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

• 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
• 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

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.

项目概要 儿童早期睡眠不足，包括睡眠时间不规律、睡眠时间不足和夜间睡眠不足 觉醒与许多健康问题有关，例如肥胖、情绪调节不良、 0-4 岁儿童生长发育受损，受伤风险较高。睡眠不足更为普遍 在有色人种儿童和经济上被边缘化的儿童中，可能会导致恶性循环 与高收入和非低收入人群相比，到 4 岁时，健康差异的劣势和风险更高 西班牙裔白人儿童。行为睡眠干预 (BSI) 可能会改善睡眠不足，但人们知之甚少 关于 BSI 在种族/民族多元化和经济边缘化群体中的可行性和有效性 孩子们。这项拟议的试点实用整群随机试验的目的是评估可行性和 BSI、Sleep Well、Bee Well (SWBW) 的初步功效，旨在为种族/族裔多样化和 经济上处于边缘地位的幼儿参加了联邦政府资助的早期启蒙 (EHS) 计划。我们选择了 重点关注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；这个年龄段的睡眠习惯是可塑的；和早 干预是解决健康差异的关键。基于睡眠的社会生态学模型（SEM） 健康、SWBW工作于组织（EHS教师-家长）、人际（亲子、EHS教师- 幼儿）和个人（幼儿）水平。根据社会认知理论的构建，SWBW 包括 互动多媒体材料和活动，鼓励家长和 EHS 之间的双向沟通 教师共同制定量身定制的睡眠健康目标，以满足就寝时间、环境和持续时间的要求 针对幼儿的睡眠 (B.E.D) 建议。我们提出了一项实用的整群随机试验来确定 SWBW 的可行性，并测试向一个 EHS 中心提供的 SWBW 的初步效果，并与 另一个具有类似注册和人口统计数据的 EHS 中心将作为候补名单控制。我们将 解决以下具体目标： (1) 确定 44 个 1-2.5 岁儿童家庭 SWBW 的可行性 两个托儿中心的健康儿童和 EHS 教师； (1a) 细化和规范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、适应性、集成、扩展和有限功效测试） 干预、研究设计和招募目标； (2) 评估SWBW在22个国家的初步疗效 对 (2a) 幼儿睡眠健康（持续时间、时间、 连续性）、就寝时间以及家长和 EHS 老师的睡眠知识以及 (2b) 幼儿的社交情感 健康、就寝时间、家长福祉以及家长与老师的互动。这项试点研究的结果 将为未来更大规模的整群随机试验提供支持，该试验将完全有能力测试效果 参加新英格兰启蒙协会的多个 EHS 计划中的 SWBW 计划。

项目成果

Early emergence of racial and ethnic differences in sleep health among toddlers living in low-income families.

生活在低收入家庭的幼儿在睡眠健康方面很早就出现了种族和民族差异。

• 发表时间: 2023-08
• 影响因子: 4.1
• 作者: Ordway, Monica R;Sadler, Lois S;Jeon, Sangchoon;Pierre, Jasmyne C;Canapari, Craig;Redeker, Nancy S
• 通讯作者: Redeker, Nancy S

Sleep Deficiency in Young Children.

幼儿睡眠不足。

• 发表时间: 2022-06
• 影响因子: 5.7
• 作者: Ordway, Monica Roosa;Logan, Sarah;Sutton, Eloise Hannah
• 通讯作者: Sutton, Eloise Hannah