Prevention Strategies to Enhance Young Children's Sleep Development

促进幼儿睡眠发育的预防策略

• 批准号: 10791466
• 负责人: Sarah Burkart
• 金额: $ 22.35万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10791466
• 关键词: 6 year old; Accelerometer; Attention; Behavior; Behavioral; Child; Child Development; Child Welfare; Data; Development; Focus Groups; Home; Impaired cognition; Intervention; Modeling; Nursery Schools; Obesity; Parents; Patient Self-Report; Performance; Prevention strategy; Randomized, Controlled Trials; Reporting; Research; Risk; Schools; Signal Transduction; Sleep; Sleep Deprivation; Sleep Disorders; Structure; Testing; Time; Well in self; Wrist; acceptability and feasibility; design; elementary school; feasibility testing; improved; innovation; kindergarten; pilot test; prevent; school environment; sleep behavior; sleep pattern; social; teacher; therapy development; trial design

Healthy sleep is pivotal for children’s development. Sleep problems (i.e., late bedtime, insufficient sleep, inconsistent sleep patterns) can lead to impaired cognition, behavioral difficulties, decrement in academic performance, and increased risk of developing obesity. Developing healthy sleep habits is especially important for 4–6-year-olds as routines shift when children transition from variable preschool environments to a more structured elementary school setting. However, few studies have harnessed the unique partnerships between teachers and parents in preventing suboptimal child sleep. Therefore, innovative strategies are needed to target healthy sleep development – which may provide benefit across multiple domains ultimately enhancing children’s sleep behavior and daytime functioning in the classroom (e.g., attention, disruptive behavior, prosocial behavior). This project builds upon the Developmental Ecological Transition to Kindergarten model, which posits that supportive alignment across settings (i.e., home and school) is essential for child well-being during transitions into school. Guided by the ORBIT intervention development framework to systematically co-develop a schooland home-based sleep promotion intervention with key stakeholders (kindergarten teachers and parents), this project refines a sleep promotion intervention for kindergarten children via teacher and parent focus groups (Aim 1), tests the intervention strategies for proof-of-concept in a single group design (Aim 2, n=1 school), and pilot tests the feasibility, acceptability, and preliminary signal of effect in a randomized controlled trial (Aim 3, n=4 schools). In Aims 2 and 3, data are collected on feasibility and acceptability (via observation and self-report), child sleep (via wrist-worn accelerometry), and child classroom behavior (via teacher report). The project will provide critical data for the development of a fully powered trial designed to simultaneously improve children’s sleep and social-emotional well-being around the time of school entry.

健康的睡眠对于儿童的发育至关重要。睡眠问题（即晚睡、睡眠不足、 不一致的睡眠模式）会导致认知受损、行为困难、学业成绩下降 表现，并增加患肥胖症的风险。养成健康的睡眠习惯尤为重要 对于 4-6 岁的孩子来说，当孩子们从多变的学前环境过渡到更加多样化的环境时，日常生活就会发生变化。 结构化的小学环境。然而，很少有研究利用了两者之间独特的伙伴关系。 教师和家长防止儿童睡眠不佳。因此，需要创新战略来瞄准 健康的睡眠发展——这可能会在多个领域带来益处，最终增强儿童的睡眠质量 课堂上的睡眠行为和白天功能（例如注意力、破坏性行为、亲社会行为）。 该项目建立在向幼儿园的发展生态过渡模型的基础上，该模型假设 跨环境（即家庭和学校）的支持性协调对于过渡期间儿童的福祉至关重要 进入学校。以ORBIT干预发展框架为指导，系统地共同开发学校和 与主要利益相关者（幼儿园教师和家长）进行家庭睡眠促进干预，这 项目通过教师和家长焦点小组完善了幼儿园儿童的睡眠促进干预措施（目标 1)、在单组设计中测试概念验证的干预策略（目标 2，n=1 所学校），并进行试点 在随机对照试验中测试可行性、可接受性和初步效果信号（目标 3，n=4 学校）。在目标 2 和 3 中，收集有关可行性和可接受性的数据（通过观察和自我报告）， 儿童睡眠（通过腕带式加速度计）和儿童课堂行为（通过教师报告）。该项目将 为开发旨在同时改善儿童的全动力试验提供关键数据 入学前后的睡眠和社交情感健康。