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 这项拟议的研究旨在提高人们对消除不健康睡眠习惯的科学认识。 在向成年期过渡的过程中。改掉不健康的习惯包括扰乱或减少 自然而然地从事不健康的习惯行为。考虑到不健康的深远后果 就习惯而言，对改掉习惯的研究的匮乏令人惊讶。这项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进行干预的方法 帮助有睡眠问题的年轻人(18-30岁)建立健康的睡眠习惯。在……里面 将R01、青壮年(N=160)随机分配到习惯干预(习惯文本)中 或者没有(仅是习惯)一种基于学习理论的新型短信干预。这个 拟议的促进多样性的研究补充将通过增加措施、程序和 运用先进统计方法了解拆解不良行为干预效果 参加R01的70名青年的睡眠习惯。新措施将在处理前添加， 在治疗后评估和6个月的随访中，每周进行所有9次治疗。这个 提出的研究有两个目的。目标1是比较治疗条件是否预示(A)变化和(B) 改变不健康睡眠习惯的速度。假设是，变化和变化的速度 与单纯的习惯相比，消除不健康的睡眠习惯对于习惯文本来说将是更大、更快的。目标 2检验治疗条件与6个月后睡眠健康行为的关系。 UP是由治疗后不健康的睡眠习惯自动调节的。假设是这样的 习惯文本将通过更大程度的拆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，相对于习惯本身。这项促进多样性的研究补充将 通过提供对习惯消除的更深入的理解，为行为改变的科学做出贡献 并将提供一个独特的窗口，了解在R01中测试的干预措施是否足以拆除 不健康的习惯。此外，了解消除不健康睡眠对发育的影响 从青春期到成年期的习惯为国家儿童研究所做出了贡献 健康和人类发展战略计划，因为它包括了对“睡眠…的发育影响”的关注和 有机会防止或减轻糟糕的结果。

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.”