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.]

项目概要/摘要： 睡眠对最佳健康和发育至关重要，睡眠质量差与受损 功能和不良的学习成绩。高质量的睡眠与较差的健康状况有关 儿童的结果，如哮喘发病率和肥胖风险增加。哮喘和肥胖是两个共同的- 病态的慢性健康状况在拉丁裔城市儿童中非常普遍。拉丁裔儿童 城市环境中不成比例地存在，而且由于他们接触到更高水平的城市和文化环境， 压力源和与疾病相关的发病率增加的风险更大，睡眠卫生和质量差的风险更大。 这个R34应用程序的目标是完善和测试一种新的睡眠卫生干预措施，以改善 城市公立学校拉丁裔中学生（6 - 8年级）睡眠质量 设置.我们将利用我们的循证干预，智能睡眠（SS），这是在小组形式交付 在学校环境中，并被证明可以改善城市中学生的睡眠卫生和睡眠质量。 Sleep Smart Latino（SSL）将由来自社区的受过培训的BA级联合主持人管理 拉丁美洲中学生谁是睡眠质量差的风险（11-13岁）。的SSL 干预措施将在两个地区实施，这两个地区的拉丁裔儿童处于贫困的风险中 睡眠质量：圣胡安、波多黎各和罗得岛普罗维登斯。本申请的第一个目的是 完善RCT/R 01的SS干预和干预程序。改进将涉及a） 为拉丁美洲中学生提供翻译和文化定制服务，B）加强家长的参与， 以及c）确保适用于两个地点（PR和RI）的城市中学环境。焦点小组和 具有文化适应性干预专门知识的调查人员将提供投入。第二个目的是 应用程序是通过一个开放的测试SSL干预和培训程序的可行性 试验，以完善RCT/R 01中使用的干预模块和培训方法。中间 学校儿童和他们的主要照顾者（每个研究中心5名学生组成的两组; PR和RI各10名）将被 包括.本申请的第三个目的是通过试点随机化测试SSL干预 对照试验提供效应量的估计值，用于告知 RCT/R01.我们将招募75名拉丁裔儿童与每个网站，并随机分配给他们的SSL 干预、睡眠教育+儿童健康对照条件或标准护理对照条件（5组 每种情况下，每个站点）。我们预计SSL干预的参与者将在以下方面有所改善： 以下主要睡眠质量结果（改善的睡眠持续时间和睡眠效率）， 腕动记录仪，相对于控制条件。其次，我们期望[ SSL的参与者将减少 相对于对照条件的每日总热量摄入。