Promoting Sleep Duration in the Pediatric Setting Using a Mobile Health Platform: A Randomized Optimization Trial.


Journal

medRxiv : the preprint server for health sciences
Titre abrégé: medRxiv
Pays: United States
ID NLM: 101767986

Informations de publication

Date de publication:
05 Jan 2023
Historique:
pubmed: 31 1 2023
medline: 31 1 2023
entrez: 30 1 2023
Statut: epublish

Résumé

Determine the optimal combination of digital health intervention component settings that increase average sleep duration by ≥30 minutes per weeknight. Optimization trial using a 2 Average baseline sleep duration was 7.7 hours per night. The highest ranked combination included the core intervention plus the following intervention components: sleep goal (either setting was effective), caregiver-directed loss-framed incentive, messaging to reduce screen time, and messaging to establish daily routines. This combination increased weeknight sleep duration by an average of 39.6 (95% CI: 36.0, 43.1) minutes during the intervention period and by 33.2 (95% CI: 28.9, 37.4) minutes during the follow-up period. Optimal combinations of digital health intervention component settings were identified that effectively increased weeknight sleep duration. This could be a valuable remote patient monitoring approach to treat insufficient sleep in the pediatric setting.

Identifiants

pubmed: 36711634
doi: 10.1101/2023.01.04.23284151
pmc: PMC9882437
pii:
doi:

Types de publication

Preprint

Langues

eng

Déclaration de conflit d'intérêts

Conflict of Interest Disclosures None to report

Auteurs

Jonathan A Mitchell (JA)

Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia.
The Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia.

Knashawn H Morales (KH)

Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Ariel A Williamson (AA)

Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
The Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia.
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia.

Abigail Jawahar (A)

Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia.

Lionola Juste (L)

Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia.

Mary Ellen Vajravelu (ME)

Division of Pediatric Endocrinology, Diabetes and Metabolism, UPMC Children's Hospital of Pittsburgh, Pittsburgh.

Babette S Zemel (BS)

Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia.

David F Dinges (DF)

Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Alexander G Fiks (AG)

Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia.

Classifications MeSH