Community Partnership for Healthy Sleep

健康睡眠社区合作伙伴关系

• 批准号: 9316732
• 负责人: Nancy S Redeker
• 金额: $ 21.18万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-15 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9316732
• 关键词: Address; Adolescent; Adverse effects; Age-Months; Attention; Awareness; Beds; Behavior; Behavioral; Characteristics; Child; Child Care; Child health care; Childhood; Chronic; Communities; Community Healthcare; Development; Economics; Environment; Evaluation; Failure; Family; Family health status; Foundations; Future; Goals; Growth and Development function; Habits; Health; Health Personnel; Health Promotion; Household; Individual; Injury; Intervention; Knowledge; Lead; Life; Long-Term Effects; Longevity; Maintenance; Mental Health; Methods; Minority Groups; Modeling; Neighborhoods; Obesity; Outcome; Parents; Patient Self-Report; Patients; Perception; Performance; Physiological; Prevention; Primary Health Care; Procedures; Protocols documentation; Provider; Randomized Controlled Trials; Research; Resistance; Risk; Schools; Sleep; Strategic Planning; Stress; Time; Toxic effect; Translating; community partnership; community setting; contextual factors; disorder prevention; externalizing behavior; improved; preference; programs; public health relevance; response; social; urban children

 DESCRIPTION (provided by applicant): Healthy sleep habits and resulting sleep quality and quantity are critical to children's growth and development. Children who live in economically stressed urban environments are especially vulnerable to unhealthy sleep habits and their negative consequences, but families' perceptions about sleep and sleep habits and preferences regarding support for promoting healthy sleep habits are not known and interventions are urgently needed to promote healthy sleep habits and address individual, family, cultural and social factors that contribute to poor sleep habits and sleep difficulty among young children who live in economically stressed urban environments. The proposed study, guided by the Social Ecological Model, will use a community engaged (CEnR) approach to obtain foundational information in support of a community-engaged sleep promotion program for children between 6 and 36 months of age. We will address the following specific aims: (1) Examine parents' knowledge and perceptions about their 6-36 month old children's sleep and objective characteristics of sleep, including (1a) self-reported and actigraph-recorded characteristics of sleep, sleep habits, and difficulty; (1b) the contributions of sleep habits and individual, family, community, cultural/social, and health-related factors to sleep characteristics and sleep difficulty; (1c) consequences of sleep difficulty; (1d) successful and unsuccessful strategies used to promote children's sleep and sleep habits; (1e) preferences regarding sleep promotion interventions for their children; and perceptions of the optimal timing to begin sleep promotion intervention; (2) Examine pediatric primary care providers' perceptions about (2a) the importance of sleep and sleep habits for 6-36 month old children; (2b) factors that contribute to sleep habits and sleep difficulty; (2c) successful and unsuccessful approaches to promote healthy sleep habits, adequate duration and good quality sleep and assessment and management of sleep difficulty in young children within the context of their families; and (2c) barriers, facilitators, and preferences regarding sleep-promoting interventions for families with young children; (3) Collaborate with families and providers to use the information obtained in Aims 1 and 2 to develop and refine a feasible, relevant, and acceptable sleep promotion program, including procedures, protocols, patient materials, intervention fidelity plans, and delivery methods. We will use CEnR and a convergent mixed methods approach to fully engage community stakeholders (parents, pediatric health care providers) to develop a sleep promotion intervention. We expect that the results will lead to a future randomized controlled trial (RCT) that will examine the sustained effects of a community engaged sleep promotion program on sleep habits, sleep, and sleep-related outcomes among young children who live in economically stressed urban environments. Our long term goal is to disseminate and translate an efficacious sleep promotion intervention into community settings.

 描述（由适用提供）：健康的睡眠习惯以及由此产生的睡眠质量和数量对儿童的成长和发育至关重要。生活在经济压力的城市环境中的儿童特别容易受到不健康的睡眠习惯及其负面影响，但是家庭对睡眠和睡眠习惯的看法以及对支持促进健康睡眠习惯的支持的偏好尚不清楚，并且迫切需要进行干预，以促进健康的睡眠习惯，并促进个人，家庭，家庭和社会因素，使环境障碍和社交因素造成困难的儿童，而这些儿童却使您陷入困境的儿童和年轻人的生活中，这些因素是造成的，这些因素又有症状和社会因素。在社会生态模型的指导下，拟议的研究将采用订婚的社区（CENR）方法来获得基础信息，以支持6至36个月大的儿童社区参与睡眠促进计划。我们将解决以下具体目的：（1）检查父母对6-36个月大的孩子睡眠的知识和看法，包括（1A）自我报告和Actigraph录制的睡眠，睡眠习惯和困难的行为特征； （1b）睡眠习惯和个人，家庭的贡献 社区，文化/社会和与健康相关的因素，遇到睡眠特征和睡眠困难； （1C）睡眠困难的后果； （1D）用于促进儿童睡眠和睡眠习惯的成功且失败的策略； （1E）对孩子的睡眠促进干预措施的偏好；以及对开始睡眠促进干预措施的最佳时机的看法； （2）检查儿科初级保健提供者对（2a）睡眠和睡眠习惯对6-36个月大的孩子的重要性； （2b）导致睡眠习惯和睡眠困难的因素； （2C）成功且失败的方法来促进健康的睡眠习惯，足够的持续时间，良好的睡眠以及在家人的背景下对幼儿困难的睡眠评估和治疗； （2C）障碍，促进者以及针对有孩子的家庭进行睡眠干预措施的偏好； （3）与家人和提供者合作使用目标1和2中获得的信息来开发和完善可行，相关且可接受的睡眠促进计划，包括程序，协议，患者材料，干预保真度计划和交付方法。我们将使用CENR和一种收敛的混合方法方法来充分吸引社区利益相关者（父母，儿科医疗保健提供者）来开发睡眠促进干预措施。我们预计结果将导致未来的随机对照试验（RCT），该试验将研究社区订婚的睡眠促进计划对生活在经济压力的城市环境中的幼儿中睡眠习惯，睡眠和与睡眠有关的结果的持续影响。我们的长期目标是将有效的睡眠促进干预措施传播并转化为社区环境。