Development and implementation of a digital sleep intervention for preschoolers in foster care

为寄养中的学龄前儿童开发和实施数字睡眠干预

基本信息

批准号：
10724304
负责人：
Darlynn Marie Rojo-Wissar
金额：
$ 17.52万
依托单位：
EMMA PENDLETON BRADLEY HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-01 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10724304
关键词：
Active Learning Address Adolescent Adult Area Award Behavior Behavioral Buffers Cardiovascular Diseases Caregiver support Caregivers Caring Child Child Abuse and Neglect Child Behavior Child Development Child Nutrition Child Support Child Welfare Childhood Chronic Circadian Rhythms Collaborations Communities Conduct Clinical Trials Data Development Dissemination and Implementation Diverse Workforce Early Intervention Economic Burden Environment Evaluation Exposure to Family First Generation College Students Funding General Population Goals Grant Guidelines Health Health Status Hispanic Hospitals Institution Interruption Intervention Interview Investments Licensing Link Literature Measures Mental Depression Mental Health Mentors Mentorship Mission Modification National Heart, Lung, and Blood Institute Nursery Schools Obesity Parents Participant Patient Self-Report Physical activity Population Population Intervention Problem behavior Process Proctor framework Public Health Randomized, Controlled Trials Regulation Reporting Research Research Personnel Risk School-Age Population Sleep Sleep disturbances Stress Stressful Event Structure Surveys System Testing Training Trauma Underserved Population Vulnerable Populations Waiting Lists adverse childhood events behavior change behavioral health behavioral outcome care systems career career development community partnership community setting cost effectiveness digital digital intervention early childhood early life adversity early life exposure evidence base evidence based guidelines experience flexibility follow-up foster care foster child foster parent group intervention health disparity health economics health equity promotion health service use high risk implementation outcomes implementation science improved innovation intervention delivery intervention mapping maltreatment medical schools meetings mortality risk neglect physical conditioning post intervention programs psychosocial public health intervention recruit resilience skills sleep difficulty sleep health stressor therapy development translational scientist trauma exposure trial design

项目摘要

PROJECT SUMMARY Children in foster care (FC) are at risk for chronic health conditions, in part due to exposure to adverse childhood experiences (ACEs). Early intervention may ameliorate health disparities and economic burden associated with ACEs, with the preschool period yielding a substantially larger return on investment compared to interventions later in development. Children in FC are at high risk for sleep disturbances, which are a major contributor to the development and exacerbation of chronic health conditions, yet behavioral sleep interventions for this population are nonexistent. This K01 proposal seeks to address this critical gap in care and promote health equity in this underserved population by developing and implementing a trauma-informed digital public-health-level sleep intervention called Sleep Wizard, which we will administer to foster caregivers of preschoolers. Our innovative approach involves collaboration with a planning group of key stakeholders including FC workers and parents, and experts in sleep, trauma, health, and interventions in the context of FC. The goal of Aim 1 is to develop and digitize initial Sleep Wizard intervention content with the planning group, informed by the literature on trauma-informed care, evidence-based strategies to support healthy sleep, FC licensing regulations, and foster parent needs and experiences. In Aim 2, Sleep Wizard will be pretested by foster caregivers who will provide quantitative and qualitative data on acceptability, feasibility, and appropriateness of the intervention, which will be used to make final intervention modifications. Aim 3 will evaluate whether Sleep Wizard is associated with improvements in foster caregiver behaviors around sleep, and in child sleep from pre to post intervention, and at a 3-month follow-up. This will be the first large scale sleep intervention developed and tested in this population. Local and national stakeholders have expressed enthusiasm and have committed to involvement in the development, implementation, and evaluation of Sleep Wizard. To achieve the research plan, the PI will execute a structured comprehensive training plan to gain specialized skills in (1) Sleep, mental health, and ACEs in early childhood in the context of foster care, (2) Developing partnerships with the child welfare community, (3) Intervention development and implementation science, (4) Implementation and dissemination of digital interventions, and (5) Conducting clinical trials. Training will be overseen by an outstanding mentorship team with cross-cutting expertise in these areas and a track record of successful mentorship experiences and collaborations. Implementation of the research and training plan will also be bolstered by support from the institutional environment, namely Brown Medical School, Bradley Hospital, and two new major center grants focused on promoting the career development of early-stage investigators in 1) childhood stress, trauma, and resilience, and 2) sleep and circadian rhythms in child and adolescent mental health. This award will catapult my transition to an independent translational scientist with a career high in scientific and public health impact in early life adversity, sleep, and health.

项目摘要寄养儿童（FC）有慢性健康状况的风险，部分原因是童年经历（ACE）。早期干预可能会减轻健康差异和经济负担与ACE相关，学龄前时期的投资回报率要大得多以后开发的干预措施。足球俱乐部的儿童患睡眠障碍的高风险，这是一个主要的为慢性健康状况的发展和加剧的贡献者，但行为睡眠该人群的干预措施不存在。该K01提案旨在解决这个关键的护理差距并通过开发和实施受创伤的人群来促进这个服务不足的人群中的健康公平性数字公共卫生级睡眠干预称为睡眠向导，我们将向培养护理人员进行管理学龄前儿童。我们的创新方法涉及与一个主要利益相关者的计划小组合作包括足球俱乐部的工人和父母，以及在足球俱乐部的睡眠，创伤，健康和干预方面的专家。目标1的目的是与计划小组开发和数字化初始睡眠向导干预内容，由有关创伤信息护理的文献启发，支持健康睡眠的循证策略许可法规，并培养父母的需求和经验。在AIM 2中，睡眠向导会由寄养的护理人员将提供有关可接受性，可行性和的定性数据干预措施的适当性，将用于进行最终的干预修改。目标3意志评估睡眠向导是否与睡眠寄养者行为的改善有关在儿童中，从干预前到后睡觉，并进行3个月的随访。这将是第一个大规模的睡眠干预在该人群中开发和测试。地方和国家利益相关者已经表示热情，并致力于参与睡眠的发展，实施和评估向导。为了实现研究计划，PI将执行结构化的综合培训计划以获得在寄养的情况下，（1）幼儿期的（1）睡眠，心理健康和ACE的专业技能，（2）与儿童福利社区建立伙伴关系，（3）干预开发和实施科学，（4）数字干预措施的实施和传播，以及（5）进行临床试验。培训将由一个杰出的指导团队监督成功的指导经验和合作的记录。实施研究和培训计划还将得到机构环境的支持，即布朗医学学校，布拉德利医院和两个新的主要中心赠款，重点是促进职业发展 1）儿童压力，创伤和韧性的早期研究人员，以及2）睡眠和昼夜节律儿童和青少年心理健康。该奖项将使我过渡到独立翻译科学家对早期逆境，睡眠和健康的科学和公共卫生影响很高。