Integrating GPS, GIS, and Ecological Momentary Assessment to Determine the Effect of Home and Neighborhood Context on Adolescent Sleep

整合 GPS、GIS 和生态瞬时评估来确定家庭和邻里环境对青少年睡眠的影响

• 批准号: 10684013
• 负责人: Stephanie Mayne
• 金额: $ 16.41万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10684013
• 关键词: Address; Adolescent; Adult; Area; Cardiovascular Diseases; Cellular Phone; Characteristics; Child; Child Health; Childhood; Clinical; Crime; Data; Data Analyses; Data Collection; Development; Diabetes Mellitus; Disease; Ecological momentary assessment; Enrollment; Environment; Environmental Exposure; Environmental Impact; Environmental Risk Factor; Exposure to; Family; Foundations; Funding; Future; Geographic Information Systems; Goals; Green space; Health; Health Policy; Health behavior; Health behavior and outcomes; High School Student; Home; Hour; Household; Housing; Hypertension; Individual; Individual Adjustment; Intervention; K-Series Research Career Programs; Knowledge; Light; Longevity; Longitudinal Studies; Measures; Mentorship; Methodology; Methods; Modeling; Neighborhoods; Noise; Outcome; Patient Self-Report; Pediatric Hospitals; Pennsylvania; Philadelphia; Positioning Attribute; Primary Care; Public Health; Race; Recommendation; Research; Research Personnel; Resolution; Risk; Schools; Science; Sleep; Sleep Deprivation; Sleep Disorders; Sleep disturbances; Socioeconomic Status; Surveys; Testing; Text Messaging; Time; Training; Universities; Variant; Work; Youth; actigraphy; adolescent health; aged; cardiovascular disorder risk; cardiovascular health; cohesion; cohort; epidemiology study; evidence base; improved; innovation; mHealth; novel; obesity risk; person centered; poor sleep; preventive intervention; programs; prospective; public health intervention; research study; skills; sleep health; sleep pattern; sleep quality; social; socioeconomics; spatiotemporal; stress management; stressor; trend; urban area

Project Summary/Abstract Insufficient sleep doubles the risk of obesity among youth and increases the risk of cardiovascular disease (CVD) in adulthood. Over 75% of US high school students do not meet national sleep recommendations. Given these alarming trends, a better understanding of the environmental determinants of sleep in adolescents is needed in order to identify targets for interventions and public health strategies to promote healthy sleep. While research increasingly suggests that home and neighborhood context impact sleep, key methodological issues limit understanding of the environmental determinants of adolescent sleep. Research on the influence of neighborhood-level factors (e.g. crime, disorder) on sleep typically focuses on the area surrounding adolescents' homes. This approach does not account for mobility and the accumulation of exposures across multiple contexts (e.g. home, school, in transit) during daily activities, leading to exposure misclassification. The home sleep environment (e.g. light, noise) may also vary by night, but is typically assessed at a single timepoint. Mobile health methods including smartphone GPS tracking and ecological momentary assessment (EMA) offer an innovative opportunity to overcome the limitations of past studies by developing person- centered measures of environmental exposures that account for variation over space and time. With this career development award, I will develop critical skills in environmental exposure assessment and health behavior science necessary to pursue a novel independent research program that identifies modifiable environmental determinants of sleep and other CVD-related outcomes and their mechanisms of effect using advanced, cutting-edge methods. In the proposed research study, I will enroll a diverse cohort of 160 adolescents aged 15-18 through a large urban pediatric primary care research network. I will use smartphone GPS tracking, EMA, geographic information systems (GIS), and actigraphy to collect high-resolution longitudinal data on adolescents' exposures to the home and neighborhood context and sleep outcomes over a 14-day period. The research aims include 1) quantifying adolescents' exposure during daily activities to neighborhood factors hypothesized to influence sleep, 2) determining the extent to which adolescents' exposure to adverse sleep environments varies across nights and by housing conditions, and 3) determining the extent to which daily measures of home and neighborhood exposures are associated with adolescent sleep outcomes. With guidance from an expert, interdisciplinary mentorship team at the Children's Hospital of Philadelphia and the University of Pennsylvania, I will obtain training in 1) space-time data collection and analysis, 2) ecological momentary assessment, and 3) sleep research. Completion of the K01 research and training plan will prepare me to compete successfully for R01-level research funding and will uniquely position me as an independent investigator who conducts large-scale epidemiologic investigations on spatiotemporal, environmental determinants of child and adolescent health behaviors related to cardiovascular health.

