Health Information Technology to Improve Bedtime Media Use in Children

Improving Bedtime Media Use and Sleep Through Health Information Technology

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.

Study Overview

• Status: Terminated
• Conditions: Sleep Hygiene, Inadequate
• Intervention / Treatment: Other: Problematic bedtime media use counseling; Other: Sleep problem counseling

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 60100
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Indiana
    • Indianapolis, Indiana, United States, 46202
      • Riley Hospital for Children
    • Indianapolis, Indiana, United States, 46202
      • Eskenazi Health

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 2 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Attend a participating clinic
• Complete a prescreener form in the clinic

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

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

What is the study measuring?

Primary Outcome Measures

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

Secondary Outcome Measures

Outcome Measure	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

Collaborators and Investigators

• Sponsor: Indiana University
• Investigators: Principal Investigator: Randall W. Grout, MD, MS, Indiana University - Ped Health Services

Study record dates

Study Major Dates

• Study Start (Actual): June 13, 2017
• Primary Completion (Actual): May 31, 2019
• Study Completion (Actual): May 31, 2019

Study Registration Dates

• First Submitted: June 2, 2017
• First Submitted That Met QC Criteria: June 2, 2017
• First Posted (Actual): June 6, 2017

Study Record Updates

• Last Update Posted (Actual): February 9, 2022
• Last Update Submitted That Met QC Criteria: January 26, 2022
• Last Verified: January 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: chsr_bedtime-media-cdss_2017

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No