Clinical trial

Brief Behavioral Sleep Intervention for Obesity Prevention in Primary Care

Recruiting now · Not applicable · 1 countries · Registry ID NCT06810557

Recruiting nowNot applicableInterventional

What this study is about

The goal of this study is to compare two different approaches to help families with children 6-11 years enhance nighttime sleep: 1) working one-on-one with a nurse to learn effective behavioral strategies to try to improve children's sleep or 2) receiving education on a good night's sleep and its benefits. Participating families will meet with a nurse 6 times or receive 6 educational handouts. Participating families will also complete three assessments (start of the study, 2 months and 6 months) during which study questionnaires will be completed, participating children will wear devices that assess sleep and physical activity, participating families will report on what the child ate on two separate days and will be measured for height and weight.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age6 Years to 11 Years
SexAll
Healthy volunteersNot accepted
ConditionObesity, Childhood, Short Sleep, Obesity Prevention

Full registry criteria

Inclusion Criteria: * Patient at Temple Pediatrics * Child age 6-11 years * Child time in bed of less than 9 hours per night on most days per week * Body Mass Index (BMI) for age and biological sex great than the 10th percentile but less than the 95th percentile * Understanding of and ability to complete the protocol * Parent age at least 18 years and primary caregiver * Willingness to be randomized to either condition Exclusion Criteria: * Diagnosed sleep disorder * Medication use or diagnosis of medical or psychiatric condition that may impact sleep or weight status * Current or planned treatment for weight control

Treatments and study arms

Optimize Sleep Primary Care (OSPC)

Behavioral

In addition to standard care within Temple University Primary Care (TUPC), two face-to-face zoom sessions and four brief phone follow-ups (two during active treatment and two during maintenance) that focus on using effective behavioral strategies (e.g., goal setting, self-monitoring, positive reinforcement, stimulus control, problem-solving) to enhance children's sleep by approximately one hour/night.

Enhanced Usual Care

Other

In addition to standard care within Temple University Primary Care (TUPC), the provision of six education contacts regarding children's sleep needs and the benefits of getting a good night's sleep.

Primary outcomes

Achievement of enrollment goalbaseline

Primary variable of interest is achievement of a priori goals for study enrollment (i.e., whether 50 families enroll in the study). We will also explore: of children referred, the number who enroll; and of children who are referred and eligible, the number who enroll.

The number of providers who participate and refer to the interventionbaseline

Of all pediatric providers in the clinic, the number who attend the initial in-service training and the number of referrals each provider makes to the program. Attendance and the number of referrals will be tracked by study staff.

Average family attendance at intervention sessionsbaseline to 6 months

Whether or not families attend each treatment sessions will be captured by the study nurse. Primary variable of interest is whether families, on average, achieve \> 75% attendance at all intervention sessions.

Nurse percent fidelity/accuracy in delivering the interventionbaseline to 6 months

All intervention sessions are recorded to determine the accuracy with which nurses deliver the intervention. Specifically, trained staff review recordings and use a checklist to mark whether or not each intervention component is delivered during each session. Primary variable of interest is whether the nurse delivers the intervention with at least 80% fidelity/accuracy.

Percent of families who are retained in the study at both follow-up time pointsbaseline to 6 months

Retention at both 2- and 6-months will be tracked by study staff and compared across study arms with a goal of at least 80% retention at two months.

Family assessment of the intervention's acceptabilitybaseline to 6 months

Acceptability will be measured by families' responses to the overall acceptability question on the Theoretical Framework for Acceptability (TFA) Acceptability Scale. Specifically, families use a 5-point, likert-type scale ranging from 'completely unacceptable' to 'completely acceptable' to rate the intervention. The percent of families who rate the intervention as 'acceptable' or 'completely acceptable' will be assessed with a goal of at least 80% of families rating it as such.

Study locations

1 locations were listed when this page was built. The first 40 are shown.

Temple Pediatrics🇺🇸 Philadelphia, Pennsylvania, United States
Ashley Ogoe, MPHContact