Health Information Technology to Improve Bedtime Media Use in Children

Study Overview
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Brief Summary
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The objective of this study is to use health information technology to implement and evaluate a counseling recommendation for children who suffer from problematic sleep associated with bedtime media use. Participants will be randomized by clinic to be screened for basic sleep concerns and receive appropriate counseling, or to be screened for sleep concerns and media use, and receive appropriate counseling.

Detailed Description
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Children and adolescents are increasingly integrating media and technology into daily life. A large body of research has shown poor sleep-related outcomes related to media exposure, especially in evening or bedtime hours - a trend that holds true from infancy to adolescence. Prior research has demonstrated clinic-based interventions can be effective in reducing general screen time. Yet, little work has been done to leverage existing health information technology to adapt bedtime media use guidelines into sustainable counseling interventions. This study will develop, implement, and evaluate a computerized, evidence-based decision support intervention for reducing inappropriate childhood bedtime media use and improving sleep measures.

Official Title
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Improving Bedtime Media Use and Sleep Through Health Information Technology

Conditions
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Sleep Hygiene, Inadequate

Intervention / Treatment
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* Other: Problematic bedtime media use counseling
* Other: Sleep problem counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Attend a participating clinic Complete a prescreener form in the clinic Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 2 Years
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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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Midway through the study, participants from the control group will be folded into the intervention group.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Bedtime media use and sleep problems<br>This arm will receive screening for and associated clinical decision support on sleep problems and bedtime media use. | Other: Problematic bedtime media use counseling<br>* Participants will be screened for bedtime media use and sleep problems, and the clinical decision support system will recommend counseling on the respective problems identified on screening.<br>* Other names: Intervention;|
| Other: Sleep problems only<br>This arm will receive screening for and associated clinical decision support on sleep problems only. | Other: Sleep problem counseling<br>* Participants will be screened for sleep problems, and the clinical decision support system will recommend counseling if problems are identified.<br>* Other names: Control;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of clinician counseling for problematic bedtime media use and sleep problems |  | Up to 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in bedtime media use following clinician counseling |  | Up to 3 years | 
| Change in inadequate sleep quantity following clinician counseling |  | Up to 3 years | 
| Change in daytime sleepiness following clinician counseling |  | Up to 3 years |