Targeted Intervention for Insufficient Sleep among Typically-Developing Adolescents

针对发育正常青少年睡眠不足的针对性干预

基本信息

批准号：
9530398
负责人：
Jessica C Levenson
金额：
$ 13.4万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-01 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9530398
关键词：
15 year old Address Adherence Administrator Adolescence Adolescent Adolescent Development Adopted Advocate Affect Alcohol or Other Drugs use Attention Attitude Behavior Behavioral Case Series Childhood Chronic Circadian Rhythms Clinic Cognitive Communication Communities Data Collection Development Early Intervention Early identification Education Effectiveness of Interventions Emotional Family Feedback Focus Groups Goals Grant Health Health Promotion Hour Impulsivity Individual Intervention Link Maintenance Measures Mental Health Mentors Methods Modeling Moods Motivation National Institute of Child Health and Human Development Nature Outcome Parents Performance Persons Plant Roots Population Program Acceptability Program Development Provider Public Health Qualitative Methods Qualitative Research Randomized Recommendation Reporting Research Research Personnel Research Project Grants Research Proposals Risk Risk Behaviors Risk-Taking Schools Self Efficacy Sleep Testing Text Messaging Time Training Waiting Lists Work Youth adolescent health adverse outcome base behavior change behavioral health career design disturbance in affect early adolescence effective intervention evidence base follow-up group intervention healthy lifestyle high school impaired driving performance improved innovation interest intervention program motivational enhancement therapy patient oriented research physical conditioning pilot trial post intervention programs psychoeducation psychoeducational psychosocial randomized trial satisfaction screening, brief intervention, referral, and treatment sleep health sleep-focused interventions social willingness

项目摘要

Project Summary/Abstract Dr. Jessica Levenson’s long-term career goal is to become an independent investigator who develops, tests, and optimizes stakeholder-informed adolescent health promotion programs that target sleep in order to promote emotional, cognitive, and behavioral health outcomes. Scalable, effective sleep health promotion programs are critically needed to address the significant and damaging effects of insufficient sleep in adolescent populations. The overall aim of Dr. Levenson’s research proposal is to involve various stakeholders (e.g., youth, parents, clinicians, administrators, and adolescent health advocates) in the design, pilot testing, and assessment of the acceptability, feasibility, and preliminary outcomes of a sleep promotion program delivered to 13-15 year olds who report insufficient sleep. In Aim 1, Dr. Levenson will use qualitative methods to conduct and analyze feedback from focus groups of key stakeholders (n=3 groups), a stakeholder advisory board, and a case series (n=6). The goals of this formative qualitative research with iterative stakeholder input are: 1) to inform program format, materials, and outcomes; 2) to identify adolescent values and goals related to obtaining sufficient sleep; and 3) to understand facilitators and barriers to program adherence and delivery. In Aim 2, Dr. Levenson will examine the feasibility and acceptability of the program through a small open trial (n=6) and a randomized pilot trial (n=40) that uses a two-period, wait-list control design. In Aim 3 Dr. Levenson will test whether the program is associated with changes in sleep, motivation, and four outcome domains (academic functioning, attention, risk behavior, and affect). Such a broadly relevant program has the potential for enormous public health impact by improving sleep and facilitating healthy development across a range of domains among typically-developing adolescents who are highly vulnerable to adverse consequences. This research will support Dr. Levenson’s training goals of 1) developing proficiency in conducting stakeholder- guided research that focuses on integrating the priorities, needs, and outcomes that are critical to various stakeholders; 2) obtaining training in developing sleep-focused intervention programs for adolescents that are highly focused on building motivation and increasing self-efficacy to change behavior; and 3) developing expertise in adolescent development with a focus on the nature and consequences of normative sleep and circadian rhythm changes that occur during adolescence. The mentoring team is led by Dr. Elizabeth Miller, an expert in community-based, stakeholder-engaged, patient-oriented research in adolescent health, and Dr. Tina Goldstein, an expert in the development and testing of psychosocial interventions for at-risk youth. The proposed training and research aims will support Dr. Levenson’s submission of an R01 research grant aiming to test the effectiveness of the intervention program. Moreover, the proposed training will place Dr. Levenson on a trajectory of independence in investigating health promotion programs that are the most likely to be effective, adopted, and implemented.

项目概要/摘要杰西卡·利文森博士的长期职业目标是成为一名独立研究者，开发、测试并优化利益相关者知情的以睡眠为目标的青少年健康促进计划，以便促进情绪、认知和行为健康结果可扩展、有效的睡眠健康促进。迫切需要制定计划来解决睡眠不足带来的重大和破坏性影响莱文森博士研究提案的总体目标是让各个利益相关者参与进来。（例如青年、父母、教区居民、管理人员和青少年健康倡导者）参与设计、试点测试、评估睡眠促进计划的可接受性、可行性和初步结果在目标 1 中，Levenson 博士将使用定性方法。进行和分析主要利益相关者焦点小组（n=3 组）的反馈，利益相关者咨询该形成性定性研究的目标以及利益相关者的迭代投入。是：1）告知计划格式、材料和结果；2）确定与此相关的青少年价值观和目标获得充足的睡眠；3) 了解计划坚持和实施的促进因素和障碍。目标2，Levenson博士将通过小型公开试验来检验该方案的可行性和可接受性 (n=6) 和一项随机试点试验 (n=40)，采用两期等待名单对照设计 In Aim 3 Dr. Levenson。将测试该计划是否与睡眠、动机和四个结果领域的变化相关（学术功能、注意力、风险行为和影响）这样一个广泛相关的计划具有潜力。通过改善睡眠和促进一系列健康发展来产生巨大的公共健康影响典型发育青少年中极易受到不良后果影响的领域。研究将支持 Levenson 博士的培训目标：1）培养利益相关者的熟练程度重点关注整合对各个方面至关重要的优先事项、需求和成果的指导性研究 2) 利益相关者获得针对以下青少年制定以睡眠为重点的干预计划的培训：高度关注建立动机和提高自我效能以改变行为；3）发展；青少年发展方面的专业知识，重点是规范睡眠和睡眠的性质和后果青春期发生的昼夜节律变化的指导团队由伊丽莎白·米勒博士领导。蒂娜博士是基于社区、利益相关者参与、以患者为导向的青少年健康研究专家戈尔茨坦是针对高危青少年开发和测试社会心理干预措施的专家。拟议的培训和研究目标将支持 Levenson 博士提交 R01 研究补助金，旨在此外，拟议的培训将安排莱文森博士测试干预计划的有效性。走上独立调查最有可能的健康促进计划的轨道有效、被采纳和实施。