Maintaining behavior change: A 6-year follow-up of adolescent 'night-owls' and an evaluation of a habit-based sleep health intervention

建议研究项目摘要 这项拟议中的研究旨在推进关于消除不健康睡眠习惯的科学知识 在向成年过渡的过程中。消除不健康的习惯包括破坏或减少 不健康习惯行为的自动性。考虑到不健康的饮食 习惯，缺乏研究拆除习惯是令人惊讶的。拟议的研究有一个明确的重点 来自“父母”R 01（R 01 HD 071065），它正在测试一种利用习惯科学的干预措施 帮助有睡眠问题的年轻人（18-30岁）建立健康的睡眠习惯。在 R 01，年轻人（N = 160）被随机分配到（HABITs+Texts）的HABITs干预中 或没有（仅HABITS）基于学习理论的新型短信干预。的 拟议的促进多样性的研究补充将通过增加措施、程序和 运用先进的统计方法，了解干预措施对拆除不健康的 70名参加R 01的年轻人的睡眠习惯。新措施将在预处理时增加， 在治疗后评估和6个月随访时，所有9次每周治疗。的 拟议的研究有两个目的。目的1是比较治疗条件是否预测（a）变化和（B） 改变不健康的睡眠习惯。我们的假设是， 相对于单独的HABIT，HABIT+文本消除不健康的睡眠习惯将更大更快。目的 二是在6个月随访时，检验治疗条件与睡眠健康行为的关系， UP由治疗后不健康睡眠习惯的自动性介导。前提是 HABITs+Texts将通过更大程度地分解睡眠，间接预测睡眠健康行为的更多变化。 不健康的睡眠习惯，仅相对于习惯。这项研究补充，以促进多样性将 通过提供对习惯拆除的更深入理解，为行为改变科学做出贡献 并将提供一个独特的窗口，以了解R 01中测试的干预是否足以拆除 不健康的习惯此外，了解消除不健康睡眠对发育的影响， 从青少年到成年的过渡期的习惯有助于国家儿童研究所 健康和人类发展战略计划，因为它包括重点关注“睡眠对发育的影响...... 防止或减轻不良后果的机会。”

Abstract of Proposed Research Project The proposed research aims to advance scientific knowledge on the dismantling of unhealthy sleep habits during the transition to adulthood. Dismantling unhealthy habits involves disrupting or reducing the automaticity of engaging in the unhealthy habitual behavior. Given the far-reaching consequences of unhealthy habits, the dearth of research on dismantling habits is surprising. The proposed research has a distinct focus from the “parent” R01 (R01HD071065), which is testing an intervention that draws on the science of habit formation to assist young adults (aged 18-30 years) who have sleep problems to build healthy sleep habits. In the R01, the young adults (N = 160) are randomly allocated to the HABITs intervention with (HABITs+Texts) or without (HABITs alone) a novel text messaging intervention that was derived based on learning theory. The proposed research supplement to promote diversity will extend the R01 by adding measures, procedures, and applying advanced statistical methods to understand the impact of the interventions on dismantling unhealthy sleep habits in 70 young adults who participate in the R01. The new measures will be added at pre-treatment, all nine weekly treatment sessions, at the post-treatment assessment and at the 6-month follow-up. The proposed research has two aims. Aim 1 is to compare whether treatment condition predicts (a) change and (b) rate of change in dismantling unhealthy sleep habits. The hypothesis is that change and the rate of change in dismantling unhealthy sleep habits will be greater and faster for HABITs+Texts, relative to HABITs alone. Aim 2 is to test whether the relationship between treatment condition and sleep health behavior at 6-month follow- up is mediated by automaticity of unhealthy sleep habits at post-treatment. The hypothesis is that HABITs+Texts will predict more change in sleep health behavior indirectly through greater dismantling of unhealthy sleep health habits, relative to HABITs alone. This research supplement to promote diversity will contribute to the science of behavior change by providing a deeper understanding of the dismantling of habits and will provide a unique window into whether the intervention tested in the R01 is sufficient for dismantling unhealthy habits. Furthermore, understanding the developmental impact of dismantling unhealthy sleep habits during the transition from adolescence to adulthood contributes to the National Institute of Child Health and Human Development Strategic Plan as it includes a focus on “developmental impact of sleep…and the opportunity to either prevent or mitigate poor outcomes.”