Targeted Intervention for Insufficient Sleep among Typically-Developing Adolescents

针对发育正常青少年睡眠不足的针对性干预

基本信息

批准号：
10206207
负责人：
Jessica C Levenson
金额：
$ 13.4万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-01 至 2023-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10206207
关键词：
15 year old Address Adherence Administrator Adolescence Adolescent Adolescent Development Adopted Advocate Affect Attention Attitude Behavior Behavioral Case Series Childhood Chronic Circadian Rhythms Clinic Cognitive Communication Communities Data Collection Development Early Intervention Early identification Education Emotional Family Feedback Focus Groups Goals Grant Health Health Promotion Hour Impulsivity Individual Intervention Link Maintenance Measures Mental Health Mentors Methods Modeling Moods Motivation National Institute of Child Health and Human Development Nature Outcome Parents Performance Persons Plant Roots Population Program Acceptability Program Development Provider Public Health Qualitative Methods Qualitative Research Randomized Recommendation Reporting Research Research Personnel Research Project Grants Research Proposals Risk Risk Behaviors Risk-Taking Schools Self Efficacy Sleep Sleep Deprivation Testing Text Messaging Time Training Waiting Lists Work Youth acceptability and feasibility adolescent health adverse outcome affective disturbance base behavior change behavioral health career design early adolescence effective intervention effectiveness testing evidence base follow-up group intervention healthy lifestyle high school impaired driving performance improved innovation interest intervention program motivational enhancement therapy patient oriented research physical conditioning pilot trial post intervention programs psychoeducation psychoeducational psychosocial randomized trial satisfaction screening, brief intervention, referral, and treatment sleep behavior sleep health sleep-focused interventions social stakeholder perspectives substance use willingness

项目摘要

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.

项目摘要/摘要杰西卡·列文森（Jessica Levenson）博士的长期职业目标是成为发展的独立调查员，测试，并优化了利益相关者的青少年健康促进计划，以目标睡眠为目标促进情绪，认知和行为健康结果。可扩展，有效的睡眠健康促进需要计划以解决睡眠不足的重大和破坏性影响青少年人口。列文森博士的研究建议的总体目的是让各种利益相关者参与（例如，青年，父母，临床医生，管理员和青少年健康倡导者）在设计中，试点测试，以及评估睡眠促进计划的可接受性，可行性和初步结果送给报告睡眠不足的13-15岁年轻人。在AIM 1中，Levenson博士将使用定性方法要进行和分析主要利益相关者的焦点小组（n = 3组）的反馈，这是利益相关者咨询董事会和一个案例系列（n = 6）。通过迭代利益相关者投入的这项形成性定性研究的目标是：1）通知程序格式，材料和结果； 2）确定与之相关的青少年价值观和目标获得足够的睡眠； 3）了解促进者和计划依从性和交付的障碍。在 AIM 2，Levenson博士将通过一次小型审判来检查该计划的可行性和可接受性（n = 6）和使用两期候补名单控制设计的随机试验试验（n = 40）。在AIM 3 Levenson博士将测试该程序是否与睡眠，动机和四个结果域的变化有关（学术功能，注意力，风险行为和影响）。如此广泛的相关计划具有潜力通过改善睡眠并支持一系列的健康发展，以实现巨大的公共卫生影响高度容易受到不利后果的青少年通常发展的领域。这研究将支持列文森博士的培训目标1）提高培养利益相关者的能力 - 侧重于整合对各种至关重要的优先级，需求和结果的指导研究利益相关者； 2）在为青少年开发以睡眠为中心的干预计划方面的培训高度专注于建立动力并提高自我效能，以改变行为； 3）发展青少年发展方面的专业知识，重点是正常睡眠的性质和后果青少年期间发生的昼夜节律变化。指导团队由伊丽莎白·米勒（Elizabeth Miller）博士领导基于社区的，利益相关者参与，以患者为导向的青少年健康研究的专家，蒂娜博士戈德斯坦（Goldstein）是对高危青年进行心理心理干预措施的发展和测试的专家。拟议的培训和研究目标将支持列文森博士提交R01研究赠款的目标测试干预计划的有效性。此外，拟议的培训将放置列文森博士在调查最有可能的健康促进计划中独立的轨迹有效，采用和实施。