Targeted Intervention for Insufficient Sleep among Typically-Developing Adolescents

项目概要/摘要 Jessica Levenson博士的长期职业目标是成为一名独立的研究人员， 测试和优化以睡眠为目标的青少年健康促进计划， 促进情感、认知和行为健康结果。可扩展、有效的睡眠健康促进 迫切需要制定计划，以解决睡眠不足的重大和破坏性影响， 青少年人口。Levenson博士的研究计划的总体目标是让各种利益相关者参与进来 (e.g.,青年，父母，临床医生，管理人员和青少年健康倡导者）的设计，试点测试， 评估睡眠促进计划的可接受性、可行性和初步结果 提供给13-15岁睡眠不足的奥尔兹。在目标1中，Levenson博士将使用定性方法 进行和分析关键利益相关者焦点小组（n=3组）的反馈，利益相关者咨询 板和病例系列（n=6）。这一形成性定性研究的目标与迭代利益相关者的投入 是：1）告知程序格式，材料和结果; 2）确定青少年的价值观和目标， 获得充足的睡眠;和3）了解促进者和障碍，以计划的遵守和交付。在 目标二，Levenson博士将通过一个小型的开放试验来检验该项目的可行性和可接受性 （n=6）和一个随机的试点试验（n=40），使用两个阶段，等待列表控制设计。在目标3 Levenson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 （学术功能，注意力，风险行为和影响）。这样一个广泛相关的计划有可能 通过改善睡眠和促进一系列健康发展， 在典型的发展中的青少年谁是非常容易受到不良后果的领域。这 研究将支持Levenson博士的培训目标：1）培养熟练掌握利益相关者- 指导研究，重点是整合优先事项，需求和成果，这对各种 利益相关者; 2）获得培训，为青少年制定以睡眠为重点的干预计划， 高度重视建立动机和提高自我效能，以改变行为; 3）发展 青少年发展的专业知识，重点是规范睡眠的性质和后果， 发生在青春期的昼夜节律变化。指导小组由伊丽莎白米勒博士领导， 专家在社区为基础的，业主参与，以病人为导向的研究，在青少年健康，和博士蒂娜 戈尔茨坦是为高危青年制定和测试心理社会干预措施的专家。的 拟议的培训和研究目标将支持Levenson博士提交R 01研究资助， 来测试干预计划的有效性此外，拟议中的培训将使利文森博士 在调查最有可能成为健康促进项目的独立性方面， 有效、通过并实施。

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.