A Pilot Study to Improve Sleep Quality in Urban High School Students with Asthma

改善城市哮喘高中生睡眠质量的试点研究

• 批准号: 9427957
• 负责人: Jean-Marie Bruzzese
• 金额: $ 24.07万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9427957
• 关键词: Address; Adherence; Adolescent; Area; Asthma; Behavior; Behavioral; Caffeine; Caregivers; Caring; Child; Childhood; Cognitive; Counseling; Development; Evaluation; Evidence based intervention; Feedback; Focus Groups; Future; Goals; Guidelines; Health; High Prevalence; High School Student; Human Resources; Hygiene; Impairment; Inadequate Sleep Hygiene; Internships; Intervention; Interview; Location; Mediating; Methodology; Methods; Morbidity - disease rate; Motivation; New York City; Nocturnal Asthma; Outcome; Pamphlets; Parents; Performance; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Prevalence; Procedures; Process; Public Health; Randomized; Randomized Controlled Trials; Recruitment Activity; Reporting; Risk; Risk Factors; Schools; Science; Self Care; Self Management; Severities; Site; Sleep; Students; Symptoms; Techniques; Telephone; Testing; Time; Treatment Efficacy; Treatment Protocols; Validation; Vulnerable Populations; Youth; age group; base; caregiver interventions; design; distraction; efficacy testing; evidence base; follow-up; graduate student; high risk; high risk population; high school; improved; intervention effect; mortality; novel; peer; post intervention; prevent; primary outcome; programs; randomized trial; response; satisfaction; social; success; therapy development; treatment effect; two-arm study; undergraduate student; university student; urban setting

PROJECT SUMMARY / ABSTRACT Background/Rationale: Poor sleep quality, which is elevated in urban adolescents due to poor sleep hygiene, impairs functioning. Asthma, the most common pediatric illness, has high prevalence and morbidity among urban adolescents. Nocturnal symptoms contribute to poor sleep quality. Despite the success of asthma and of sleep hygiene in this population, no interventions concurrently address sleep hygiene and asthma control. This is of great concern given the high risk of poor sleep quality among urban adolescents. Process evaluations are often lacking during intervention development. We address these treatment and methodological gaps. Objectives: This pilot study will (1) develop an integrated, school-based intervention to improve asthma self- management and sleep hygiene in urban high school students; (2) evaluate the intervention's feasibility and acceptability; and (3) assess the preliminary evidence of intervention effects on improving sleep quality in urban high school students in NYC and Providence, RI. Hypotheses: (1) The intervention will be feasible and acceptable as evidenced by adolescents' high rates of adherence to the treatment protocol, and their high satisfaction ratings and positive responses to exit interviews; and (2) relative to controls, over 2-months post- intervention adolescents randomized to the intervention will have significant improvement on the following outcomes assessing sleep quality: (1) sleep efficiency; (2) night awakenings; and (3) sleep duration. Methods: In Year 1 we will adapt and integrate two efficacious school-based interventions for urban adolescents, our team's asthma and sleep hygiene interventions. We will retain components of each that are guideline-based and critical for asthma and sleep quality; expert feedback, as well as adolescent and caregiver input via focus groups at both sites, will also guide intervention development. In Year 2, we will conduct a randomized trial with 48 urban adolescents with persistent asthma and whose typical sleep duration is at/below what is recommended for this age group from 4 schools, 2 in NYC and 2 in RI. Students will be randomized within a school to the intervention and control, which consists of our asthma intervention in its original format, and will be followed for 2-months. University student interns will deliver both interventions. Process evaluation interviews with students, interns, and school personnel will be conducted to obtain feedback regarding intervention procedures. Significance: This study has high public health significance because it (1) targets a highly vulnerable population for poor sleep quality – urban adolescents with persistent asthma; (2) adapts and integrates two efficacious interventions to develop a novel intervention that simultaneously targets asthma control and sleep hygiene, which has the potential to amplify intervention effects; and (3) includes a process evaluation, bridging the gap between science and practice, and aiding in the design of a full-scale RCT.

项目摘要/摘要 背景/理由：睡眠质量差，这在城市青少年中由于糟糕的睡眠卫生而提高， 会损害功能。哮喘是最常见的儿科疾病，在 城市青少年。夜间症状是睡眠质量差的原因之一。尽管哮喘取得了成功，但 睡眠卫生在这一人群中，没有同时涉及睡眠卫生和哮喘控制的干预措施。这 鉴于城市青少年睡眠质量差的高风险，这一问题非常令人担忧。流程评估是 在干预发展过程中经常缺乏。我们解决了这些治疗和方法上的差距。 目的：这项先导性研究将(1)开发一种综合的、以学校为基础的干预措施，以改善哮喘患者的自我 城市高中生管理与睡眠卫生；(2)评价干预措施的可行性和有效性 可接受性；以及(3)评估干预对改善睡眠质量的初步证据。 纽约市和普罗维登斯的城市高中生。假设：(1)干预将是可行的和 青少年遵守治疗方案的高比率和他们的高水平是可以接受的 满意度评分和对离职面谈的积极回应；以及(2)相对于对照组，在离职后2个月以上 干预：随机接受干预的青少年将在以下方面有显著改善 评估睡眠质量的结果：(1)睡眠效率；(2)夜间觉醒；(3)睡眠持续时间。方法： 在第一年，我们将为城市青少年调整和整合两种有效的校本干预措施，我们的 团队的哮喘和睡眠卫生干预。我们将保留每个组件中基于指导方针的组件 对哮喘和睡眠质量至关重要；专家反馈，以及通过Focus提供青少年和照顾者的意见 这两个地点的小组也将指导干预发展。在第二年，我们将进行一项随机试验 有48名患有持续性哮喘的城市青少年，他们的典型睡眠时间是/低于 推荐给这个年龄段的4所学校，2所在纽约市，2所在国际扶轮。学生将在一年内被随机分配 学校对其进行干预和控制，其中包括我们对哮喘的干预以其原有的形式，并将 随访2个月。大学生实习生将提供这两种干预措施。流程评估 将与学生、实习生和学校工作人员进行面谈，以获得关于以下方面的反馈 干预程序。意义：这项研究具有很高的公共卫生意义，因为它(1)针对的是 睡眠质量差的高危人群-患有持续性哮喘的城市青少年；(2)适应和 整合两种有效的干预措施，开发一种同时针对哮喘的新型干预措施 控制和睡眠卫生，这有可能放大干预效果；以及(3)包括一个过程 评估，弥合科学与实践之间的差距，并协助设计一项全面的随机对照试验。

项目成果

Psychosocial stress, sleep quality and interest in mind-body integrative health sleep intervention among urban adolescents in the school-based health setting.

• DOI: 10.1016/j.ctim.2021.102714
• 发表时间: 2021-05
• 期刊: COMPLEMENTARY THERAPIES IN MEDICINE
• 影响因子: 3.6
• 作者: Garbers, Samantha;Suruki, Caitlyn;Falletta, Katherine A.;Gold, Melanie A.;Bruzzese, Jean-Marie
• 通讯作者: Bruzzese, Jean-Marie