Ready, Set, Snooz! A web-delivered, prescriptive intervention for pediatric sleep

准备好，开始，打瞌睡！

• 批准号: 8455977
• 负责人: Candice A Alfano
• 金额: $ 25.79万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8455977
• 关键词: Acute; Address; Adult; Age; Alcohol or Other Drugs use; Anxiety; Architecture; Asthma; Award; Behavior; Behavior Therapy; Behavioral; Caregivers; Caring; Child; Childhood; Clinical; Collection; Computer software; Computers; Congresses; Data; Decision Making; Decision Trees; Development; Devices; Diabetes Mellitus; Disease; Early Intervention; Education; Educational Assessment; Educational process of instructing; Electronic Mail; Emotional; Ensure; Environment; Esthetics; Evidence based treatment; Extinction (Psychology); FDA approved; Family; Feedback; Food Hypersensitivity; Goals; Habits; Health Professional; Home environment; Hygiene; Hyperactive behavior; Infant; Internet; Intervention; Interview; Investigation; Knowledge; Lead; Learning; Light; Link; Measures; Mental Depression; Methodology; Methods; Motivation; Obesity; Online Systems; Outcome; Overweight; Parent-Child Relations; Parents; Pattern; Pharmaceutical Preparations; Phase; Play; Population; Problem Solving; Problem behavior; Public Health; Questionnaires; Randomized; Relaxation Therapy; Reporting; Research; Research Personnel; Resources; Rewards; Role; Schedule; School-Age Population; Self Efficacy; Self Management; Services; Sleep; Sleep Disorders; Small Business Innovation Research Grant; Social Environment; Stimulus; Structure; System; Tablets; Techniques; Technology; Telephone; Testing; Text; Time; Toddler; Token Economy; Training; Treatment outcome; United States Dept. of Health and Human Services; Video Games; active control; age group; base; behavior influence; behavioral health; clinical efficacy; commercialization; conduct problem; cost; data management; design; efficacy evaluation; evidence base; experience; improved; inattention; innovation; intervention program; novel; novel strategies; programs; prospective; psychoeducation; public health relevance; rehearsal; service intervention; skills; social; statistics; treatment program; treatment trial; trial comparing; usability; user-friendly; virtual; virtual reality

DESCRIPTION (provided by applicant): Insufficient sleep in children is recognized by Congress and the Department of Health and Human Services as a high priority target for clinical scientific investigation given its consist link with enduring physical, emotional and behavioral problems, including overweight/obesity, inattention, hyperactivity, learning problems, conduct problems, substance use, anxiety, and depression. Behaviorally-based interventions have been proven efficacious for pediatric sleep difficulties and disorders, but they remain under utilized, with approximately 80% [37] of children being prescribed sleep medication despite no FDA approved medications for this population. Given that up to 70% of children in the U.S. age 10 and under experience a sleep problem several times per week [1], and researchers have shown behavioral sleep interventions to be efficacious, we must address this under-utilization by developing more accessible, affordable, and engaging interventions for children and their caregivers. Software-based interventions offer an improved means of disseminating empirically-supported treatments for sleep directly to families, just as they have other pediatric conditions such as diabetes, asthma, and social anxiety. However, in light of the myriad of web-based interventions currently available, software alone does not address issues associated with under-utilization. Development and incorporation of more interactive, experiential, and game-based components such as virtual reality (VR) and token economies, will lead to greater engagement and motivation for use, ultimately resulting in better treatment outcomes. This technological paradigm shift to more experientially, context-based, and interactive content offers distinct advantages over traditional interventions in its ability to provide virtual skills-based practice with real-time feedback, opportunities for entertaining gaming, and more engaging formats of psychoeducation. Utilization of VR technology as part of an internet-delivered behavioral treatment program for children is a novel approach to ensuring access to evidence-based care and optimizing outcomes. This intervention will be the first program for children with sleep problems to leverage a web-based platform that is engaging, educational, skills-based, and easily accessible. This Phase I SBIR will build an intervention called Ready, Set, Snooz", a user-friendly, interactive, and affordable web-based treatment program with a high potential for broad dissemination, adaptation and commercialization across different disease conditions beyond Phase II. This web-based intervention will consist of three Clinical Components: 1) Sleep Tracking, 2) Education/Skill Development, and 3) Virtual Sleep Training. All information will be presented in a sequenced format as to build upon skills already learned/practiced. Additionally, an imbedded virtual game will be available to all users who can exchange virtual tokens earned during the intervention for virtual game content and access to new game levels, a methodology common among many smart device games today. We will evaluate the feasibility, credibility, and acceptability of the treatment program, as well as initial clinical efficacy basedon knowledge, motivation/self- efficacy, and changes in actual sleep patterns and behaviors. Our intervention, Ready, Set, Snooz", will represent the first prescriptive, engaging, and interactive web-based intervention for school-aged children with sleep difficulties, requiring active participation by both the child and parent. We believe this intervention will surpass existing approaches for child-focused software programs based on its novelty, aesthetics, ease of use, and acceptance/promotion by health care professionals and families. If successful, we envision that the VR program will serve as a template for interactive VR interventions for children with other conditions requiring self-management, such as asthma, diabetes, and food allergies. The promise of commercial opportunity is significant in an era in which there is increasingly widespread access to and everyday use of computers, smart phones, and tablet technologies.

