The Dream Team: Testing Implementation of a Sleep Intervention for Perinatal Women Delivered by Direct Care Workers

NCT ID: NCT06737055

Last Updated: 2024-12-27

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 55 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-08
• Study Completion Date: 2025-06-30

Brief Summary

Insufficient and disrupted sleep are rarely addressed in expectant and new mothers, despite evidence that disturbed sleep is a modifiable risk factor for negative health outcomes for mothers and their children. In this study the investigators will adapt, refine, and pilot test the implementation of a behavioral sleep intervention consisting of short videos designed to accompany a free behavioral sleep app. In Phase 1, the investigators will develop and refine the intervention with input from direct care workers who serve at-risk perinatal women. In Phase 2, direct care workers will deploy the training to expectant mothers with sleep concerns and the investigators will assess the reach, effectiveness, adoption, implementation, and maintenance of this scalable, efficient intervention to improve sleep.

Detailed Description

Disrupted, insufficient sleep occurs in the majority of pregnant women and increases the risk of negative health consequences for mothers and their infants, including pregnancy and childbirth complications as well as chronic illnesses, such as major depression and weight retention/obesity. Conventionally, perinatal sleep disturbances have been viewed as expected and intractable, but recent studies demonstrate that behavioral interventions are effective for improving sleep in pregnant and postpartum women. Nevertheless, efficient, scalable sleep interventions that are tailored to expectant and new mothers are scarce. This Administrative Supplement for Research on Women's Health seeks to develop a high-fidelity, evidence-based sleep intervention in collaboration with direct care workers who engage with perinatal women and to collect preliminary data regarding delivery of the resulting intervention to expectant and new parents. This pilot project is grounded in the RE-AIM framework, and will assess the Reach, Effectiveness, Adoption, Implementation, and Maintenance dimensions of this model to prepare for a large-scale future R01 hybrid effectiveness-implementation trial. In Phase 1, the investigators will develop short, evidence-based, educational videos in English (with Spanish subtitles) that focus on improving perinatal sleep and that map onto modules in the free, publicly-available mobile app, CBTi Coach. Videos will be produced and refined in cooperation with direct care workers and a video production company with community engagement experience. Direct care workers who work with perinatal women will be trained to deliver the intervention (target n=35). In Phase 2, direct care workers will be invited to use the intervention with clients who report sleep problems and the investigators will study implementation in workers and clients (target n=20).

Conditions

Sleep; Postpartum Depression; Pregnancy Related; Insomnia; Sleep Deprivation; Sleep Hygiene; Sleep Disturbance

Keywords

Home visitors; sleep diaries; education; implementation; RE-AIM

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Home Visitors

The participants in Phase 1 of the proposed study are individuals who provide services to perinatal women who are at risk of postpartum depression. The investigators will recruit 35 adults ages 18 years or older who provide health, well-being, and/or mental health services/treatment to pregnant and postpartum women to participate in Phase 1 of this study. Job titles that meet inclusion criteria include nurses, nurse practitioners, family support workers, therapists, counselors, doulas, lactation consultants, childbirth educators, social workers, public health workers, midwives, and nurse midwives. The investigators will not select participants based on age, gender, sex, or racial or ethnic identity.

Group Type: EXPERIMENTAL

Education about behavioral strategies to improve sleep

Intervention Type: BEHAVIORAL

In collaboration with direct care workers, the investigators are developing an intervention to help home visitors support clients who experience sleep difficulties in the perinatal period. The intervention consists of a series of educational videos about promoting healthy sleep and addressing sleep difficulties during pregnancy and the postpartum period.

Expectant and New Parents

Phase 2 participants will be given access to the educational materials about sleep and the investigators will collect information about their sleep.

To qualify for enrollment, Phase 2 participants must be:

• expectant parents OR new parents up to 1 year postpartum
• 18 to 45 years old
• receiving community-based health, well-being, and or mental health services or treatment from individuals who participated in Phase 1
• speak and read English or Spanish
• have access to a smart phone to view the training videos and complete the sleep diaries and assessments
• are experiencing clinically significant sleep difficulties defined as an Insomnia Severity Index score greater than 7 The investigators will exclude potential participants who are parents whose infants will not be living in the home or who will have a nighttime caregiver

Group Type: EXPERIMENTAL

Education about behavioral strategies to improve sleep

Intervention Type: BEHAVIORAL

In collaboration with direct care workers, the investigators are developing an intervention to help home visitors support clients who experience sleep difficulties in the perinatal period. The intervention consists of a series of educational videos about promoting healthy sleep and addressing sleep difficulties during pregnancy and the postpartum period.

Interventions

Education about behavioral strategies to improve sleep

In collaboration with direct care workers, the investigators are developing an intervention to help home visitors support clients who experience sleep difficulties in the perinatal period. The intervention consists of a series of educational videos about promoting healthy sleep and addressing sleep difficulties during pregnancy and the postpartum period.

Intervention Type: BEHAVIORAL

Other Intervention Names

Dream Team Training

Eligibility Criteria

Inclusion Criteria

To qualify for Phase 1 enrollment, participants must be:

• over 18 years of age;
• working with expectant and new mothers in a community setting (i.e., outpatient clinic, social service agency, home visiting program, community center);
• in a role where they would be expected to meet with the same client on at least 4 occasions during the perinatal period; in situations where a team-based approach is used to provide services and a client may not see the exact same person at each visit, team members will qualify if they all enroll in the study (e.g., two nurse midwives who provide coverage for each other may both enroll);
• have access to a smart phone to view the training videos, complete the assessments, and access the free CBTi Coach app; speak and read English or Spanish;
• express interest in providing their clients with additional tools to manage sleep disturbances in pregnancy and the postpartum period.

To qualify, Phase 2 participants must be:

• expectant parents OR new parents up to 1 year postpartum;
• age 18 to 45 years old;
• receiving community-based health, well-being, and or mental health services or treatment from individuals who participated in Phase 1;
• speak and read English or Spanish;
• have access to a smart phone to view the training videos and complete the assessments;
• have clinically significant sleep difficulties defined as an Insomnia Severity Index score greater than 7.

Exclusion Criteria

The investigators will exclude potential participants who:

• already have certification or a specialty in perinatal sleep (e.g., therapists with formal training in CBTi, individuals with sleep coaching practices);
• those who do not have longitudinal relationships with clients (e.g., intake workers).

The investigators will exclude potential participants whose infants will not be living in the home or who will have a nighttime caregiver.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 99 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Bradley Hospital

OTHER

Sponsor Role: collaborator

Rhode Island Hospital

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Katherine M Sharkey, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Rhode Island Hospital

Locations

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Katherine M Sharkey, MD, PhD

Role: CONTACT

Phone: 401-793-3497

Email: katherine_sharkey@brown.edu

Facility Contacts

Katherine M Sharkey, MD, PhD

Role: primary

Provided Documents

Document Type: Informed Consent Form

View Document

Other Identifiers

1848819

Identifier Type: -

Identifier Source: org_study_id