Family-Centered Digital Behavioral Sleep Intervention for Black Families of Preschool-Aged Children

针对学龄前儿童黑人家庭的以家庭为中心的数字行为睡眠干预

• 批准号: 10723348
• 负责人: Alicia Chung
• 金额: $ 16.2万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 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/10723348
• 关键词: 5 year old; Adolescence; Affect; American; Behavior; Behavioral; Biometry; Black American; Black race; Child; Child Rearing; Childhood; Clinical Trials Design; Cognitive; Communities; Conduct Clinical Trials; Data; Development; Development Plans; Disparity; Evidence based intervention; Family; Family health status; Focus Groups; Goals; Health; Health Promotion; Intervention; Knowledge; Life; Link; Medicine; Mental Health; Mentored Research Scientist Development Award; Mentors; Methods; Nature; New York; Nursery Schools; Outcome; Parent-Child Relations; Parents; Performance; Pilot Projects; Poverty; Prevalence; Procedures; Questionnaires; Reduce health disparities; Reporting; Research; Resistance; Resources; School-Age Population; Scientist; Series; Sleep; Sleep Disorders; Social Environment; Structural Racism; Surveys; System; Testing; Training; Universities; Voice; Walking; Work; arm; career; career development; diaries; digital; digital health; digital intervention; digital technology; dissemination science; early childhood; evidence base; experience; feasibility testing; health disparity; health equity; implementation framework; implementation science; improvement on sleep; mHealth; medical schools; obesity risk; population health; preference; primary outcome; prototype; randomized, clinical trials; research and development; research study; satisfaction; skills; sleep health; social health determinants

PROJECT SUMMARY Short sleep duration is linked with obesity risk in children.1, 2 The prevalence of short sleep duration is 35% among American preschoolers (3 to 5-year-olds) and 53% for Black-American children,3 a glaring health disparity. Sleep disparities in young Black children are hypothesized to be due to social determinants of health, including structural racism and poverty that permeate multiple socio-environmental levels of children’s lives, especially through parenting practices.4-6 Establishing a regular bedtime routine has been recognized as a modifiable parenting behavior to optimize sleep duration. And, digital technology offers an acceptable platform to reach Black families of young children.7 My long-term career objective is to bridge access of evidence-based interventions to Black families via dissemination and implementation science strategies integrated into community systems. My career goal is to become an independent scientist in sleep health interventions to reduce health disparities through family-centered research. This K01 proposal aims to increase access of Black parents of young children to evidence-based strategies known to optimize sleep health. My specific aims are: Aim 1. Develop a digital prototype of evidence-based strategies for establishing a bedtime routine based on using a mixed methods approach (i.e., focus groups and survey data) that considers the lived experiences of 20 Black families of 3- to 5-year-olds with sleep problems; Aim 2: Test the feasibility of the intervention content and digital implementation procedure and iteratively develop the intervention through user journey methods (i.e., cognitive walk-through and think-aloud sessions), and implementation feasibility questionnaire with the same 20 Black families engaged in Aim 1; and Aim 3: Test the acceptability and estimate the impact of the optimized digital intervention through a single-arm pilot study with 40 Black families of 3- to 5-year-olds with sleep problems. Primary outcomes are: Parent knowledge, parenting practices related to establishing bedtime routines, child sleep duration and child bedtime resistance. To achieve this objective, my career development plan includes: 1) obtain training and expertise in behavioral sleep medicine, 2) build expertise in dissemination and implementation science strategies, related to parent engagement; 3) gain hands-on experience conducting an integrated family-centered evidence-informed digital sleep intervention to improve sleep in the family unit; and 4) biostatistical analysis and clinical trial design skills. At NYU Grossman School of Medicine’s Department of Population Health, I will have access to resources from the Department, the Division of Health and Behavior, the Center for Early Childhood Health and Development, NYU Langone Family Health Centers, and the Institute for Excellence in Health Equity, directed by my advisor Dr. Ogedegbe.

项目摘要 短睡眠时间与儿童的肥胖风险有关。1，短睡眠时间的患病率为35％ 在美国学龄前儿童中（3至5岁），黑色儿童为53％，3个明显的健康 差距。假设年轻的黑人儿童的睡眠差异是由于社会决定者的 健康，包括结构性种族主义和贫困，渗透到儿童的多个社会环境水平 直播，尤其是通过育儿习惯。4-6建立常规的就寝时间常规被认为是 可修改的育儿行为以优化睡眠持续时间。而且，数字技术提供了可接受的 接触幼儿的黑人家庭的平台。7我的长期职业目标是桥梁的通道 通过传播和实施科学策略对黑人家庭进行循证干预 集成到社区系统中。我的职业目标是成为睡眠健康的独立科学家 通过以家庭为中心的研究来减少健康差异的干预措施。该K01提案旨在增加 幼儿的黑人父母进入已知睡眠健康的循证策略。我的 具体目的是：目标1。开发基于证据的策略的数字原型来建立就寝时间 基于使用混合方法方法（即焦点小组和调查数据）的常规措施，该方法考虑 3至5岁患有睡眠问题的20个黑人家庭的生活经历；目标2：测试可行性 干预内容和数字实施过程，并通过用户迭代地开发干预措施 旅程方法（即认知步行和思考会议）和实施可行性 参与AIM 1的同一20个黑人家庭的问卷；和目标3：测试可接受性和 通过与40个黑人家庭的单臂试点研究估算优化数字干预的影响 患有睡眠问题的3至5岁儿童。主要结果是：家长知识，与育儿实践相关的 建立就寝时间，儿童睡眠持续时间和儿童就寝时间抵抗。为了实现这一目标， 我的职业发展计划包括：1）获得行为睡眠医学方面的培训和专业知识，2）建造 与父母参与有关的传播和实施科学战略方面的专业知识； 3）增益 实践经验进行集成以家庭为中心的证据信息的数字睡眠干预措施 改善家庭单位的睡眠； 4）生物统计分析和临床试验设计技能。在纽约大学格罗斯曼 医学院人口卫生部，我将可以从该部门获得资源 纽约大学幼儿健康与发展中心健康与行为司，纽约大学 家庭卫生中心和卫生公平卓越研究所，由我的顾问Ogedegbe博士指导。