An mHealth intervention to deliver personalized messages to increase adherence to OSA evaluation and treatment among transportation workers

摘要 在这个K01应用中，我将设计并进行一项新的行为干预的试点研究，以改善 交通运输工人阻塞性睡眠呼吸暂停(OSA)评估及治疗我还将探索 改善对推荐的OSA评估和治疗的依从性是否由OSA自我调节 功效。拟议的研究将使用定性和定量的方法来设计一条量身定做的短信 旨在提高OSA自我效能的干预措施，导致推荐的OSA评估和 运输工人的待遇。应聘者：拟议的K01将为我提供关键的培训 新的行为干预措施的开发和评估。培训(1)OSA研究，(2)设计 新的干预方案，(3)为测试行为干预而设计的临床试验，(4)收集和 分析生态瞬时评估数据，(5)设计和评估适应性干预措施， 和(6)职业发展将在我之前接受的健康传播方面的培训(康奈尔大学博士培训)之间架起一座桥梁 和行为睡眠医学研究(纽约大学医学院博士后培训)。这 在我背景不发达的领域接受培训将使我实现我的职业目标，即过渡 成为领先的健康传播研究人员，专门研究新的干预方法 提高对睡眠障碍的认识、评估和治疗。在与我的主要导师Dr。 在Jean-Louis，我已经制定了一个全面的培训计划，包括课程和学徒- 像船一样的训练，将由一支杰出的科学家干部提供和监督，他们将担任 科学和职业导师。环境：纽约大学一流的教育和培训环境 医学院将为我提供最佳的培训经验，使我成为联邦资助的， 独立研究人员设计干预措施，以提高对睡眠障碍评估和长期睡眠障碍的依从性 坚持定期治疗。研究：此K01应用程序的目标是识别OSA障碍和 促进者，制定量身定制的健康信息，并进行试点研究，评估其改进的可行性 在运输工人中坚持推荐的OSA评估和治疗。我会设计一个 适应性干预，以推动和导航运输工人沿其个人位置在 随时准备改变的光谱。消息将在移动健康(MHealth)中通过文本消息传递 接近。信息将被设计为提高自我效能感(即，相信自己有能力执行 推荐的行为，如坚持推荐的OSA评估和治疗) 社会认知理论。未来方向：K01的结果将提供必要的初步数据 对于我的第一份R01意见书，以评估建议的干预措施改善OSA的有效性 对运输工人的评价和治疗。

ABSTRACT In this K01 application, I will design and conduct a pilot study of a novel behavioral intervention to improve obstructive sleep apnea (OSA) evaluation and treatment among transportation workers. I will also explore whether improved adherence to recommended OSA evaluation and treatment is mediated by OSA self- efficacy. The proposed study will use qualitative and quantitative methods to design a tailored text messaging intervention with the aim of increasing OSA self-efficacy, leading to recommended OSA evaluation and treatment among transportation workers. Candidate: The proposed K01 will provide me with critical training in the development and evaluation of novel behavioral interventions. Training in (1) OSA research, (2) designing novel intervention packages, (3) clinical trials design to test behavioral interventions, (4) collecting and analyzing ecological momentary assessment data, and (5) designing and evaluating adaptive interventions, and (6) career development will bridge my prior training in health communication (doctoral training, Cornell University) and behavioral sleep medicine research (postdoctoral training, NYU School of Medicine). This training in underdeveloped areas of my background will allow me to reach my career goal, which is to transition to become a leading health communication researcher specializing in novel intervention approaches to improve sleep disorders awareness, evaluation, and treatment. In consultation with my Primary Mentor, Dr. Girardin Jean-Louis, I have assembled a comprehensive training plan, including coursework and apprentice- ship like training, which will be delivered and monitored by a cadre of outstanding scientists who will serve as scientific and career mentors . Environment: The superb educational and training environment at the NYU School of Medicine will provide me with the optimal training experience to become a federally funded, independent researcher designing interventions to improve adherence to sleep disorders evaluation and long- term treatment adherence. Research: The goal of this K01 application is to identify OSA barriers and facilitators, develop tailored health messages, and conduct a pilot study assessing their feasibility for improving adherence to recommended OSA evaluation and treatment among transportation workers. I will design an adaptive intervention to nudge and navigate transportation workers along their individual position on a spectrum of readiness to change. Messages will be delivered via text messaging in a mobile health (mHealth) approach. Messages will be designed to increase self-efficacy (i.e., belief in one’s ability to perform a recommended behavior such as adhering to recommended OSA evaluation and treatment) in accordance with Social Cognitive Theory. Future Directions: Results from this K01 will provide the necessary preliminary data for my first R01 submission to evaluate the effectiveness of the proposed intervention for improving OSA evaluation and treatment among transportation workers.