Identifying Novel Behavioral Targets for Improving Sleep: A Self-Regulation Model

确定改善睡眠的新行为目标：自我调节模型

• 批准号: 8804665
• 负责人: Carmela Alcantara
• 金额: $ 15.93万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2020-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8804665
• 关键词: Adult; Affect; American; Automobile Driving; Behavior Therapy; Behavioral; Behavioral Medicine; Cardiovascular system; Certification; Cessation of life; Clinical; Cognitive; Complex; Coronary heart disease; Cybernetics; Data; Data Collection; Development; Development Plans; Disease Outcome; Ecological momentary assessment; Emotional; Epidemiologic Studies; Exhibits; Goals; Health; Health Benefit; Health Psychology; Individual; Informal Social Control; Intervention; K-Series Research Career Programs; Lead; Life; Medicine; Mental Health; Mentors; Methods; Minority Groups; Modeling; Monitor; Morbidity - disease rate; Observational Study; Performance; Physiology; Polysomnography; Psychologist; Psychology; Public Health; Public Health Schools; Research; Research Methodology; Research Project Grants; Resources; Risk Factors; Scientist; Sleep; Sleep Disorders; Sleeplessness; Socioeconomic Status; Testing; Thinking; Time; Training; United States; Universities; actigraphy; behavior test; cardiovascular health; cardiovascular risk factor; career development; cohort; disability; dissemination research; economic cost; health disparity; improved; insight; low socioeconomic status; meetings; multidisciplinary; novel; novel strategies; predictive modeling; programs; psychosocial; public health relevance; racial and ethnic; socioeconomic disparity; socioeconomics

 DESCRIPTION (provided by applicant): The proposed K23 career development award will enable Dr. Carmela Alcantara to establish an independent program of research in behavioral medicine that emphasizes the study of sleep deficiency, psychosocial vulnerability, and health. To do so, Dr. Alcantara, a clinical psychologist with expertise in racial/ethnic minority mental health and health disparities, will first require training in health psychology, sleep medicine, an analysis of complex longitudinal data. She has assembled an outstanding multidisciplinary team of mentors to provide training in: (1) health psychology; (2) sleep physiology, epidemiology, and research methods; (3) analysis of complex longitudinal data collected continuously and in real-time; (4) certification in behavioral sleep medicine from the American Board of Sleep Medicine to include didactic and clinical training in sleep assessment, polysomnography testing, scoring, and interpretation; and (5) research dissemination and professional development. The career development plan includes completion of an MPH degree from the Mailman School of Public Health at Columbia University. In this K23, Dr. Alcantara will test the first hypothesis of her lon-term Self-Regulation Model of Sleep and Cardiovascular Health, which proposes that there are bidirectional, within-subject associations between sleep deficiency and self-regulation resources. Over 50 million adults in the United States suffer from sleep deficiency (deficits in th quantity or quality of sleep obtained), independent of sleep disorders. Sleep deficiency is associated with high economic costs, disability, morbidity, and death for millions of Americans. While racial/ethnic and socioeconomic disparities in sleep deficiency are well documented, little research has examined the specific modifiable factors driving sleep disparities. I will conduct an observational study with a single cohort of 80 healthy adults, collecting observational data for 40 days on sleep and performance on self- regulation tasks using unobtrusive and continuous data collection methods. I will use (1) actigraphy to collect data on sleep duration and sleep efficiency, and (2) ecological momentary assessment to monitor self- regulation resources. I hypothesize that sleep deficiency on one night will be associated with less self- regulation resources during the next day; and that less self-regulation during that day will be associated with worse sleep deficiency for that night (a bidirectional or cybernetic, vicious cycle). I will aso explore whether socioeconomic status modifies these associations. Few simple explanatory models with testable hypotheses that lead to targeted interventions to improve sleep have been tested. I propose a simple, intuitive model that, if supported, will lead to simple, scalable interventions focused on self-regulation that could improve sleep, and in turn could provide substantial public health benefit.

 描述（由应用程序提供）：拟议的K23职业发展奖将使Carmela Alcantara博士能够建立一个独立的行为医学研究计划，强调研究睡眠不足，社会心理脆弱性和健康状况。为此，拥有种族/族裔少数民族心理健康和健康差异方面具有专业知识的临床心理学家Alcantara博士将首先需要对健康心理学，睡眠医学进行培训，对复杂的纵向数据分析。她召集了一个杰出的跨学科导师团队，以提供：（1）健康心理学的培训； （2）睡眠生理学，流行病学和研究方法； （3）对连续和实时收集的复杂纵向数据的分析； （4）美国睡眠医学委员会的行为睡眠医学认证，包括睡眠评估，多疗法测试，评分和解释的教学和临床培训； （5）研究传播和专业发展。职业发展计划包括哥伦比亚大学邮政公共卫生学院的MPH学位。在此K23中，Alcantara博士将检验她的漫长的睡眠和心血管健康自我调节模型的第一个假设，该假设提出了双向性内部的睡眠不足和自我调节资源之间的主题内部关联。在美国，超过5000万成年人患有睡眠不足（不足的睡眠或睡眠质量缺乏），独立于睡眠障碍。睡眠不足与数百万美国人的高经济成本，残疾，发病率和死亡有关。虽然睡眠不足的种族/种族和社会经济差异已得到充分记录，但很少研究研究了驱动睡眠分布的特定可修改因素。我将通过一个由80个健康成年人组成的单一队列进行观察性研究，收集40个观察数据 使用不引人注目和连续数据收集方法进行自我调节任务的睡眠和表现的天数。我将使用（1）行摄影收集有关睡眠持续时间和睡眠效率的数据，以及（2）生态时刻评估以监控自我调节资源。我假设一个晚上的睡眠不足将与第二天的自我调节资源更少有关；当天的自我调节较少会与当晚的睡眠不足（双向或控制论，恶性循环）有关。我将探索社会经济地位是否修改了这些关联。很少有人测试了带有可检验的假设的简单剥削模型，这些假设可以导致改善睡眠的针对性干预措施。我提出了一个简单，直观的模型，如果得到支持，它将导致简单，可扩展的干预措施，重点是可以改善睡眠的自我调节，进而可以为公共健康带来巨大的益处。