Promoting Sleep Health in Pediatric Primary Care Settings: A Web-based CME Course

促进儿科初级保健机构的睡眠健康：基于网络的 CME 课程

• 批准号: 7744176
• 负责人: Lisa D Marceau
• 金额: $ 10万
• 依托单位: NEW ENGLAND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-15 至 2010-08-16
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7744176
• 关键词: 10 year old; 13 year old; 4 year old; Address; Adolescent; Adopted; African American; Age; Alternative Medicine; Area; Attention; Attention deficit hyperactivity disorder; Awareness; Beds; Behavior; Behavioral; Belief; Brain; Caffeine; Cardiovascular system; Caregivers; Child; Child Behavior; Child Mental Health; Childhood; Clinical; Clinical Research; Cognitive; Communication; Companions; Compliant Behaviors; Consumption; Day Care; Development; Diabetes Mellitus; Diagnosis; Disadvantaged; Disease; Economics; Education; Educational process of instructing; Effectiveness; Environment; Evaluation; Exercise; Face; Family; Focus Groups; Food; Fostering; Frustration; Functional disorder; Grant; Habits; Health; Health Personnel; Health Professional; Health Promotion; Home environment; Hypertension; Infant; Internet; Intervention; Interview; Learning; Life; Life Style; Linguistics; Link; Long-Term Effects; Low income; Measures; Mental Health; Mental disorders; Metabolic; Minority Groups; Mission; Moods; Morbidity - disease rate; Mothers; Myocardial Infarction; Napping; National Institute of Child Health and Human Development; Nature; Neurologist; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Obstructive Sleep Apnea; Online Systems; Outcome; Parents; Patients; Pharmaceutical Preparations; Phase; Play; Population; Population Heterogeneity; Poverty; Pregnancy; Prevalence; Prevention; Primary Health Care; Problem Solving; Problem behavior; Provider; Public Health; Quality of life; Randomized Controlled Clinical Trials; Reliance; Reporting; Research; Resources; Risk; Risk Factors; Rural; Schools; Screening procedure; Single-Parent Family; Site; Sleep; Sleep Apnea Syndromes; Sleep Deprivation; Sleep Disorders; Stroke; Techniques; Television; Translating; Variant; Video Games; Visit; Vulnerable Populations; Wit; Work; base; boys; burden of illness; cost; cultural competence; cultural values; depression; design; disorder prevention; ethnic minority population; evidence base; exhaust; experience; falls; girls; habit learning; health belief; high risk; high risk parents; improved; innovation; knowledge base; literacy; meetings; middle school; non-compliance; nutrition; obesity in children; pediatrician; peer; pregnant; prevent; primary care setting; programs; prototype; psychostimulant; public health relevance; racial and ethnic; racial and ethnic disparities; skills; sleeping pill; teacher; tv watching; usability; user-friendly; web site