描述（由申请人提供）：鉴于其与持久的身体，情绪和行为问题的联系，包括临床科学研究的高优先级目标是，儿童的睡眠不足是对临床科学研究的高优先目标，包括超重/肥胖，不注意力，超重，活动，学习问题，焦虑，焦虑，焦虑，焦虑，焦虑和抑郁。以行为为基础的干预措施已被证明有效地有助于儿科睡眠困难和疾病，但仍被利用，尽管未对该人群进行FDA批准的药物，但大约有80％的儿童被处方睡眠药物处方。鉴于美国10岁及以下的儿童中，每周几次睡眠问题[1]，研究人员表明，行为睡眠干预措施有效，我们必须通过为儿童及其护理人员开发更易于访问，负担得起的，负担得起的和引人入胜的干预措施来解决这种不足之处。 基于软件的干预措施提供了一种改进的方法，可以直接向家庭传播经验支持的睡眠治疗方法，就像他们患有其他儿科疾病（例如糖尿病，哮喘和社交焦虑症）一样。但是，鉴于目前可用的无数基于网络的干预措施，仅软件并不能解决与利用不足有关的问题。开发和融合更具互动性，经验性和基于游戏的组件，例如虚拟现实（VR）和代币经济体，将导致更多的参与度和使用动力，最终导致更好的治疗结果。这种技术范式转移到更经验上，基于上下文和交互式内容在传统干预措施方面具有不同的优势，其能力提供了具有实时反馈，娱乐游戏的机会以及更引人入胜的心理教育形式的能力。利用VR技术作为儿童互联网传递行为治疗计划的一部分是确保获得基于证据的护理和优化结果的新方法。这种干预将是第一个针对睡眠问题的儿童的计划，以利用一个基于网络的平台，该平台引人入胜，教育，基于技能且易于访问。 这阶段I SBIR将建立一种称为Ready，set，Snooz的干预措施”，这是一种用户友好，互动和负担得起的基于Web的治疗计划，具有较高的广泛传播，适应和商业化的潜力，除了II期之外的不同疾病条件之间。这种基于Web的干预措施将以三种临床组成部分包括三个临床组成部分：1）睡眠跟踪，2）构建/2）构建的培训，以及一项技能培训，以及一项精力培训。还可以为所有可以在干预期间赢得的虚拟代币以获取虚拟游戏内容并访问新游戏水平的所有用户，这是一种融合的虚拟游戏，这是当今许多智能设备游戏中的常见方法。 我们的干预措施，准备，设定，snooz”将代表对有睡眠困难的学龄儿童进行的第一个规范性，引人入胜且基于互动的基于网络的干预措施，需要孩子和父母的积极参与。我们相信，这种干预措施将超过现有的儿童软件计划方法，基于其新颖性，良好的使用，即服务，并接受了一位version和norke version version，如果您的新颖性和家庭的健康范围，我们的服务范围和家庭都可以在vertherthe的新颖性上获得保健专业，那么我们就可以接受。在需要自我管理的其他条件的儿童中进行互动VR干预的模板，例如哮喘，糖尿病和食物过敏。