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Study technology decommissioned at clinical site.
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The objective of this study is to use health information technology to implement and evaluate a counseling recommendation for children who suffer from problematic sleep associated with bedtime media use. Participants will be randomized by clinic to be screened for basic sleep concerns and receive appropriate counseling, or to be screened for sleep concerns and media use, and receive appropriate counseling.
Children and adolescents are increasingly integrating media and technology into daily life. A large body of research has shown poor sleep-related outcomes related to media exposure, especially in evening or bedtime hours - a trend that holds true from infancy to adolescence. Prior research has demonstrated clinic-based interventions can be effective in reducing general screen time. Yet, little work has been done to leverage existing health information technology to adapt bedtime media use guidelines into sustainable counseling interventions. This study will develop, implement, and evaluate a computerized, evidence-based decision support intervention for reducing inappropriate childhood bedtime media use and improving sleep measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bedtime media use and sleep problems | Experimental | This arm will receive screening for and associated clinical decision support on sleep problems and bedtime media use. |
|
| Sleep problems only | Other | This arm will receive screening for and associated clinical decision support on sleep problems only. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Problematic bedtime media use counseling | Other | Participants will be screened for bedtime media use and sleep problems, and the clinical decision support system will recommend counseling on the respective problems identified on screening. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of clinician counseling for problematic bedtime media use and sleep problems | Up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Change in bedtime media use following clinician counseling | Up to 3 years | |
| Change in inadequate sleep quantity following clinician counseling | Up to 3 years | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Randall W. Grout, MD, MS | Indiana University - Ped Health Services | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eskenazi Health | Indianapolis | Indiana | 46202 | United States | ||
| Riley Hospital for Children |
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| ID | Term |
|---|---|
| D000070263 | Sleep Hygiene |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D008722 | Methods |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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Midway through the study, participants from the control group will be folded into the intervention group.
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|
| Sleep problem counseling | Other | Participants will be screened for sleep problems, and the clinical decision support system will recommend counseling if problems are identified. |
|
|
| Change in daytime sleepiness following clinician counseling |
| Up to 3 years |
| Indianapolis |
| Indiana |
| 46202 |
| United States |