Engineering a mobile platform to promote sleep in the pediatric primary care setting
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Updated: Nov 5, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Jonathan A Mitchell1,2, Knashawn H Morales3, Ariel A Williamson1,4,5,6,7
1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Insights
This study developed a mobile health platform to improve children's sleep. Initial results show potential for sleep promotion, with further investigation planned.
Area of Science:
- Digital Health
- Sleep Medicine
- Pediatric Health
Background:
- Pediatricians require better tools for home-based childhood sleep promotion.
- The Multiphase Optimization Strategy (MOST) framework guides development of digital health interventions.
- Mobile health platforms offer a scalable solution for sleep promotion in children.
Purpose of the Study:
- To demonstrate the feasibility of a mobile health platform for treating insufficient sleep in children.
- To develop and deploy a technology-based intervention for childhood sleep promotion.
- To evaluate the effectiveness of different intervention components within a mobile health platform.
Main Methods:
- Children aged 10-12 years participated in two studies (N=30, N=43).
- A mobile health platform collected sleep data via wearable trackers.
- Intervention arms included gain-framed, loss-framed incentives, and normative feedback.
Main Results:
- Study 1 showed increased sleep duration with gain-framed (21 min) and loss-framed (34 min) incentives.
- Study 2 captured 81% of sleep data, with no significant differences between control and intervention groups.
- The platform successfully captured sleep data and enabled remote communication.
Conclusions:
- A mobile health platform for childhood sleep promotion has been developed and deployed.
- The platform demonstrates feasibility for capturing sleep data and remote family engagement.
- Further research will optimize intervention components using the MOST framework.
Study Objectives:
Pediatricians lack tools to support families at home for the promotion of childhood sleep. We are using the Multiphase Optimization Strategy (MOST) framework to guide the development of a mobile health platform for childhood sleep promotion. The objective of this study is to demonstrate feasibility of a mobile health platform towards treating children with insufficient sleep.
Methods:
Children aged 10-12 years were enrolled (Study #1: N = 30; Study #2: N = 43). Participants wore a sleep tracker to measure sleep duration. Data were retrieved by a mobile health platform, programmed to send introductory messages during run-in (2 weeks) and goal achievement messages during intervention (7 weeks) periods. In study #1, participants were randomized to control, gain-framed incentive or loss-framed incentive arms. In study #2, participants were randomized to control, loss-framed incentive, normative feedback or loss-framed incentive plus normative feedback arms.
Results:
In study #1, 1514 nights of data were captured (69%) and sleep duration during the intervention was higher by an average of 21 (95% CI: -8, 51) and 34 (95% CI: 7, 61) minutes per night for the gain-framed and loss-framed arms, respectively, compared to controls. In study #2, 2,689 nights of data were captured (81%), with no major differences in average sleep duration between the control and the loss-framed or normative feedback arms.
Conclusions:
We have developed and deployed a mobile health platform that can capture sleep data and remotely communicate with families. Promising candidate intervention components will be further investigated under the optimization phase of the MOST framework.
Clinical Trials:
Both studies included in this manuscript were registered at clinicaltrials.gov:-Study #1: NCT03263338-Study #2: NCT03426644.
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