Redeker Nancy S, Ordway Monica R, Banasiak Nancy, Caldwell Barbara, Canapari Craig, Crowley Angela, Fenick Ada, Jeon Sangchoon, O'Connell Meghan, Sude Leslie, Sadler Lois S
Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut.
Yale School of Nursing, West Haven, Connecticut.
Res Nurs Health. 2018 Feb;41(1):19-29. doi: 10.1002/nur.21840. Epub 2017 Dec 26.
Beginning early in life, sleep health, including adequate quality, quantity, and consistent sleep routines, is critical to growth and development, behavior, and mental and physical health. Children who live in economically stressed urban environments are at particular risk for sleep deficiency and its negative consequences. Although efficacious sleep health interventions are available, few address the context of economically stressed urban environments. The purpose of this paper is to describe a two-phase protocol for an ongoing NIH/NINR-funded community-engaged study designed to understand the perspectives of parents, community child care and pediatric health care providers about sleep habits, factors that contribute to sleep and sleep habits, sleep difficulty, and potentially useful sleep promotion strategies among children living in economically stressed urban environments. The social-ecological model guides this study. Phase I employs a convergent mixed-methods design, in which we are conducting semi-structured interviews with parents, childcare providers, and primary health care providers. We are collecting 9 days of objective sleep data (wrist actigraphy) from children who are 6-18 months (n = 15) and 19-36 months of age (n = 15) and parent reports of sleep and sleep-related factors using standard questionnaires. In Phase I, we will use a qualitative descriptive approach to analyze the interview data, and descriptive statistics to analyze the survey and actigraph data. In Phase II, we will use the information to develop a contextually relevant program to promote sleep health. Our long-term goal is to improve sleep health and sleep-related outcomes in these children.
从生命早期开始，睡眠健康，包括充足的睡眠质量、睡眠时间和一致的睡眠习惯，对生长发育、行为以及身心健康至关重要。生活在经济压力较大的城市环境中的儿童尤其容易出现睡眠不足及其负面后果。尽管有有效的睡眠健康干预措施，但很少有措施针对经济压力较大的城市环境背景。本文的目的是描述一项正在进行的由美国国立卫生研究院/美国国立护理研究机构资助的社区参与研究的两阶段方案，该研究旨在了解父母、社区儿童保育人员和儿科医疗保健提供者对于生活在经济压力较大的城市环境中的儿童的睡眠习惯、影响睡眠及睡眠习惯的因素、睡眠困难以及潜在有用的睡眠促进策略的看法。社会生态模型指导这项研究。第一阶段采用聚合混合方法设计，我们将对父母、儿童保育人员和初级医疗保健提供者进行半结构化访谈。我们正在收集6至18个月大（n = 15）和19至36个月大（n = 15）儿童的9天客观睡眠数据（手腕活动记录仪），并通过标准问卷收集父母关于睡眠及与睡眠相关因素的报告。在第一阶段，我们将采用定性描述方法分析访谈数据，并用描述性统计分析调查和活动记录仪数据。在第二阶段，我们将利用这些信息制定一个与背景相关的促进睡眠健康的项目。我们的长期目标是改善这些儿童的睡眠健康及与睡眠相关的结果。
