睡眠健康教育的定制方法（TASHE）：一项基于网络的随机对照试验的研究方案
Tailored approach to sleep health education (TASHE): study protocol for a web-based randomized controlled trial.
作者信息
Williams Natasha J, Robbins Rebecca, Rapoport David, Allegrante John P, Cohall Alwyn, Ogedgebe Gbenga, Jean-Louis Girardin
机构信息
Department of Population Health, Division of Health and Behavior, Center for Healthful Behavior Change, NYU Medical Center, New York, NY, 10016, USA.
Ichan School of Medicine at Mount Sinai, Pulmonary, Critical Care and Sleep Medicine, New York, NY, 10029, USA.
出版信息
Trials. 2016 Dec 8;17(1):585. doi: 10.1186/s13063-016-1701-x.
BACKGROUND
Obstructive sleep apnea (OSA) is a sleep disorder that disproportionately affects African Americans (hereafter referred to as blacks). Moreover, blacks may underutilize sleep services including overnight polysomnography. Thus, OSA among blacks may go undiagnosed and untreated, which has significant health consequences, including hypertension, diabetes, cognitive impairment, and daytime sleepiness.
DESIGN AND METHODS
This two-arm randomized controlled trial will assign 200 participants to a culturally and linguistically tailored web-based sleep educational platform. The website will be developed to ensure that the content is user friendly and that it is readable and acceptable by the target community. Participants will receive login information to a password-protected website and will have access to the website for 2 months. Study assessments will be collected at baseline, 2 months (post-enrollment) and at 6 months (follow-up). We will use qualitative and quantitative methods to develop tailored materials and to ascertain whether tailored materials will increase OSA knowledge and OSA health literacy by comparing blacks exposed to tailored materials versus those exposed to standard sleep health literature. We hypothesize that exposure to tailored OSA information will improve OSA health literacy.
DISCUSSION
Few studies have investigated the racial/ethnic disparities in relation to OSA screening and treatment comparing blacks and whites. Moreover, we know of no interventions designed to increase OSA knowledge and health literacy among blacks. Use of the Internet to disseminate health information is growing in this population. Thus, the Internet may be an effective means to increase OSA health literacy, thereby potentially increasing utilization of sleep-related services in this population.
TRIAL REGISTRATION
The study is registered at clinicaltrials.gov, reference number NCT02507089 . Registered on 21 July 2015.
背景
阻塞性睡眠呼吸暂停（OSA）是一种睡眠障碍，对非裔美国人（以下简称黑人）的影响尤为严重。此外，黑人可能较少利用包括夜间多导睡眠图在内的睡眠服务。因此，黑人中的OSA可能未被诊断和治疗，这会带来重大的健康后果，包括高血压、糖尿病、认知障碍和日间嗜睡。
设计与方法
这项双臂随机对照试验将把200名参与者分配到一个针对文化和语言量身定制的基于网络的睡眠教育平台。该网站的开发将确保内容对用户友好，并且目标群体能够阅读和接受。参与者将收到受密码保护网站的登录信息，并可在2个月内访问该网站。研究评估将在基线、2个月（入组后）和6个月（随访）时收集。我们将使用定性和定量方法来开发量身定制的材料，并通过比较接触量身定制材料的黑人和接触标准睡眠健康文献的黑人，确定量身定制的材料是否会增加OSA知识和OSA健康素养。我们假设接触量身定制的OSA信息将提高OSA健康素养。
讨论
很少有研究调查黑人和白人在OSA筛查和治疗方面的种族/族裔差异。此外，我们不知道有任何旨在提高黑人OSA知识和健康素养的干预措施。在这一人群中，利用互联网传播健康信息的情况正在增加。因此，互联网可能是提高OSA健康素养的有效手段，从而有可能增加这一人群对睡眠相关服务的利用。
试验注册
该研究已在clinicaltrials.gov上注册，注册号为NCT02507089。于2015年7月21日注册。
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