Parenting Intervention to Improve Young Children's Sleep in Families with Low Income

三分之一的儿童（2-4岁）和二分之一的贫困儿童得不到充足的营养 睡吧这些有关睡眠的差异增加了儿童患慢性疾病的风险，特别是 在资源不足的儿童中。虽然行为睡眠干预一直是 有效延长儿童睡眠，现有的研究是有限的，因为他们很少包括低收入 家庭，通常更关注诊断的睡眠状况的治疗。不足 对多样性的关注使睡眠差异永久化，因为没有为那些 可能受益最大。因此，旨在预防的干预措施需要应对突出的挑战 低收入人群的经验，并纳入可修改的战略，以改善独特的 障碍和需求。该项目的目标是通过以下方式促进儿童睡眠的改善 试点测试和加强“睡眠紧张”-一种行为睡眠干预，旨在满足 经济困难家庭的需要。该项目使用社区参与的 与家长和主要利益攸关方一起了解和解决可改变的障碍， 创造最佳的儿童睡眠习惯。干预内容旨在利用社区 优势和克服明显的障碍，以确保最大的相关性。使用随机化的试点 对照试验（RCT）设计，家庭（N=60）被随机分配到干预（n=30）或等待名单 对照组（n=30）。干预内容由干预者通过虚拟的一对一方式提供 与每一位主要照顾者的对话。两组均在术前和术后进行评估，然后 干预组也在随访时进行评估，而等待名单对照组可以参加 睡眠紧张干预。试点RCT的主要重点是通过以下方式评估干预可行性 招聘、保留、出勤和可接受性指标。第二个目标是评估 腕动计干预儿童夜间睡眠时间变化的初步疗效 为未来的大规模RCT提供信息。此外，考虑到儿童睡眠、社交情绪和 功能（例如，问题行为），和肥胖相关行为（例如，饮食，屏幕时间，物理 活动），改善儿童睡眠的干预措施有可能改善身体和社会情绪 幸福，而不直接干预这些领域（即，级联效应）。因此，在本发明中， 该项目包括一个探索性的目标，以评估潜在的级联效应对儿童的社会情感， 健康和致胖行为作为这些领域变化的指标。结果 这项研究的结果将有助于产生一种行为睡眠干预的长期目标， 改善儿童睡眠，影响肥胖行为和社会情感健康。最后， 这项工作旨在减少低收入家庭的儿童睡眠差异， 身体健康和社会情感发展。

One-in-three children (ages 2-4 years), and one-in-two children living in poverty, do not get adequate sleep. These concerning sleep disparities elevate children’s risk for chronic diseases, particularly among children from under-resourced populations. While behavioral sleep interventions have been effective at elongating children’s sleep, existing studies are limited because they rarely include lowincome families and typically focus more on the treatment of diagnosed sleep conditions. Insufficient attention to diversity perpetuates sleep disparities by not providing cogent support to families who may benefit most. Thus, interventions aimed at prevention need to address salient challenges experienced by low-income populations and incorporate modifiable strategies to improve unique barriers and needs. The goal of this project is to contribute to improvements in children’s sleep by pilot testing and strengthening “Sleep Tight” – a behavioral sleep intervention aimed at meeting the needs of families experiencing economic disadvantage. This project uses a community-engaged approach with parents and key stakeholders to understand and address modifiable barriers to creating optimal child sleep habits. Intervention content is designed to capitalize on community strengths and overcome distinct barriers to ensure maximum relevance. Using a pilot randomized controlled trial (RCT) design, families (N=60) are randomized to the intervention (n=30) or wait-list control (n=30) group. Intervention content is delivered by an interventionist via virtual, one-on-one sessions with each primary caregiver. Both groups are assessed at pre- and post-, and then the intervention group is also assessed at follow-up, while the wait-list control group can participate in the Sleep Tight intervention. The primary focus of the pilot RCT is to assess intervention feasibility via recruitment, retention, attendance, and acceptability metrics. The secondary goal is to assess the preliminary efficacy on intervention changes in children’s nighttime sleep duration using actigraphy to inform a future large-scale RCT. Furthermore, given links between child sleep, social-emotional functioning (e.g., problem behaviors), and obesity-related behaviors (e.g., diet, screen time, physical activity), interventions to improve child sleep have the potential to improve physical and socialemotional well-being, without directly intervening on these domains (i.e., cascading effects). As such, this project includes an exploratory aim to assess potential cascading effects on children’s socialemotional well-being and obesogenic behaviors as indicators on changes in these domains. Results of this study will contribute to the long-term goal of producing a behavioral sleep intervention that improves child sleep and impacts obesogenic behaviors and social-emotional well-being. Ultimately, this work seeks to reduce child sleep disparities for families with low-income, to promote both physical health and social-emotional development.