Sleep Well, Bee Well: Sleep Health Promotion Intervention in Early Head Start

睡得好，蜜蜂好：早期开始的睡眠健康促进干预

基本信息

批准号：
10371150
负责人：
Monica Roosa Ordway
金额：
$ 16.75万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-03-12 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10371150
关键词：
1 year old 4 year old 5 year old Address Advisory Committees Age Bees Behavioral Black race Child Child Rearing Childhood Injury Cluster randomized trial Cognitive Communication Communities Coupled Data Development Disadvantaged Early Intervention Effectiveness Emotional Enrollment Environment Family Feedback Funding Future Goals Growth Head Start Program Health Health Promotion High Prevalence Hispanic Impairment Income Individual Infant Intervention Intervention Studies Knowledge Language Life Measures Modeling Mothers Motor New England Not Hispanic or Latino Nursery Schools Obesity Parents Personal Satisfaction Pilot Projects Randomized Recommendation Reporting Research Research Design Risk Self Efficacy Services Sleep Sleep Deprivation Specialist Standardization Stress Testing Time Toddler United States National Institutes of Health Waiting Lists Work actigraphy aged base behavior test children of color demographics design early childhood efficacy testing emotion regulation ethnic diversity experience health disparity health goals high risk improved interactive multimedia meetings poor sleep primary outcome programs prototype racial and ethnic recruit response sleep behavior sleep health sleep-focused interventions social social cognitive theory socioeconomic adversity teacher

项目摘要

PROJECT SUMMARY Sleep deficiency in early childhood, including poorly timed sleep, inadequate sleep duration, and night awakenings, is associated with numerous health concerns such as adiposity, poor emotional regulation, impaired growth, and higher risk of injuries in children aged 0-4 years. Sleep deficiency is more prevalent among children of color and those who are economically marginalized and may contribute to the cycle of disadvantage and higher risk for health disparities by age 4 years compared to higher income and non- Hispanic white children. Behavioral sleep interventions (BSIs) may improve sleep deficiency, but little is known about the feasibility and efficacy of BSIs among racially/ethnically diverse and economically marginalized children. The purpose of this proposed pilot pragmatic cluster randomized trial is to evaluate the feasibility and preliminary efficacy of a BSI, Sleep Well, Bee Well (SWBW) designed for racially/ethnically diverse and economically marginalized toddlers enrolled in federally-funded Early Head Start (EHS) programs. We chose to focus on toddlers aged 1-2.5 years because this is an important developmental stage of rapid cognitive, language, social emotional, and motor development; sleep habits are malleable at this age; and early intervention is key to addressing health disparities. Based on the socioecological model (SEM) of sleep and health, SWBW works at the organizational (EHS teacher-parent), interpersonal (parent-child, EHS teacher- toddler), and individual (toddler) levels. Informed by the constructs of social cognitive theory, SWBW includes interactive multimedia materials and activities to encourage two-way communication between parents and EHS teachers to co-develop tailored sleep health goals towards meeting Bedtime, Environment, and Duration of sleep (B.E.D) recommendations for toddlers. We propose a pragmatic cluster randomized trial to determine the feasibility of SWBW and test the preliminary efficacy of SWBW provided to one EHS center compared to another EHS center with similar enrollment and demographics that will serve as a waitlist control. We will address the following specific aims: (1) Determine the feasibility of SWBW among 44 families of 1-2.5-year-old healthy children and EHS teachers from both childcare centers; (1a) refine and standardize the SWBW intervention materials (videos, handouts, activities); (1b) determine the feasibility (acceptability, demand, implementation, practicality, adaptation, integration, expansion, and limited-efficacy testing) of the SWBW intervention, study design and recruitment goals; (2) Evaluate the preliminary efficacy of SWBW in 22 intervention and 22 wait-list control parent-child dyads on (2a) toddlers' sleep health (duration, timing, continuity), bedtime routines and parent and EHS teacher sleep knowledge and (2b) toddler's social-emotional health, bedtime routines, parent well-being and parent-teacher engagement. The results from this pilot study will provide support for a future larger scale cluster randomized trial that will be fully powered to test the effects of the SWBW program in multiple EHS programs enrolled in the New England Head Start Association.

项目摘要幼儿的睡眠不足，包括时间不足的睡眠，睡眠时间不足和夜晚觉醒，与许多健康问题有关，例如肥胖，情绪调节差，增长受损，0-4岁儿童受伤的风险更高。睡眠不足更为普遍在有色人种和经济上被边缘化的孩子中，可能有助于周期与收入更高和非收入相比西班牙裔白人孩子。行为睡眠干预措施（BSI）可能会改善睡眠不足，但知之甚少关于种族/种族多样性和经济化的种族/种族多样性和边缘化的BSI的可行性和功效孩子们。该提出的试验务实群集随机试验的目的是评估可行性和 BSI的初步疗效，睡眠良好，蜜蜂良好（SWBW），专为种族/种族多样性而设计经济边缘化的幼儿参加了联邦资助的早期开始（EHS）计划。我们选择了专注于1-2.5岁的幼儿，因为这是快速认知的重要发展阶段，语言，社交情感和运动发展；在这个时代，睡眠习惯是可延展的；和早干预是解决健康差异的关键。基于睡眠的社会生态模型（SEM）和健康，SWBW在组织（EHS教师父母），人际关系（亲子，EHS教师 - 幼儿）和个人（幼儿）级别。在社会认知理论的结构中得知，SWBW包括互动性多媒体材料和活动，以鼓励父母与EHS之间的双向交流教师共同开发量身定制的睡眠健康目标，以达到就寝时间，环境和持续时间睡眠（B.E.D）针对幼儿的建议。我们提出了一项务实的聚类随机试验，以确定 SWBW的可行性并测试SWBW提供给一个EHS中心的初步功效另一个具有类似注册和人口统计的EHS中心将作为候补名单控制。我们将解决以下特定目的：（1）确定1-2.5岁家庭中SWBW的可行性来自两个育儿中心的健康儿童和EHS老师；（1a）完善并标准化SWBW 干预材料（视频，讲义，活动）；（1b）确定可行性（可接受性，需求， SWBW的实施，实用性，适应，整合，扩展和效率测试）干预，研究设计和招聘目标；（2）评估22中SWBW的初步疗效干预措施和22个在（2a）幼儿睡眠健康（持续时间，计时，连续性），就寝时间和父母和EHS老师的睡眠知识和（2b）幼儿的社会情感健康，就寝时间习惯，父母的福祉和家长教师参与。这项试点研究的结果将为将来的大规模群集随机试验提供支持，该试验将充分发挥作用来测试效果新英格兰首席协会的多个EHS计划中的SWBW计划。