项目概要/摘要 睡眠不足会使青少年肥胖的风险增加一倍，并增加患心血管疾病的风险 （CVD）成年期。超过 75% 的美国高中生未达到国家睡眠建议。给定 鉴于这些令人震惊的趋势，更好地了解青少年睡眠的环境决定因素是 以确定促进健康睡眠的干预措施和公共卫生战略的目标。尽管 研究越来越多地表明家庭和邻里环境影响睡眠，这是关键的方法论问题 限制对青少年睡眠环境决定因素的了解。研究影响 影响睡眠的邻里因素（例如犯罪、混乱）通常集中在周围区域 青少年之家。这种方法没有考虑到风险的流动性和积累 日常活动中的多种环境（例如家庭、学校、交通中），导致暴露错误分类。 家庭睡眠环境（例如光线、噪音）也可能因夜间而异，但通常是在单一时间进行评估 时间点。移动健康方法，包括智能手机 GPS 跟踪和生态瞬时评估 （EMA）提供了一个创新的机会，通过培养个人来克服过去研究的局限性 环境暴露的集中测量，考虑了空间和时间的变化。有了这个 职业发展奖，我将培养环境暴露评估和健康方面的关键技能 行为科学是追求新颖的独立研究计划所必需的，该计划可以识别可修改的 睡眠和其他心血管疾病相关结果的环境决定因素及其影响机制 先进、前沿的方法。在拟议的研究中，我将招募 160 名不同群体 通过大型城市儿科初级保健研究网络对 15-18 岁青少年进行研究。我会使用智能手机 GPS 跟踪、EMA、地理信息系统 (GIS) 和体动记录仪以收集高分辨率 关于青少年在一段时间内接触家庭和邻里环境以及睡眠结果的纵向数据 为期14天。研究目的包括 1) 量化青少年在日常活动中接触 假设影响睡眠的邻里因素，2) 决定青少年的睡眠程度 暴露在不良睡眠环境中的情况因夜晚和住房条件而异，并且 3) 确定 家庭和邻里暴露的日常测量与青少年睡眠的相关程度 结果。在儿童医院专家、跨学科指导团队的指导下 费城和宾夕法尼亚大学，我将获得1）时空数据收集和 分析，2）生态瞬时评估，3）睡眠研究。完成K01研究并 培训计划将使我做好准备，成功竞争 R01 级研究经费，并将获得独特的地位 我作为一名独立调查员，对时空进行大规模流行病学调查， 与心血管健康相关的儿童和青少年健康行为的环境决定因素。

项目成果

Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19.

• DOI: 10.1016/j.amepre.2022.07.014
• 发表时间: 2023-01
• 期刊: AMERICAN JOURNAL OF PREVENTIVE MEDICINE
• 影响因子: 5.5
• 作者: Mayne, Stephanie L.;Kelleher, Shannon;Hannan, Chloe;Kelly, Mary Kate;Powell, Maura;Dalembert, George;McPeak, Katie;Jenssen, Brian P.;Fiks, Alexander G.
• 通讯作者: Fiks, Alexander G.

Measures of Neighborhood Opportunity and Adherence to Recommended Pediatric Primary Care.

• DOI: 10.1001/jamanetworkopen.2023.30784
• 发表时间: 2023-08-01
• 期刊: JAMA network open
• 影响因子: 13.8