MedPath

Increasing Childhood Sleep Duration in the Primary Care Setting

Not Applicable
Completed
Conditions
Sleep
Interventions
Behavioral: Sleep Extension
Registration Number
NCT03870282
Lead Sponsor
Children's Hospital of Philadelphia
Brief Summary

Investigators seek to determine if a mobile health based intervention can be developed to target increases in childhood sleep duration.

Detailed Description

Investigators seek to determine if an online based intervention can be developed to target increases in childhood sleep. The primary objectives of this study are to determine if different messaging strategies lead to the longer sleep duration.Children aged 9-12 who sleep about 6-8.5 hours per night will wear a Fitbit for 11 weeks in order to measure sleep patterns. Participants will have a sleep goal to meet each night. Participants will be randomized to one of thirty-two study conditions and receive text and/or email messaging. Some study arms receive additional messaging with different content and frequency of delivery. The study involves one visit to the Children's Hospital of Philadelphia (CHOP).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
97
Inclusion Criteria
  1. Males or females age 9 to 12 years.
  2. Speak, read and write in English.
  3. Parental/guardian permission (informed consent) and child assent.
  4. Have a computer or a tablet computer with access to the Internet, or own a smartphone with a data and text plan.
  5. Parent reported time in bed on school nights between 6.0-8.5 hours in bed at night (e.g. 7-hour time in bed: go to bed at 11pm & get out of bed at 6am).
Exclusion Criteria
  1. Any clinically diagnosed sleep disorder (e.g. sleep apnea).
  2. Diagnosed with a psychiatric disorder [e.g. attention deficit hyperactivity disorder (ADHD), depression, anxiety].
  3. Diagnosed with an eating disorder.
  4. Musculoskeletal or neurological disorder that limits physical movement and activity.
  5. Use of medications (prescription or otherwise) known to affect body weight and/or sleep.

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
9h 15m Goal | Incentive BSleep Extension-
9h 15m Goal | Incentive B | Texts ASleep Extension-
9h 15m Goal | Incentive B | Texts A&BSleep Extension-
9h 15m Goal | Incentive A&B | Texts ASleep Extension-
Personal GoalSleep Extension-
Personal Goal | Texts A&BSleep Extension-
Personal Goal | Incentive B | Texts BSleep Extension-
9h 15m Goal | Texts BSleep Extension-
9h 15m Goal | Texts ASleep Extension-
9h 15m Goal | Incentive A | Texts BSleep Extension-
Personal Goal | Incentive A&B | Texts ASleep Extension-
Personal Goal | Incentives A&B | Texts A&BSleep Extension-
9h 15m GoalSleep Extension-
9h 15m Goal | Texts A&BSleep Extension-
9h 15m Goal | Incentive B | Texts BSleep Extension-
9h 15m Goal | Incentive A | Texts ASleep Extension-
9h 15m Goal | Incentive A&BSleep Extension-
9h 15m Goal | Incentives A&B | Texts A&BSleep Extension-
9h 15m Goal | Incentive ASleep Extension-
9h 15m Goal | Incentive A | Texts A&BSleep Extension-
9h 15m Goal | Incentive A&B | Texts BSleep Extension-
Personal Goal | Texts BSleep Extension-
Personal Goal | Incentive BSleep Extension-
Personal Goal | Incentive B | Text ASleep Extension-
Personal Goal | Incentive B | Texts A&BSleep Extension-
Personal Goal | Incentive ASleep Extension-
Personal Goal | Incentive A | Texts A&BSleep Extension-
Personal Goal | Incentive A&B | Texts BSleep Extension-
Personal Goal | Texts ASleep Extension-
Personal Goal | Incentive A | Texts ASleep Extension-
Personal Goal | Incentive A&BSleep Extension-
Personal Goal | Incentive A | Texts BSleep Extension-
Primary Outcome Measures
NameTimeMethod
Actigraphy Estimated Weeknight Sleep Duration10 weeks

The investigators' primary outcome is actigraphy estimated weeknight sleep duration operationalized as the average hours per weeknight per week.

Secondary Outcome Measures
NameTimeMethod
Sleep Disturbance Score15 minutes

Measured using the validated Patient-Reported Outcomes Measurement Information System (PROMIS) 9-item bank for pediatric sleep, ages 8-17y. The sleep disturbance score is calculated by summing responses to items related to sleep onset, sleep continuity and sleep quality. Higher scores for sleep disturbance indicate poorer sleep quality. We will operationalize our secondary outcomes as T-scores, using the standard PROMIS approach.

Sleep Related Impairment Score15 minutes

Measured using the validated Patient-Reported Outcomes Measurement Information System (PROMIS) 9-item bank for pediatric sleep, ages 8-17y. The sleep-related impairment score is calculated by summing responses to items related to daytime sleepiness, cognition, affect \& behavior and daytime activities. Higher scores for sleep impairment indicate poorer sleep quality. We will operationalize our secondary outcomes as T-scores, using the standard PROMIS approach.

Trial Locations

Locations (1)

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

© Copyright 2025. All Rights Reserved by MedPath