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

拟议研究项目摘要 拟议的研究旨在增进有关消除不健康睡眠习惯的科学知识 在向成年过渡期间。改掉不健康的习惯涉及破坏或减少 自动地从事不健康的习惯行为。鉴于不健康的深远影响 令人惊讶的是，关于消除习惯的研究的缺乏。拟议的研究有一个明确的重点 来自“父母”R01 (R01HD071065)，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 R01，年轻人（N = 160）被随机分配到习惯干预（习惯文本） 或者没有（仅习惯）基于学习理论的新颖的短信干预。的 拟议的促进多样性的研究补充将通过增加措施、程序和 应用先进的统计方法来了解干预措施对消除不健康现象的影响 参与 R01 的 70 名年轻人的睡眠习惯。新措施将在预处理中添加， 所有九次每周治疗疗程、治疗后评估和 6 个月随访。的 拟议的研究有两个目的。目标 1 是比较治疗条件是否预测 (a) 变化和 (b) 消除不健康睡眠习惯的改变率。假设是变化和变化率 相对于单独的习惯，习惯文本可以更大更快地消除不健康的睡眠习惯。目标 2是测试6个月随访时治疗条件与睡眠健康行为之间的关系 up 是由治疗后不健康睡眠习惯的自动介导的。假设是 习惯文本将通过更大程度地分解来间接预测睡眠健康行为的更多变化 不健康的睡眠健康习惯，相对于单独的习惯而言。这项促进多样性的研究补充将 通过提供对消除习惯的更深入的理解，为行为改变科学做出贡献 并将提供一个独特的窗口来了解 R01 中测试的干预措施是否足以拆除 不健康的生活习惯。此外，了解消除不健康睡眠对发育的影响 从青春期到成年过渡期间的习惯有助于国家儿童研究所 健康和人类发展战略计划，因为它包括关注“睡眠对发展的影响……和 预防或减轻不良结果的机会。”

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.”