Maintaining behavior change: A 6-year follow-up of adolescent 'night-owls' and an evaluation of a habit-based sleep health intervention

维持行为改变：对青少年“夜猫子”进行 6 年随访以及基于习惯的睡眠健康干预评估

• 批准号: 10701399
• 负责人: Allison G Harvey
• 金额: $ 8.8万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-01-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10701399
• 关键词: Adolescence; Adolescent; Adult; Aftercare; Behavior; Development; Evaluation; Habits; Health behavior; Intervention; Knowledge; Learning; Measures; Mediating; National Institute of Child Health and Human Development; Outcome; Parents; Procedures; Random Allocation; Research; Research Project Grants; Science; Scientific Advances and Accomplishments; Sleep; Sleep Disorders; Statistical Methods; Strategic Planning; Strigiformes; Testing; aged; behavior change; follow-up; novel; prevent; rate of change; sleep behavior; sleep health; text messaging intervention; theories; young adult; Adolescence; Adolescent; Adult; Aftercare; Behavior; Development; Evaluation; Habits; Health behavior; Intervention; Knowledge; Learning; Measures; Mediating; National Institute of Child Health and Human Development; Outcome; Parents; Procedures; Random Allocation; Research; Research Project Grants; Science; Scientific Advances and Accomplishments; Sleep; Sleep Disorders; Statistical Methods; Strategic Planning; Strigiformes; Testing; aged; behavior change; follow-up; novel; prevent; rate of change; sleep behavior; sleep health; text messaging intervention; theories; young adult

Abstract of Proposed Research Project The proposed research aims to advance scientific knowledge on the dismantling of unhealthy sleep habits during the transition to adulthood. Dismantling unhealthy habits involves disrupting or reducing the automaticity of engaging in the unhealthy habitual behavior. Given the far-reaching consequences of unhealthy habits, the dearth of research on dismantling habits is surprising. The proposed research has a distinct focus from the “parent” R01 (R01HD071065), which is testing an intervention that draws on the science of habit formation to assist young adults (aged 18-30 years) who have sleep problems to build healthy sleep habits. In the R01, the young adults (N = 160) are randomly allocated to the HABITs intervention with (HABITs+Texts) or without (HABITs alone) a novel text messaging intervention that was derived based on learning theory. The proposed research supplement to promote diversity will extend the R01 by adding measures, procedures, and applying advanced statistical methods to understand the impact of the interventions on dismantling unhealthy sleep habits in 70 young adults who participate in the R01. The new measures will be added at pre-treatment, all nine weekly treatment sessions, at the post-treatment assessment and at the 6-month follow-up. The proposed research has two aims. Aim 1 is to compare whether treatment condition predicts (a) change and (b) rate of change in dismantling unhealthy sleep habits. The hypothesis is that change and the rate of change in dismantling unhealthy sleep habits will be greater and faster for HABITs+Texts, relative to HABITs alone. Aim 2 is to test whether the relationship between treatment condition and sleep health behavior at 6-month follow- up is mediated by automaticity of unhealthy sleep habits at post-treatment. The hypothesis is that HABITs+Texts will predict more change in sleep health behavior indirectly through greater dismantling of unhealthy sleep health habits, relative to HABITs alone. This research supplement to promote diversity will contribute to the science of behavior change by providing a deeper understanding of the dismantling of habits and will provide a unique window into whether the intervention tested in the R01 is sufficient for dismantling unhealthy habits. Furthermore, understanding the developmental impact of dismantling unhealthy sleep habits during the transition from adolescence to adulthood contributes to the National Institute of Child Health and Human Development Strategic Plan as it includes a focus on “developmental impact of sleep…and the opportunity to either prevent or mitigate poor outcomes.”

拟议研究项目的摘要 拟议的研究旨在提高科学知识，以消除不健康的睡眠习惯 在过渡到成年期间。拆除不健康的习惯涉及破坏或减少 自动从事不健康的习惯行为。考虑到不健康的深远影响 习惯，拆除习惯的研究死亡令人惊讶。拟议的研究以独特的重点 来自“父级” R01（R01HD071065），该（R01HD071065）正在测试一种借鉴习惯科学的干预措施 构成有帮助的年轻人（18-30岁）有睡眠问题以养成健康的睡眠习惯。在 R01，年轻人（n = 160）随机分配给习惯干预（习惯+文本） 或者没有（习惯），一种基于学习理论得出的新型文本消息干预措施。 提出的促进多样性的研究补充将通过添加措施，程序和 应用先进的统计方法来了解干预措施对拆除不健康的影响 参加R01的70名年轻人的睡眠习惯。新措施将在预处理前添加 在治疗后评估和为期6个月的随访中，所有9次每周的治疗课程。这 拟议的研究有两个目标。目的1是比较治疗条件预测（a）变化和（b）是否比较 拆除不健康睡眠习惯的变化率。假设是变化和变化率 相对于仅习惯，消除不健康的睡眠习惯将更大，更快。目的 2是测试治疗状况与睡眠健康行为之间的关系是否在6个月以后 - 在治疗后，UP是由不健康的睡眠习惯自动介导的。假设是 习惯+文本将通过更大的拆除来预测睡眠健康行为的更多变化 相对于仅习惯，不健康的睡眠健康习惯。这项促进多样性的研究补充将 通过更深入地了解避免习惯 并将为R01中测试的干预措施提供独特的窗口 不健康的习惯。此外，了解拆除不健康睡眠的发展影响 从青少年到成年的过渡期间的习惯为美国国家儿童研究所做出了贡献 健康和人类发展战略计划包括“睡眠的发展影响……和 预防或减轻不良结果的机会。”