Health Promotion in Early Adolescence: Sleep, Activity, and Emotion Regulation

青春期早期的健康促进：睡眠、活动和情绪调节

• 批准号: 8042608
• 负责人: Daniel S Shaw
• 金额: $ 56.42万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-15 至 2014-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8042608
• 关键词: 13 year old; Address; Adolescence; Adolescent; Affect; Affective; Affective Symptoms; Area; Arousal; Attention; Behavior; Behavioral; Behavioral Symptoms; Body mass index; Cardiovascular Diseases; Child; Circadian Rhythms; Clinical; Development; Dimensions; Drops; Early treatment; Effectiveness of Interventions; Elements; Emotional; Emotions; Exercise; Family; Fatigue; Feedback; Future; Goals; Habits; Health; Health Promotion; Home environment; Individual; Intervention; Intervention Trial; Laboratories; Long-Term Effects; Measurable; Measures; Mediating; Mediator of activation protein; Modeling; Monitor; Mood Disorders; Moods; Motivation; Obesity; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Performance; Physical activity; Polysomnography; Prevention; Preventive Intervention; Problem behavior; Process; Puberty; Public Health; Public Policy; Questionnaires; Randomized; Regulation; Reporting; Risk; Schedule; Schools; Science; Self Care; Sleep; Sleep Disorders; Social Change; Stress; Symptoms; System; Testing; Time; Triad Acrylic Resin; Weight Gain; Work; Youth; anti social; base; early adolescence; emotion regulation; experience; flexibility; follow-up; group intervention; high risk; improved; indexing; interest; intervention effect; negative mood; parental involvement; peer; physical conditioning; programs; sedentary; service intervention; skills; social; teacher; waist circumference

DESCRIPTION (provided by applicant): The primary goal of this project is to examine the short and long-term effects of a preventive intervention focusing on three interrelated dimensions of health: improving sleep, increasing physical activity, and improving skills in emotion regulation. This intervention targets high-risk youth at a key neuromaturational period-early adolescence-when many individuals are experiencing new challenges to regulatory systems involved in sleep, activity, and emotion regulation. This maturational period is also a crucial time in the normal development of habits, skills, and proclivities in each of these domains. Thus, early adolescence presents unique opportunities for a preventive intervention targeting these three interrelated regulatory systems. Participants will include 160 10-13 year-old children whose families are identified on the basis of sociodemographic, child, and/or family risk. Children will be selected as having difficulties in at least one of these domains (sleep, sedentary behavior, or emotion regulation) and then randomly assigned to either a control or intervention group. All families will receive baseline, one- and two-year follow-up assessments of child sleep, physical activity, and emotion regulation. Families in the preventive intervention group will be offered feedback and intervention services on these three child domains and other parenting and family issues (e.g., parent involvement, parent self-care, school problems) following the initial assessment and the one-year follow up. We hypothesize that the intervention will be associated with improvements in sleep, physical activity, and emotion regulation among those in the intervention group, as well as improvements in measures of social, behavioral, and affective function. Finally, we will explore the possibility that increases in parental involvement mediate some of the changes found in child sleep, physical activity, and emotion regulation. PUBLIC HEALTH RELEVANCE: This project addresses a set of issues with enormous relevance to public health and policy, targeting early intervention to improve sleep, physical activity, and affect regulation, at a sensitive period in development. Evidence supporting the effectiveness of these interventions, and demonstrating enduring effects from the optimal developmental timing of the intervention in early adolescence would have major public health implications relevant to a broad range of behavioral, emotional, and physical health outcomes.

描述（由申请人提供）：该项目的主要目标是检查针对三个相互关联的健康方面的预防干预措施的短期和长期影响：改善睡眠，增强体育锻炼并提高情绪调节的技能。该干预措施针对的是高风险的青年，以关键的神经饱和时期至青春期 - 当许多人面临与睡眠，活动和情绪调节有关的调节系统面临新的挑战时。这个成熟时期在每个领域的习惯，技能和倾向的正常发展中也是关键时期。因此，青春期早期为针对这三个相互关联的监管系统的预防干预提供了独特的机会。参与者将包括160名10-13岁的孩子，他们的家庭根据社会人口统计学，儿童和/或家庭风险确定。在这些领域中的至少一个（睡眠，久坐行为或情绪调节）中，儿童将被选为困难，然后随机分配给对照组或干预组。所有家庭将对儿童睡眠，体育锻炼和情绪调节的基线，一年和两年的随访评估。在初步评估和一年的随访后，将向这三个儿童领域以及其他育儿和家庭问题（例如，父母参与，家长自我保健，学校问题）提供预防干预小组的家庭。我们假设干预措施将与干预组中的睡眠，体育锻炼和情绪调节的改善以及社会，行为和情感功能的衡量标准有关。最后，我们将探讨父母参与增加的可能性，可以调解儿童睡眠，体育锻炼和情绪调节中发现的一些变化。公共卫生相关性：该项目解决了与公共卫生和政策相关的一系列问题，针对早期干预以改善睡眠，体育锻炼和影响调节，这是在开发方面的敏感时期。支持这些干预措施的有效性的证据，并从青春期早期干预的最佳发展时机表现出持久的影响，这将具有与广泛的行为，情感和身体健康成果有关的主要公共卫生影响。