Poor sleep quality among children is a growing public health problem in the United States. However, few studies examining sleep among children have been conducted, particularly for populations at risk such as Hispanic Americans. Hispanic children are at increased risk of poor sleep quality, cardiovascular disease and obesity. As poor sleep quality is associated with an increased risk of cardiovascular disease (CVD) and obesity, it is necessary to investigate poor sleep quality among Hispanic children and to develop effective interventions. With parents being key agents of change for their children's health, the present study seeks to conduct formative research to understand parents' perspectives of their 2-to-5-year old's (preschoolers) sleep quality and to investigate the relationship between their child's sleep quality and parent-level factors. Findings will then be used to develop intervention materials. Additionally, working parents will be targeted as they may face more stressors and may be in greater need of parenting knowledge. Our first specific aim involves using a mixed-methods approach (n = 20 qualitative interviews and a formative quantitative study with n = 85 working Hispanic parents) to fill gaps in literature by investigating the relationship between psychosocial constructs (self-efficacy, outcome expectations, and stress), sleep-related parenting skills (bedtime routines, sleep schedules, sleep-promoting environment, and appropriate screen time), child's sleep quality (both duration and qualitative aspects), and CVD/Obesity risk markers (BMI and waist circumference). Our second specific aim involves the development and pretesting of prospective intervention materials to improve children's sleep quality by targeting working Hispanic parents. These materials will be culturally-tailored using a multi-stage pretesting design that includes an integration of data from our first aim, additional exploratory/confirmatory focus groups (n = 4), key-informant interviews, and topical expert reviews. The proposed study is a pioneering effort aimed at reducing health disparities by examining sleep quality in Hispanic families, and pretesting culturally-tailored intervention materials that will both fill gaps in intervention research and better inform future intervention trials. The proposed research will also contribute significantly to CVD and obesity prevention efforts among Hispanics.
|Program type||Predoctoral Fellowship|
|Effective start/end date||07/01/2018 → 06/30/2020|