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Optimizing a Mindfulness-Based Intervention for Poor Sleep Quality During Pregnancy

优化基于正念的干预措施以解决怀孕期间睡眠质量差的问题

基本信息

批准号：
10249487
负责人：
Jennifer Nicole Felder
金额：
$ 2.91万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-06-15 至 2023-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10249487
关键词：
Address Adherence Award Behavior Belief Birth Cesarean section Child Child Rearing Childbirth Chronic Chronic Insomnia Cognitive Therapy Compassion Coping Skills Data Environment Esthesia Feedback Feeling suicidal Focus Groups Foundations Gestational Diabetes Goals Health Infant Health Intervention Love Maternal Health Measures Meditation Mental Depression Mental Health Mentored Patient-Oriented Research Career Development Award Mentors Methods Mind-Body Intervention Mindfulness Training Outcome Pain Parents Participant Personal Satisfaction Pharmacological Treatment Population Pregnancy Pregnant Women Premature Birth Randomized Randomized Controlled Trials Reporting Research Risk Safety Sampling Sampling Studies Sleep Sleep disturbances Symptoms Testing Training Woman Women&apos s Health Work Wrist actigraphy associated symptom base career development experience improved mindfulness mindfulness intervention mindfulness-based stress reduction perinatal health perinatal period perinatal women physical symptom pilot trial prenatal prenatal intervention programs psychologic recruit response side effect skills sleep physiology sleep quality theories therapy development treatment as usual

项目摘要

PROJECT SUMMARY/ABSTRACT Poor sleep quality is highly prevalent during pregnancy, and is associated with increased risk of numerous adverse maternal psychological and health outcomes. Despite this, there is limited research on interventions to improve sleep during pregnancy. Further, prior research has not targeted the unique factors contributing to poor sleep quality in this population, such as discomfort and pain. Mindfulness-based interventions, such as mindfulness-based childbirth and parenting (MBCP), are particularly well-suited to improve psychological responses to discomfort and pain, and pregnant women prefer non-pharmacological interventions due to concerns about side effects. However, there is a paucity of research optimizing and evaluating mindfulness- based interventions to improve prenatal sleep quality. To this end, the proposed project will optimize MBCP to improve prenatal sleep quality (MBCP-PS) and conduct pilot testing. The candidate will use state-of-the-art experience sampling methods to identify the psychological responses to nightly physical symptoms that are most robustly associated with poor sleep quality during pregnancy. Based on these findings and feedback from focus groups, the candidate will select MBCP components to maximally impact the identified targets. Finally, the candidate will conduct a pilot randomized controlled trial of MBCP-PS versus treatment as usual to investigate safety, acceptability, adherence, and feasibility, and examine preliminary evidence of change in psychological responses to nightly physical symptoms, and associations with sleep quality. Findings will provide preliminary data for an R61/R33 application to further optimize MBCP-PS and conduct an adequately powered randomized controlled trial. The proposed Mentored Patient-Oriented Research Career Development Award (Parent K23) provides substantive hands-on experiences and training in: 1) delivery and research of mindfulness-based and other mind-body interventions, 2) mechanism-focused intervention development and analysis, 3) women's perinatal health, and 4) sleep physiology, assessment, and intervention. The candidate will carry out the proposed work within an outstanding research environment. She has assembled an exceptional team of renowned mentors and specialized advisors with deep expertise on these topics to closely guide her proposed projects, and who are dedicated to her career development. The proposed award will provide the candidate with the in-depth experiences needed to establish an independent program of research focused on optimizing and evaluating mindfulness-based interventions for promoting women's health during the perinatal period.

项目总结/文摘