评估睡眠套件和培训在寄养诊所访问中的效果。

IF 2.1 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Chidiogo Anyigbo, Katie Fox, Constance A Mara, Julie Bemerer, Kendra Krietsch, Megan Radenhausen, Meera Patel, Sarah J Beal, Mary V Greiner
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引用次数: 0

摘要

目的:这项三组实际对照试验测试了单剂量循证心理干预(EBPI)在有和没有睡眠套件(治疗组)的情况下对新到寄养安置的年轻人(2-20岁)进行常规护理(对照组)的有效性。方法:对照料者和青少年进行睡眠问题筛查;如果确定了一个问题,登记的年轻人和照顾者(N = 177)在他们的诊所访问开始前完成睡眠评估。在心理学家无法解决睡眠问题的日子里,参与者被纳入对照组。当心理学家在场时,临床天数随机分配到条件(EBPI, EBPI +睡眠套件)。参与者和临床医生在他们访问的临床医生部分被蒙面到治疗组。参与者在访问结束时摘下了面具。在随访中,评估睡眠的调查再次进行。在干预后的6个月里,在寄养诊所以外的诊所就诊时,记录了记录在案的睡眠问题。结果:与对照组相比,接受EBPI的患者在干预后报告的药物助眠(如褪黑激素)使用较少。大约一半的青少年持续存在睡眠问题,并且没有因研究任务而变化;睡眠结果也相似。结论:单剂量EBPI解决睡眠问题可能对减少药物睡眠辅助的使用有效,但对寄养青少年解决更普遍的睡眠问题无效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the effect of sleep kits and training in foster care clinic visits.

Objective: This three-arm pragmatic control trial tested the effectiveness of a single-dose evidence-based psychological intervention (EBPI) with and without a sleep kit (treatment arms) to usual care (control arm) among young people (ages 2-20 years) new to a foster care placement.

Methods: Caregivers and youth were screened for sleep concerns before their foster care clinic visit; if a concern was identified, enrolled young people and caregivers (N = 177) completed sleep assessments before the start of their clinic visit. On days when a psychologist was unavailable to address sleep concerns, participants were enrolled in the control arm. When a psychologist was present, clinic days were randomly assigned to condition (EBPI, EBPI + sleep kit). Participants and clinicians were masked to treatment arm during the clinician portion of their visit. Participants were unmasked at the end of their visit. At follow-up visits, surveys assessing sleep were re-administered. Chart reviews captured documented sleep concerns at clinic visits outside the foster care clinic in the 6 months following intervention.

Results: Compared to controls, those receiving EBPI reported less medicinal sleep aid use (e.g., melatonin) following intervention. Sleep concerns persisted in approximately half of enrolled youth and did not vary by study assignment; sleep outcomes were also similar.

Conclusions: A single-dose EBPI to address sleep concerns may be effective for reducing use of medicinal sleep aids but is not effective for addressing sleep concerns more generally for young people in foster care.

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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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