Family-Centered Digital Behavioral Sleep Intervention for Black Families of Preschool-Aged Children

项目摘要 睡眠时间短与儿童肥胖风险有关。1，2睡眠时间短的患病率为35% 在美国学龄前儿童（3至5岁）和53%的美国黑人儿童中， 差距据推测，黑人儿童的睡眠差异是由社会因素造成的。 健康问题，包括渗透到儿童社会环境多个层面的结构性种族主义和贫困问题 生活，特别是通过父母的做法.4 -6建立一个定期的就寝时间已被公认为是 一种可以改变的育儿行为，以优化睡眠时间。而且，数字技术提供了一个可以接受的 我的长期职业目标是为黑人家庭搭建桥梁， 通过传播和实施科学战略对黑人家庭进行循证干预 融入社区系统。我的职业目标是成为一名独立的睡眠健康科学家 通过以家庭为中心的研究采取干预措施，减少健康差距。K 01提案旨在增加 黑人父母的幼儿获得以证据为基础的策略，以优化睡眠健康。我 具体目标是：目标1。开发一个基于证据的数字原型，用于建立就寝时间 基于使用混合方法途径的例程（即，焦点小组和调查数据）， 生活经验的20个黑人家庭的3至5岁儿童的睡眠问题;目的2：测试的可行性， 干预内容和数字实施程序，并通过用户迭代开发干预 行程方法（即，认知走查和有声思维会话），以及实施可行性 调查问卷与同样的20个黑人家庭从事目标1;和目标3：测试的可接受性， 通过对40个黑人家庭进行的单臂试点研究，估计优化数字干预的影响 有睡眠问题的3到5岁儿童的研究。主要结果是：父母的知识，育儿做法有关 建立睡前常规，儿童睡眠时间和儿童睡前阻力。为了实现这一目标， 我的职业发展计划包括：1）获得行为睡眠医学方面的培训和专业知识，2）建立 传播和实施科学战略方面的专门知识，与家长参与有关; 3）获得 进行以家庭为中心的综合性循证数字睡眠干预的实践经验， 改善家庭单位的睡眠;和4）生物统计分析和临床试验设计技能。在纽约大学格罗斯曼 医学院的人口健康系，我将有机会获得该部门的资源， 纽约大学朗格尼幼儿健康与发展中心健康与行为部 家庭健康中心和健康公平卓越研究所，由我的顾问Ogedegbe博士指导。

PROJECT SUMMARY Short sleep duration is linked with obesity risk in children.1, 2 The prevalence of short sleep duration is 35% among American preschoolers (3 to 5-year-olds) and 53% for Black-American children,3 a glaring health disparity. Sleep disparities in young Black children are hypothesized to be due to social determinants of health, including structural racism and poverty that permeate multiple socio-environmental levels of children’s lives, especially through parenting practices.4-6 Establishing a regular bedtime routine has been recognized as a modifiable parenting behavior to optimize sleep duration. And, digital technology offers an acceptable platform to reach Black families of young children.7 My long-term career objective is to bridge access of evidence-based interventions to Black families via dissemination and implementation science strategies integrated into community systems. My career goal is to become an independent scientist in sleep health interventions to reduce health disparities through family-centered research. This K01 proposal aims to increase access of Black parents of young children to evidence-based strategies known to optimize sleep health. My specific aims are: Aim 1. Develop a digital prototype of evidence-based strategies for establishing a bedtime routine based on using a mixed methods approach (i.e., focus groups and survey data) that considers the lived experiences of 20 Black families of 3- to 5-year-olds with sleep problems; Aim 2: Test the feasibility of the intervention content and digital implementation procedure and iteratively develop the intervention through user journey methods (i.e., cognitive walk-through and think-aloud sessions), and implementation feasibility questionnaire with the same 20 Black families engaged in Aim 1; and Aim 3: Test the acceptability and estimate the impact of the optimized digital intervention through a single-arm pilot study with 40 Black families of 3- to 5-year-olds with sleep problems. Primary outcomes are: Parent knowledge, parenting practices related to establishing bedtime routines, child sleep duration and child bedtime resistance. To achieve this objective, my career development plan includes: 1) obtain training and expertise in behavioral sleep medicine, 2) build expertise in dissemination and implementation science strategies, related to parent engagement; 3) gain hands-on experience conducting an integrated family-centered evidence-informed digital sleep intervention to improve sleep in the family unit; and 4) biostatistical analysis and clinical trial design skills. At NYU Grossman School of Medicine’s Department of Population Health, I will have access to resources from the Department, the Division of Health and Behavior, the Center for Early Childhood Health and Development, NYU Langone Family Health Centers, and the Institute for Excellence in Health Equity, directed by my advisor Dr. Ogedegbe.