Targeted Intervention for Insufficient Sleep among Typically-Developing Adolescents

项目摘要/摘要 杰西卡·莱文森博士的长期职业目标是成为一名独立的调查员， 测试和优化利益相关者知情的青少年健康促进计划，这些计划针对睡眠，以便 促进情绪、认知和行为的健康结果。可扩展、有效的睡眠健康促进 迫切需要制定计划来解决睡眠不足的重大和破坏性影响。 青少年群体。莱文森博士研究提案的总体目标是让不同的利益相关者参与进来 (例如，青少年、父母、临床医生、管理人员和青少年健康倡导者)在设计、中试测试、 以及对睡眠促进计划的可接受性、可行性和初步结果的评估 提供给报告睡眠不足的13-15岁儿童。在目标1中，莱文森博士将使用定性方法 进行和分析来自关键利益相关者焦点小组(n=3个小组)的反馈，利益相关者咨询 董事会，和一个案例系列(n=6)。这项形成性定性研究的目标是迭代利益相关者的意见 是：1)告知计划的形式、材料和结果；2)确定与以下方面有关的青少年价值观和目标 获得充足的睡眠；以及3)了解项目执行和交付的促进者和障碍。在……里面 目标2，莱文森博士将通过一项小型开放试验来检查该计划的可行性和可接受性 (n=6)和一项随机试点试验(n=40)，该试验采用两个周期的等待名单对照设计。在《目标3》中，莱文森博士 将测试该计划是否与睡眠、动机和四个结果领域的变化有关 (学习功能、注意力、危险行为和情感)。这样一个广泛相关的项目有可能 通过改善睡眠和促进健康发展对公共健康产生巨大影响 在那些极易受到不良后果影响的典型发育期青少年中，这一领域受到了广泛关注。这 研究将支持莱文森博士的培训目标，即1)提高领导利益相关者的熟练程度- 有指导意义的研究，重点是整合各种关键的优先级、需求和结果 利益攸关方；2)接受培训，为符合以下条件的青少年制定以睡眠为重点的干预方案 高度关注建立动机和提高自我效能感以改变行为；3)发展 青少年发展方面的专门知识，重点是正常睡眠和睡眠的性质和后果 发生在青春期的昼夜节律变化。指导团队由伊丽莎白·米勒博士领导，她是一名 以社区为基础、利益相关者参与、以患者为导向的青少年健康研究专家，以及蒂娜博士 戈尔茨坦说，他是为高危青年制定和测试心理社会干预措施的专家。这个 建议的培训和研究目标将支持Levenson博士提交R01研究拨款 以检验干预计划的有效性。此外，拟议的培训将使莱文森博士 在调查健康促进计划方面处于独立的轨道上，这些计划最有可能是 有效、被采纳、被实施。

Project Summary/Abstract Dr. Jessica Levenson’s long-term career goal is to become an independent investigator who develops, tests, and optimizes stakeholder-informed adolescent health promotion programs that target sleep in order to promote emotional, cognitive, and behavioral health outcomes. Scalable, effective sleep health promotion programs are critically needed to address the significant and damaging effects of insufficient sleep in adolescent populations. The overall aim of Dr. Levenson’s research proposal is to involve various stakeholders (e.g., youth, parents, clinicians, administrators, and adolescent health advocates) in the design, pilot testing, and assessment of the acceptability, feasibility, and preliminary outcomes of a sleep promotion program delivered to 13-15 year olds who report insufficient sleep. In Aim 1, Dr. Levenson will use qualitative methods to conduct and analyze feedback from focus groups of key stakeholders (n=3 groups), a stakeholder advisory board, and a case series (n=6). The goals of this formative qualitative research with iterative stakeholder input are: 1) to inform program format, materials, and outcomes; 2) to identify adolescent values and goals related to obtaining sufficient sleep; and 3) to understand facilitators and barriers to program adherence and delivery. In Aim 2, Dr. Levenson will examine the feasibility and acceptability of the program through a small open trial (n=6) and a randomized pilot trial (n=40) that uses a two-period, wait-list control design. In Aim 3 Dr. Levenson will test whether the program is associated with changes in sleep, motivation, and four outcome domains (academic functioning, attention, risk behavior, and affect). Such a broadly relevant program has the potential for enormous public health impact by improving sleep and facilitating healthy development across a range of domains among typically-developing adolescents who are highly vulnerable to adverse consequences. This research will support Dr. Levenson’s training goals of 1) developing proficiency in conducting stakeholder- guided research that focuses on integrating the priorities, needs, and outcomes that are critical to various stakeholders; 2) obtaining training in developing sleep-focused intervention programs for adolescents that are highly focused on building motivation and increasing self-efficacy to change behavior; and 3) developing expertise in adolescent development with a focus on the nature and consequences of normative sleep and circadian rhythm changes that occur during adolescence. The mentoring team is led by Dr. Elizabeth Miller, an expert in community-based, stakeholder-engaged, patient-oriented research in adolescent health, and Dr. Tina Goldstein, an expert in the development and testing of psychosocial interventions for at-risk youth. The proposed training and research aims will support Dr. Levenson’s submission of an R01 research grant aiming to test the effectiveness of the intervention program. Moreover, the proposed training will place Dr. Levenson on a trajectory of independence in investigating health promotion programs that are the most likely to be effective, adopted, and implemented.