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，由于睡眠不良而导致城市青少年的升高， 损害功能。哮喘是最常见的小儿疾病，在 城市青少年。夜间符号导致睡眠质量不佳。尽管哮喘和 在该人群中睡眠卫生，没有干预措施同时解决睡眠卫生和哮喘控制。这 鉴于城市青少年睡眠质量较差的高风险是非常关注的问题。过程评估是 在干预开发过程中通常缺乏。我们解决这些治疗和方法论差距。 目标：这项试点研究将（1）开发一种基于学校的综合干预措施，以改善哮喘自我 城市高中生的管理和睡眠卫生； （2）评估干预的可行性和 可接受性； （3）评估干预对改善睡眠质量影响的初步证据 RI的纽约市和普罗维登斯市的城市高中学生。假设：（1）干预是可行的，并且 青少年对治疗方案的高度遵守率及其高度可以接受的 满意度评级和对退出访谈的积极反应； （2）相对于对照，超过2个月后 干预青少年随机分配给干预措施将有显着改善 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1年 团队的哮喘和睡眠卫生干预措施。我们将保留每个基于指南的组件 对于哮喘和睡眠质量至关重要；专家反馈以及青少年和照顾者的意见通过Focus 两个地点的小组也将指导干预开发。在第二年，我们将进行随机试验 有48位城市青少年持续性哮喘，其典型睡眠时间在/低于 推荐给来自4所学校的该年龄段，纽约市2所，其中2个在RI中。学生将在 干预和控制的学校，包括我们原始格式的哮喘干预，并将 遵循2个月。大学生实习生将提供两种干预措施。过程评估 将对学生，实习生和学校进行访谈，以获取有关有关的反馈 干预程序。意义：这项研究具有很高的公共健康意义，因为它（1）针对A 睡眠质量差的高度脆弱人群 - 持续哮喘的城市青少年； （2）适应和 整合了两种有效的干预措施，以开发一种新颖的干预措施，该干预措施仅针对哮喘 控制和睡眠卫生有可能扩大干预效果； （3）包括一个过程 评估，弥合科学与实践之间的差距，并有助于设计全尺度RCT。

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