An mHealth intervention to deliver personalized messages to increase adherence to OSA evaluation and treatment among transportation workers

移动健康干预措施可提供个性化信息，以提高交通工作者对 OSA 评估和治疗的依从性

• 批准号: 10682447
• 负责人: Rebecca Robbins
• 金额: $ 14.18万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-05 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10682447
• 关键词: Accidents; Address; Adherence; Agreement; Area; Award; Awareness; Behavior; Behavior Therapy; Behavioral; Belief; Biometry; Caliber; Cardiovascular Diseases; Caring; Cellular Phone; Clinical Trials; Clinical Trials Design; Consultations; Control Groups; Data; Development; Diagnosis; Ecological momentary assessment; Education; Environment; Evaluation; Excessive Daytime Sleepiness; Exposure to; Focus Groups; Funding; Future; Goals; Health; Heart failure; Hypertension; Individual; Injury; Ink; Intervention; Job loss; Link; Maintenance; Mediating; Medicine; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Monitor; Myocardial Infarction; Obstructive Sleep Apnea; Operative Surgical Procedures; Oral Positive Airway Pressure; Participant; Phase; Pilot Projects; Population; Positioning Attribute; Public Health; Questionnaires; Random Allocation; Randomized; Readiness; Recommendation; Reporting; Research; Research Personnel; Risk; Scientist; Self Efficacy; Series; Sleep; Sleep Disorders; Stroke; Surveys; Techniques; Text Messaging; Training; Training and Education; Transportation; United States National Institutes of Health; Universities; Work; Workplace; adaptive intervention; apprenticeship; behavior test; cardiovascular disorder risk; career; career development; cognitive interview; design; effectiveness evaluation; experience; health communication; improved; improvement on sleep; innovation; mHealth; medical schools; novel; pilot test; post-doctoral training; programs; prototype; social cognitive theory; tailored messaging; tailored text messaging; text messaging intervention; theories; therapy design; treatment adherence; treatment comparison; vehicular accident

ABSTRACT In this K01 application, I will design and conduct a pilot study of a novel behavioral intervention to improve obstructive sleep apnea (OSA) evaluation and treatment among transportation workers. I will also explore whether improved adherence to recommended OSA evaluation and treatment is mediated by OSA self- efficacy. The proposed study will use qualitative and quantitative methods to design a tailored text messaging intervention with the aim of increasing OSA self-efficacy, leading to recommended OSA evaluation and treatment among transportation workers. Candidate: The proposed K01 will provide me with critical training in the development and evaluation of novel behavioral interventions. Training in (1) OSA research, (2) designing novel intervention packages, (3) clinical trials design to test behavioral interventions, (4) collecting and analyzing ecological momentary assessment data, and (5) designing and evaluating adaptive interventions, and (6) career development will bridge my prior training in health communication (doctoral training, Cornell University) and behavioral sleep medicine research (postdoctoral training, NYU School of Medicine). This training in underdeveloped areas of my background will allow me to reach my career goal, which is to transition to become a leading health communication researcher specializing in novel intervention approaches to improve sleep disorders awareness, evaluation, and treatment. In consultation with my Primary Mentor, Dr. Girardin Jean-Louis, I have assembled a comprehensive training plan, including coursework and apprentice- ship like training, which will be delivered and monitored by a cadre of outstanding scientists who will serve as scientific and career mentors . Environment: The superb educational and training environment at the NYU School of Medicine will provide me with the optimal training experience to become a federally funded, independent researcher designing interventions to improve adherence to sleep disorders evaluation and long- term treatment adherence. Research: The goal of this K01 application is to identify OSA barriers and facilitators, develop tailored health messages, and conduct a pilot study assessing their feasibility for improving adherence to recommended OSA evaluation and treatment among transportation workers. I will design an adaptive intervention to nudge and navigate transportation workers along their individual position on a spectrum of readiness to change. Messages will be delivered via text messaging in a mobile health (mHealth) approach. Messages will be designed to increase self-efficacy (i.e., belief in one’s ability to perform a recommended behavior such as adhering to recommended OSA evaluation and treatment) in accordance with Social Cognitive Theory. Future Directions: Results from this K01 will provide the necessary preliminary data for my first R01 submission to evaluate the effectiveness of the proposed intervention for improving OSA evaluation and treatment among transportation workers.

