement; Puerto Rico; Randomized; Randomized Controlled Trials; Recruitment Activity; Research Personnel; Rhode Island; Risk; Role; Sample Size; School-Age Population; Schools; Site; Sleep; Stress; Students; Testing; Training; Training Programs; Translating; Translations; Work; actigraphy; base; design; evidence base; experience; high risk population; improved; junior high school; negative affect; novel; obesity risk; post intervention; primary caregiver; programs; response; satisfaction; standard care; stressor; treatment effect; urban children; urban setting

Project Summary/Abstract: Sleep is essential for optimal health and development, and poor sleep quality is associated with impaired functioning and poor academic performance. Poorer quality sleep has been linked with poorer health outcomes in children, such as increased asthma morbidity and risk for obesity. Asthma and obesity are two co- morbid chronic health conditions highly prevalent in Latino, urban children. Latino children are disproportionately present in urban settings, and due to their exposure to higher levels of urban and cultural stressors, and increased risk for illness-related morbidity, are at greater risk for poor sleep hygiene and quality. The goal of this R34 application is to refine and test a novel sleep hygiene intervention to improve sleep quality among Latino, middle school-aged (6th-8th graders) children in urban public school settings. We will utilize our evidence-based intervention, Sleep Smart (SS), which is delivered in group format in the school setting and is shown to improve sleep hygiene and sleep quality in urban, middle school students. Sleep Smart Latino (SSL) will be administered by trained BA-level co-facilitators from the community to a group of Latino middle school children who are at risk for poor sleep quality (11-13 years of age). The SSL intervention will be implemented in two areas that contain a high prevalence of Latino children at risk for poor sleep quality: San Juan, Puerto Rico and Providence, Rhode Island. The first aim of this application is to refine the SS intervention and intervention procedures for the RCT/R01. Refinement will involve a) translation and cultural tailoring for Latino middle school students, b) enhancement of the parent component, and c) ensuring applicability to the urban, middle school setting in both sites (PR and RI). Focus groups and Investigators with expertise in culturally tailored interventions will provide input. The second aim of this application is to test the feasibility of the SSL intervention and training procedures through an Open Trial, to refine intervention modules and the training approach that will be used in the RCT/R01. Middle school children and their primary caregiver (two groups of 5 students per site; 10 in PR and 10 in RI) will be included. The third aim of this application is to test the SSL intervention through a Pilot Randomized Control Trial to provide estimates of effect size that will be used to inform the sample size for the RCT/R01. We will recruit 75 Latino children with per site, and randomly assign them to either the SSL intervention, Sleep Education plus Child Health control condition, or standard care control condition (5 groups of each condition, per site). We expect the participants in the SSL intervention will have improvement on the following primary sleep quality outcomes (improved sleep duration and sleep efficiency) as measured by actigraphy, relative to the control conditions. Secondarily, we expect [ participants in SSL will show a decrease in total daily caloric intake relative to the control conditions.]

项目摘要/摘要： 睡眠对于最佳健康和发育至关重要，睡眠质量较差与受损 功能和学习成绩不佳。质量较差的睡眠与健康状况较差有关 儿童的结果，例如增加哮喘发病率和肥胖风险。哮喘和肥胖是两个共同 在拉丁裔，城市儿童中，病态的慢性健康状况极为普遍。拉丁裔孩子是 城市环境中存在不成比例的，并且由于它们暴露于更高水平的城市和文化 压力源以及与疾病相关的发病率的风险增加，睡眠卫生和质量不佳的风险更大。 此R34应用的目的是完善和测试一种新型的睡眠卫生干预措施以改进 拉丁裔，中学（6-8年级）的儿童的睡眠质量在城市公立学校 设置。我们将利用基于证据的干预措施，Sleep Smart（SS），该干预以小组格式交付 在学校环境中，可以改善城市，中学生的睡眠卫生和睡眠质量。 Sleep Smart Latino（SSL）将由社区训练有素的BA级合作者管理到一个小组 拉丁裔中学儿童的睡眠质量不佳（11-13岁）的风险。 SSL 干预措施将在两个领域进行，这些地区含有较高风险的拉丁裔儿童患病率 睡眠质量：波多黎各和普罗维登斯，罗德岛。该应用程序的第一个目的是 完善RCT/R01的SS干预和干预程序。改进将涉及a） 拉丁裔中学生的翻译和文化剪裁，b）增强父母的成分， c）确保在两个地点（PR和RI）中适用于城市中学环境。焦点小组和 具有文化量身定制干预措施的专业知识的研究人员将提供意见。第二个目标 应用是通过公开测试SSL干预和培训程序的可行性 试验，以完善干预模块以及将在RCT/R01中使用的训练方法。中间 小学生及其初级看护人（每个站点的5组，5个学生； PR 10，RI中的10个）为 包括。该应用程序的第三个目的是通过随机的飞行员测试SSL干预措施 对照试验提供估计效果大小的估计，该效果大小将用于告知样本量 RCT/R01。我们将招募每个站点的75名拉丁裔儿童，并将其随机分配给SSL 干预，睡眠教育以及儿童健康控制状况或标准护理控制条件（5组 每个条件的每个站点）。我们预计SSL干预的参与者将有所改善 遵循一级睡眠质量结果（改善睡眠时间和睡眠效率） 相对于控制条件的行为文法。其次，我们期望[ SSL的参与者将显示下降 相对于控制条件，每日热量摄入总量。]