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

描述（由申请人提供）：2006年IOM报告指出，睡眠不足是一个未得到解决的公共卫生问题，并且“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，也是儿科人群预防疾病的关键因素，但父母和医疗保健专业人员经常低估其重要性。儿童不健康的睡眠习惯通常会导致睡眠不足和质量差，这反过来会对情绪，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识别为睡眠不足。睡眠不良与健康结果之间的联系，如儿童肥胖和2型糖尿病和心血管疾病发病率的风险增加，往往被忽视。提高对儿童健康睡眠的认识和关注的重要性有几个关键原因：“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，是可以改变的，“在儿童时期养成健康的睡眠习惯有助于预防终身的问题。这里提出的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。该计划旨在：1）一个资源，以帮助初级保健儿科医生在确定儿童的睡眠习惯，可能会被视为其他问题行为，2）提供一个相应的网站，家长教育的重要性，良好的睡眠习惯，为他们的孩子。为了解决NICHD内儿科行为和健康促进研究的关键使命，拟议的计划侧重于健康的儿科睡眠作为健康生活方式的核心组成部分和疾病预防之路的重要性。该计划特别相关，因为它解决了与儿科睡眠相关的核心问题和对儿科行为的贡献。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;和B）儿科医疗保健专业人员的文化能力。目标2：为网络继续医学教育课程的原型章节开发完整的临床内容和交互性。目标3：通过讲故事的小插曲提出一种创新的学习方法。视频短片，纪录片片段和案例短片将展示如何呈现睡眠不佳。目标4：在编写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：在这个第一阶段计划中，我们将开发一个基于网络的CME课程的原型，以帮助医疗保健提供者识别和更有效地管理儿童的睡眠问题。通过提供创新的内容，通过一个既定的媒体，我们的目标是，通过这个产品，达到初级保健提供者面临的这一重要问题，作为一个健康的生活方式的核心组成部分。

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.