抽象的 在这个 K01 申请中，我将设计并进行一项新颖的行为干预的试点研究，以改善 我还将探讨运输工人的阻塞性睡眠呼吸暂停（OSA）评估和治疗。 对推荐的 OSA 评估和治疗的依从性的提高是否是由 OSA 自我介导的 拟议的研究将使用定性和定量方法来设计定制的短信。 旨在提高 OSA 自我效能的干预措施，从而导致建议的 OSA 评估和 候选人在运输工人中的待遇：拟议的 K01 将为我提供以下方面的关键培训： 新型行为干预措施的开发和评估：(1) OSA 研究，(2) 设计。 新颖的干预方案，(3) 设计临床试验来测试行为干预措施，(4) 收集和 生态分析瞬时评估数据，以及（5）设计和评估适应性干预措施， (6) 职业发展将弥补我之前在健康传播方面的培训（康奈尔大学博士培训） 大学）和行为睡眠医学研究（纽约大学医学院博士后培训）。 在我的背景欠发达领域进行培训将使我能够实现我的职业目标，即转型 成为领先的健康传播研究者，专门研究新颖的干预方法 与我的主要导师 Dr. 协商后，提高对睡眠障碍的认识、评估和治疗。 Girardin Jean-Louis，我制定了一个全面的培训计划，包括课程和学徒- 类似船的培训，将由一批杰出科学家进行和监督，他们将作为 科学和职业导师。 环境：纽约大学一流的教育和培训环境。 医学院将为我提供成为联邦资助的、 独立研究人员设计干预措施，以提高对睡眠障碍评估和长期睡眠的依从性 研究：该 K01 应用程序的目标是识别 OSA 障碍和 协调员，制定量身定制的健康信息，并进行试点研究，评估其改善的可行性 遵守交通运输工人推荐的 OSA 评估和治疗 我将设计一个 适应性干预，以推动和引导运输工人沿着他们在道路上的个人位置 信息将通过移动医疗 (mHealth) 中的短信传递。 信息旨在提高自我效能（即相信一个人有能力执行某项任务）。 建议的行为，例如遵守建议的 OSA 评估和治疗） 社会认知理论。未来方向：K01 的结果将提供必要的初步数据。 我的第一份 R01 提交，旨在评估拟议干预措施对改善 OSA 的有效性 运输工人的评估和待遇。

项目成果

Quantifying the impact of the Philips recall on patients with sleep apnea and clinicians.

量化飞利浦召回对睡眠呼吸暂停患者和临床医生的影响。

• DOI: 10.5664/jcsm.10652
• 发表时间: 2023
• 期刊: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
• 作者: Robbins,Rebecca;Epstein,LawrenceJ;Pavlova,MilenaK;Iyer,Jay;Batool-Anwar,Salma;Bertisch,SuzanneM;Quan,StuartF
• 通讯作者: Quan,StuartF

A Health Communication Assessment of Web-based Obstructive Sleep Apnea Patient Education Materials.

• DOI: 10.34197/ats-scholar.2021-0055oc
• 发表时间: 2022-03
• 期刊: ATS SCHOLAR
• 影响因子: 1.9
• 作者: Robbins, Rebecca;Dudley, Katherine A;Monten, Kristen N;Le, Colin;Hanes, Sherry;Patel, Sanjay R;Bertisch, Suzanne M
• 通讯作者: Bertisch, Suzanne M

Insomnia, Poor Sleep Quality and Sleep Duration, and Risk for COVID-19 Infection and Hospitalization.

• DOI: 10.1016/j.amjmed.2023.04.002
• 发表时间: 2023-08
• 期刊: AMERICAN JOURNAL OF MEDICINE
• 影响因子: 5.9
• 作者: Quan, Stuart F.;Weaver, Matthew D.;Czeisler, Mark E.;Barger, Laura K.;Booker, Lauren A.;Howard, Mark E.;Jackson, Melinda L.;Lane, Rashon I.;McDonald, Christine F.;Ridgers, Anna;Robbins, Rebecca;Varma, Prerna;Wiley, Joshua F.;Rajaratnam, Shantha M. W.;Czeisler, Charles A.
• 通讯作者: Czeisler, Charles A.

Four-Year Trends in Sleep Duration and Quality: A Longitudinal Study Using Data from a Commercially Available Sleep Tracker.

睡眠持续时间和质量的四年趋势：使用市售睡眠追踪器数据进行的纵向研究。

• DOI: 10.2196/14735
• 发表时间: 2020
• 期刊: Journal of medical Internet research
• 影响因子: 7.4
• 作者: Robbins,Rebecca;Affouf,Mahmoud;Seixas,Azizi;Beaugris,Louis;Avirappattu,George;Jean-Louis,Girardin
• 通讯作者: Jean-Louis,Girardin

Early public adherence with and support for stay-at-home COVID-19 mitigation strategies despite adverse life impact: a transnational cross-sectional survey study in the United States and Australia.

• DOI: 10.1186/s12889-021-10410-x
• 发表时间: 2021-03-15
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Czeisler MÉ;Howard ME;Robbins R;Barger LK;Facer-Childs ER;Rajaratnam SMW;Czeisler CA
• 通讯作者: Czeisler CA