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Promoting Sleep Duration in the Pediatric Setting Using a Mobile Health Platform: A Randomized Optimization Trial

Jonathan A Mitchell1,2,3, Knashawn H Morales4, Ariel A Williamson1,3,5,6

  • 1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Medrxiv : the Preprint Server for Health Sciences
|January 30, 2023
PubMed

Insights

This study found that a digital health intervention combining personalized sleep goals, caregiver incentives, and messaging for screen time reduction and daily routines effectively increased children's sleep duration by over 30 minutes per weeknight.

Area of Science:

  • Pediatric Sleep Medicine
  • Digital Health Interventions
  • Behavioral Science

Background:

  • Insufficient sleep is prevalent in school-aged children, impacting health and development.
  • Digital health tools offer scalable solutions for sleep interventions.
  • Optimizing intervention components is crucial for maximizing effectiveness.

Approach:

  • A 2^5 factorial design optimization trial was conducted with 97 children (9-12 years) experiencing insufficient sleep.
  • Participants received sleep monitoring and feedback, randomized to various intervention component settings.
  • Key components included sleep goals, screen time messaging, routine messaging, and financial incentives for children and caregivers.

Key Points:

  • The optimal intervention combination included personalized sleep goals, caregiver-directed financial incentives, and active messaging for screen time reduction and daily routines.
  • This combination increased average weeknight sleep duration by 39.6 minutes during the intervention and 33.2 minutes during follow-up.
  • Both guideline-based and personalized sleep goals were effective.

Conclusions:

  • Specific digital health intervention components can be effectively combined to increase pediatric sleep duration.
  • This approach shows promise as a remote patient monitoring strategy for treating insufficient sleep in children.
Abstract

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