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Investigators seek to determine if a mobile health based intervention can be developed to target increases in childhood sleep duration.
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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 9h 15m Goal | Experimental |
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| 9h 15m Goal | Texts B | Experimental |
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| 9h 15m Goal | Texts A | Experimental |
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| 9h 15m Goal | Texts A&B | Experimental |
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| 9h 15m Goal | Incentive B | Experimental |
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| 9h 15m Goal | Incentive B | Texts B | Experimental |
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| 9h 15m Goal | Incentive B | Texts A | Experimental |
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| 9h 15m Goal | Incentive B | Texts A&B |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sleep Extension | Behavioral | The intervention is designed to test if sleep tips delivered by text messages can aid with reaching sleep targets. And if additional motivational text messages can further aide with reaching sleep targets. |
| Measure | Description | Time Frame |
|---|---|---|
| Actigraphy Estimated Weeknight Sleep Duration | The investigators' primary outcome is actigraphy estimated weeknight sleep duration operationalized as the average hours per weeknight per week. | 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep Disturbance Score | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Actigraphy Estimated Nighttime Sleep Duration | The investigators' other outcomes are actigraphy estimated nighttime sleep duration operationalized as the average hours per night per week. | 10 weeks |
| Actigraphy Estimated Weekend Night Sleep Duration |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jonathan A Mitchell, PhD | Childern's Hospital of Philadelphia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
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| Experimental |
|
| 9h 15m Goal | Incentive A | Experimental |
|
| 9h 15m Goal | Incentive A | Texts B | Experimental |
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| 9h 15m Goal | Incentive A | Texts A | Experimental |
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| 9h 15m Goal | Incentive A | Texts A&B | Experimental |
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| 9h 15m Goal | Incentive A&B | Experimental |
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| 9h 15m Goal | Incentive A&B | Texts B | Experimental |
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| 9h 15m Goal | Incentive A&B | Texts A | Experimental |
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| 9h 15m Goal | Incentives A&B | Texts A&B | Experimental |
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| Personal Goal | Experimental |
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| Personal Goal | Texts B | Experimental |
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| Personal Goal | Texts A | Experimental |
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| Personal Goal | Texts A&B | Experimental |
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| Personal Goal | Incentive B | Experimental |
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| Personal Goal | Incentive B | Texts B | Experimental |
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| Personal Goal | Incentive B | Text A | Experimental |
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| Personal Goal | Incentive B | Texts A&B | Experimental |
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| Personal Goal | Incentive A | Experimental |
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| Personal Goal | Incentive A | Texts B | Experimental |
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| Personal Goal | Incentive A | Texts A | Experimental |
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| Personal Goal | Incentive A | Texts A&B | Experimental |
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| Personal Goal | Incentive A&B | Experimental |
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| Personal Goal | Incentive A&B | Texts B | Experimental |
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| Personal Goal | Incentive A&B | Texts A | Experimental |
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| Personal Goal | Incentives A&B | Texts A&B | Experimental |
|
| 15 minutes |
| Sleep Related Impairment Score | 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. | 15 minutes |
The investigators' other outcomes are actigraphy estimated weekend night sleep duration operationalized as the average hours per weekend night per week.
| 10 weeks |
| Actigraphy Estimated Sleep Efficiency (Nighttime, Weeknight and Weekend Night) | The investigators' other outcomes are actigraphy estimated sleep efficiency per night, weeknight, and weekend night operationalized as percentage of time spent asleep during the overnight sleep period. | 10 weeks |