A Sleep Hygiene Intervention to Improve Sleep Quality in Urban, Latino Middle School Children

项目摘要/摘要： 睡眠对于最佳的健康和发育是必不可少的，而睡眠质量差与受损有关 功能正常，学习成绩不佳。睡眠质量较差与健康状况较差有关 儿童的结果，如哮喘发病率和肥胖风险的增加。哮喘和肥胖是两种共同的疾病 病态的慢性健康状况在拉丁裔城市儿童中非常普遍。拉丁裔儿童 不成比例地出现在城市环境中，这是由于他们接触到更高水平的城市和文化 压力源和与疾病相关的发病率增加，导致睡眠卫生和质量不佳的风险更大。 此R34应用程序的目标是改进和测试一种新的睡眠卫生干预措施，以提高 城市公立学校拉丁裔中学生(6-8年级)的睡眠质量 设置。我们将利用我们的循证干预，睡眠智能(SS)，这是以小组形式提供的 在学校环境中，并被证明改善了城市中学生的睡眠卫生和睡眠质量。 Slear Smart Latino(SSL)将由来自社区的训练有素的BA级别的协助者管理到一个小组 存在睡眠质量不佳风险的拉丁裔中学生(11-13岁)。安全套接字层 将在两个拉美裔儿童贫困风险较高的地区实施干预措施 睡眠质量：波多黎各圣胡安和罗德岛普罗维登斯。此应用程序的第一个目标是 细化RCT/R01的SS干预和干预程序。改进将涉及一项) 为拉美裔中学生提供翻译和文化剪裁，b)加强家长部分， 以及c)确保适用于两个地点(PR和RI)的城市和中学环境。焦点小组和 在文化干预方面具有专业知识的调查人员将提供意见。这样做的第二个目的是 应用程序是通过Open来测试SSL干预和培训程序的可行性 试验，以完善干预模块和将在RCT/R01中使用的培训方法。中位 学童和他们的主要照顾者(两个小组，每个地点5名学生；PR组和RI组各10人)将 包括在内。这个应用程序的第三个目标是通过一个随机试点来测试SSL干预 对照试验提供效应大小的估计，该估计将用于通知 RCT/R01。我们将招募75名拉丁裔儿童与每个网站，并随机分配给他们的安全套 干预、睡眠教育加儿童健康控制条件或标准护理控制条件(5组 每个站点的每种情况)。我们预计，参与SSL干预的参与者将在 以下是主要的睡眠质量结果(改善的睡眠时间和睡眠效率) 动作图，相对于控制条件。其次，我们预计[ 参加SSL的人数将出现下降 相对于对照条件的每日总卡路里摄入量。

Project Summary/Abstract: Sleep is essential for optimal health and development, and poor sleep quality is associated with impaired functioning and poor academic performance. Poorer quality sleep has been linked with poorer health outcomes in children, such as increased asthma morbidity and risk for obesity. Asthma and obesity are two co- morbid chronic health conditions highly prevalent in Latino, urban children. Latino children are disproportionately present in urban settings, and due to their exposure to higher levels of urban and cultural stressors, and increased risk for illness-related morbidity, are at greater risk for poor sleep hygiene and quality. The goal of this R34 application is to refine and test a novel sleep hygiene intervention to improve sleep quality among Latino, middle school-aged (6th-8th graders) children in urban public school settings. We will utilize our evidence-based intervention, Sleep Smart (SS), which is delivered in group format in the school setting and is shown to improve sleep hygiene and sleep quality in urban, middle school students. Sleep Smart Latino (SSL) will be administered by trained BA-level co-facilitators from the community to a group of Latino middle school children who are at risk for poor sleep quality (11-13 years of age). The SSL intervention will be implemented in two areas that contain a high prevalence of Latino children at risk for poor sleep quality: San Juan, Puerto Rico and Providence, Rhode Island. The first aim of this application is to refine the SS intervention and intervention procedures for the RCT/R01. Refinement will involve a) translation and cultural tailoring for Latino middle school students, b) enhancement of the parent component, and c) ensuring applicability to the urban, middle school setting in both sites (PR and RI). Focus groups and Investigators with expertise in culturally tailored interventions will provide input. The second aim of this application is to test the feasibility of the SSL intervention and training procedures through an Open Trial, to refine intervention modules and the training approach that will be used in the RCT/R01. Middle school children and their primary caregiver (two groups of 5 students per site; 10 in PR and 10 in RI) will be included. The third aim of this application is to test the SSL intervention through a Pilot Randomized Control Trial to provide estimates of effect size that will be used to inform the sample size for the RCT/R01. We will recruit 75 Latino children with per site, and randomly assign them to either the SSL intervention, Sleep Education plus Child Health control condition, or standard care control condition (5 groups of each condition, per site). We expect the participants in the SSL intervention will have improvement on the following primary sleep quality outcomes (improved sleep duration and sleep efficiency) as measured by actigraphy, relative to the control conditions. Secondarily, we expect [ participants in SSL will show a decrease in total daily caloric intake relative to the control conditions.]