Community Partnership for Healthy Sleep

 描述（申请人提供）：健康的睡眠习惯和由此产生的睡眠质量和数量对儿童的生长发育至关重要。生活在经济紧张的城市环境中的儿童特别容易受到不健康的睡眠习惯及其负面影响的影响，但家庭对睡眠和睡眠习惯的看法以及对促进健康睡眠习惯的支持的偏好尚不清楚，迫切需要采取干预措施，以促进健康的睡眠习惯，并解决个人，家庭，文化和社会因素导致生活在经济紧张的城市环境中的幼儿睡眠习惯不良和睡眠困难。这项拟议的研究，在社会生态模型的指导下，将使用社区参与（CEnR）的方法来获得基础信息，以支持6至36个月儿童的社区参与睡眠促进计划。我们将解决以下具体目标：（1）检查父母对他们6-36个月大的孩子的睡眠和睡眠的客观特征的知识和看法，包括（1a）自我报告和活动记录仪记录的睡眠特征，睡眠习惯和困难;（1b）睡眠习惯和个人，家庭， 社区、文化/社会和健康相关因素对睡眠特征和睡眠困难的影响;（1c）睡眠困难的后果;（1d）促进儿童睡眠和睡眠习惯的成功和不成功策略;（1 e）儿童对睡眠促进干预的偏好;以及对开始睡眠促进干预的最佳时机的看法;（2）检查儿科初级保健提供者对以下问题的看法：（2a）6-36个月大儿童睡眠和睡眠习惯的重要性;（2b）导致睡眠习惯和睡眠困难的因素;（2c）促进健康睡眠习惯的成功和不成功的方法，充足的睡眠时间和良好的睡眠质量，以及在家庭环境中评估和管理幼儿的睡眠困难;和（2c）障碍，促进者，和有幼儿的家庭的睡眠促进干预措施的偏好;（3）与家庭和供应商合作，利用目标1和2中获得的信息，制定和完善可行的，相关的，可接受的睡眠促进计划，包括程序，协议，患者材料，干预保真度计划和交付方法。我们将使用CEnR和融合的混合方法，充分吸引社区利益相关者（父母，儿科医疗保健提供者）来开发睡眠促进干预措施。我们预计，这些结果将导致未来的随机对照试验（RCT），该试验将研究社区参与的睡眠促进计划对生活在经济紧张的城市环境中的幼儿的睡眠习惯，睡眠和睡眠相关结果的持续影响。我们的长期目标是将有效的睡眠促进干预传播和转化为社区环境。

 DESCRIPTION (provided by applicant): Healthy sleep habits and resulting sleep quality and quantity are critical to children's growth and development. Children who live in economically stressed urban environments are especially vulnerable to unhealthy sleep habits and their negative consequences, but families' perceptions about sleep and sleep habits and preferences regarding support for promoting healthy sleep habits are not known and interventions are urgently needed to promote healthy sleep habits and address individual, family, cultural and social factors that contribute to poor sleep habits and sleep difficulty among young children who live in economically stressed urban environments. The proposed study, guided by the Social Ecological Model, will use a community engaged (CEnR) approach to obtain foundational information in support of a community-engaged sleep promotion program for children between 6 and 36 months of age. We will address the following specific aims: (1) Examine parents' knowledge and perceptions about their 6-36 month old children's sleep and objective characteristics of sleep, including (1a) self-reported and actigraph-recorded characteristics of sleep, sleep habits, and difficulty; (1b) the contributions of sleep habits and individual, family, community, cultural/social, and health-related factors to sleep characteristics and sleep difficulty; (1c) consequences of sleep difficulty; (1d) successful and unsuccessful strategies used to promote children's sleep and sleep habits; (1e) preferences regarding sleep promotion interventions for their children; and perceptions of the optimal timing to begin sleep promotion intervention; (2) Examine pediatric primary care providers' perceptions about (2a) the importance of sleep and sleep habits for 6-36 month old children; (2b) factors that contribute to sleep habits and sleep difficulty; (2c) successful and unsuccessful approaches to promote healthy sleep habits, adequate duration and good quality sleep and assessment and management of sleep difficulty in young children within the context of their families; and (2c) barriers, facilitators, and preferences regarding sleep-promoting interventions for families with young children; (3) Collaborate with families and providers to use the information obtained in Aims 1 and 2 to develop and refine a feasible, relevant, and acceptable sleep promotion program, including procedures, protocols, patient materials, intervention fidelity plans, and delivery methods. We will use CEnR and a convergent mixed methods approach to fully engage community stakeholders (parents, pediatric health care providers) to develop a sleep promotion intervention. We expect that the results will lead to a future randomized controlled trial (RCT) that will examine the sustained effects of a community engaged sleep promotion program on sleep habits, sleep, and sleep-related outcomes among young children who live in economically stressed urban environments. Our long term goal is to disseminate and translate an efficacious sleep promotion intervention into community settings.