Bedtime Stories: a sleep health education protocol for primary care clinicians, caregivers, and school-age children.

Abstract

Objectives: To examine the feasibility of Bedtime Stories, a sleep health education program designed to promote equitable pediatric sleep health among pediatric primary care clinicians (PCCs), caregivers, and school-aged children in community-based practice settings.

Method: The Bedtime Stories program is informed by the socioecological model developed using the Consolidated Framework for Implementation Research, principles of social learning, and guidelines for feasibility pilot studies. The program includes three single-arm, pre-post pilot studies that will be conducted using: (1) a web-based provider sleep health education course (NCT06455579), (2) a digital caregiver sleep health intervention (NCT06618040), and (3) a children's book, My Sleep Recipe. The program's primary outcomes include benchmarks for participant recruitment and retention, along with metrics to evaluate feasibility and acceptability. Exploratory outcomes include providers' and caregivers' knowledge, self-efficacy, and changes in child sleep. Statistical analyses will focus on descriptive statistics and 95% confidence intervals.

Results: Results will provide data on feasibility, engagement, and satisfaction for PCCs, caregivers, and school-aged children. Furthermore, they will provide preliminary insights into implementation barriers and facilitators for supporting sleep health practices, especially in underserved pediatric populations.

Conclusions: This protocol outlines a scalable, multilevel framework for promoting pediatric sleep health. Findings will inform refinements and larger-scale trials to address sleep health practices through coordinated, equity-centered approaches that foster healthy sleep practices and reduce sleep health disparities across diverse communities.