Sleep in Hospitalized Children at MSKCC

Study Overview
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Brief Summary
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The investigators want to better understand how children sleep at night at MSKCC, so that the investigators can learn how to improve the sleeping environment.

Official Title
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A Pilot Study: Sleep in Hospitalized Children With Cancer and Related Diseases

Conditions
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Pediatric Cancer Patients

Intervention / Treatment
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* Behavioral: questionnaires
* Device: actigraph


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parent/Patient must provide written consent Patient must be between the ages of: Newborn - ≤ 18 years of age Patient is expected to be admitted to the Pediatric floor at MSK for at least 2 nights (patients/parents will not be approached for consent on day of admission or day of discharge) Patient/parent must be English speaking Exclusion Criteria: Expected length of stay of fewer than 2 nights (for example.: if admitted Monday and discharged Tuesday, patient/parent will not be eligible). Patient /Parent unable to complete questionnaire due to education or language barriers. Patients admitted to the PICU. (Only children on M9 will be included. It is known that sleep in the PICU is highly disordered; as such, we will be excluding PICU patients from this study).

Ages Eligible for Study
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Minimum Age: 0 Months
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pediatrics cancer patients<br>Eligible patients will be approached for enrollment after their first night in the hospital (i.e.: not on day of admission). Patient/parent will be asked to complete a brief questionnaire describing the child's general sleep habits prior to admission. The parent and/or child will then be asked to complete a questionnaire describing sleep while in the hospital; this in-hospital sleep questionnaire will be obtained for 3 consecutive nights after enrollment, or until discharge, whichever is soonest. A subgroup of patients (between the ages of 5 and 18) will be invited to participate in an additional aspect of the study, where they wear an actigraph (a small device that looks like a watch) for up to 72 hours. This device reliably measures sleep by monitoring the child's motion. This will be used to relate sleep perception to more objective measures of sleep as provided by actigraphy. | Behavioral: questionnaires<br>* Pre-hospital sleep questionnaire completed (Brief Infant Sleep Questionnaire (BISQ)7 in children 0-3 years old; Children's Sleep Habits Questionnaire (CSHQ)8 in children 4 years and older). Subsequent Day(s): In-hospital sleep questionnaire completed between one and three times per subject (Sleep at MSK questionnaire (SAM), adapted from Sleep in a Children's Hospital (SinCH)9 by Dr. Lisa Meltzer). (Patients will be observed for up to 3 consecutive nights in total).<br>Device: actigraph<br>* This device reliably measures sleep by monitoring the child's motion.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of sleep | (using the Sleep at MSK questionnaire) | 3 nights | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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assess sleep, Sleep Deprivation, 16-866