DESCRIPTION (provided by applicant): The 2006 IOM Report states that poor sleep is an unmet public health problem and that, "cumulative long- term effects of sleep loss and sleep disorders have been associated with a wide range of deleterious health consequences..." Although sleep is identified as an essential healthy behavior and a key factor in disease prevention in the pediatric population, its importance is frequently under-appreciated by both parents and health care professionals. Unhealthy sleep habits in children often result in insufficient and poor quality sleep, which in turn impacts negatively on mood, behavior, attention, and cognitive outcomes, and on quality of life; however, these deficits may not always be recognized by caregivers and providers as resulting from inadequate sleep. The link between poor sleep and health outcomes such as childhood obesity and increased risk of type 2 diabetes and cardiovascular morbidity is frequently overlooked. The importance of raising the awareness of and focusing on healthy sleep in the pediatric population is essential for several key reasons: " Inadequate sleep is increasingly prevalent in children, particularly in racial and ethnic minority groups, " The potential impact of poor quality sleep on the physical and mental health of children is considerable, " Unhealthy behaviors are empirically linked to insufficient and poor quality sleep in children, " Sleep habits are learned behaviors, which are amenable to behavioral change, and " Healthy sleep behaviors adopted in childhood may help prevent lifelong problems. The course proposed here aims to raise awareness of sleep health for primary care providers and their patients. This program is intended as: 1) a resource to assist primary care pediatricians in identifying sleep habits in children which may be presented as other problem behaviors and, 2) to provide a corresponding site to parents that educates on the importance of good sleep habits for their children. Addressing a key mission of the Pediatric Behavior and Health Promotion Research within NICHD, the proposed program focuses on the importance of healthy pediatric sleep as a core component of healthier lifestyles and a road to disease prevention. This program is particularly relevant in that it addresses core issues related to pediatric sleep and contributions to pediatric behavior. Specific Aims: Aim 1: Develop a clinical content outline for a CME program focusing on promotion of: a) sleep health as a third component of a healthy lifestyle; and b) cultural competence in pediatric health care professionals. Aim 2: Develop the full clinical content and interactivity for a prototype chapter of the Web CME course. Aim 3: Present an innovative approach to learning through storytelling vignettes. Video vignettes, documentary footage and case vignettes will demonstrate how poor sleep is presented. Aim 4: Conduct a set of qualitative interviews prior to and after development of the course material. PUBLIC HEALTH RELEVANCE: In this Phase I program we will develop a prototype of a CME Web-based course to assist health care providers identify and more effectively manage sleep problems in children. By providing innovative content via an established medium, we aim, through this product, to reach primary care providers facing this important issue as a core component of a healthy lifestyle.

描述（由申请人提供）：2006年IOM报告指出，睡眠不足是一个尚未解决的公共卫生问题，“睡眠不足和睡眠障碍的累积长期影响与广泛的有害健康后果有关……”虽然睡眠被认为是一种基本的健康行为，也是预防儿科疾病的关键因素，但它的重要性经常被父母和卫生保健专业人员低估。儿童不健康的睡眠习惯往往导致睡眠不足和睡眠质量差，进而对情绪、行为、注意力和认知结果以及生活质量产生负面影响；然而，这些缺陷可能并不总是被护理人员和提供者认识到是由于睡眠不足造成的。睡眠不足与儿童肥胖、2型糖尿病和心血管疾病风险增加等健康状况之间的联系经常被忽视。在儿科人群中提高对健康睡眠的认识和关注是至关重要的，原因如下：“睡眠不足在儿童中越来越普遍，特别是在种族和少数民族群体中，”睡眠质量差对儿童身心健康的潜在影响是相当大的，“不健康的行为与儿童睡眠不足和睡眠质量差有关，”睡眠习惯是后天习得的行为，可以改变行为，“童年养成的健康睡眠行为可能有助于预防终身问题。”本课程旨在提高初级保健提供者及其患者对睡眠健康的认识。这个项目的目的是：1)帮助初级保健儿科医生识别可能表现为其他问题行为的儿童睡眠习惯；2)为家长提供一个相应的网站，教育他们的孩子良好睡眠习惯的重要性。针对NICHD的儿科行为和健康促进研究的一项关键任务，拟议的计划侧重于健康的儿科睡眠的重要性，将其作为健康生活方式的核心组成部分和预防疾病的途径。这个项目特别相关，因为它解决了与儿童睡眠和儿童行为有关的核心问题。具体目标：目标1：为CME计划制定临床内容大纲，重点是促进：a)睡眠健康作为健康生活方式的第三个组成部分；b)儿童卫生保健专业人员的文化能力。目标2：开发完整的临床内容和交互性的原型章的网络CME课程。目标3：通过讲故事的小插曲呈现一种创新的学习方法。视频小品，纪录片片段和案例小品将展示睡眠不良是如何呈现的。目标4：在开发课程材料之前和之后进行一系列定性访谈。公共卫生相关性：在这个第一阶段的项目中，我们将开发一个基于网络的CME课程的原型，以帮助卫生保健提供者识别和更有效地管理儿童睡眠问题。通过现有的媒介提供创新的内容，我们的目标是，通过这一产品，将面临这一重要问题的初级保健提供者作为健康生活方式的核心组成部分。