This study seeks to examine a novel interpersonal target; namely, parent-teen conversations about youth health behavior change. The rationale is that parents have profound impacts on teen risk and vulnerability. Yet parents receive minimal training in the elements of conversations that optimally inspire their children toward engaging in healthy behaviors. A theoretically grounded and reliable taxonomy of behavior change techniques (BCTs) will be used as a basis for scientifically deriving the conversational elements, or micro-mechanisms, that reduce parent-teen conflict and facilitate upward spirals of healthful behavior change. This proposal builds on pilot data from a recently completed NICHD-funded R01 in which a sleep treatment improved sleep and reduced risk on selected outcomes in youth. While sleep-related health behaviors will be the focus of this R21, the research is designed to be relevant to a broad range of health behavior change. As part of an Administrative Supplement to the R21 awarded in Fall, 2019, two changes are made. First, measures of psychophysiology have been added to the Hot Topics Task. Second, an independent sample of teens who are healthy sleepers (n = 20), and their parents, will be tested on the protocol twice, 9 weeks apart. This comparison group is included to control for the passage of time and for completing the protocol twice. They do not receive an intervention.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
112
PBC-I will be administered to the parent and TranS-C will be administered to the teenager. Both interventions are cognitive-behavioral and comprised of six weekly sessions. Parent and teenager sessions will be held in parallel.
University of California, Berkeley
Berkeley, California, United States
Number of BCTs used by parent coded from the Hot Topics Task
Parent measure.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Parent perception of general conflict between parent and child measured via Conflict Behavior Questionnaire
Parent measure. 20 items each on a true/false scale. Total score ranges from 0 to 20 and is computed by adding up total score points. Higher scores indicate more general conflict.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Decisional balance proportion
Measured by Decision Balance Worksheet. Youth measure.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Subjective sleep quality measured via Pittsburgh Sleep Quality Index global score
Youth measure. 19 items each on a 4-point scale. Global score ranges from 0 to 21 and is computed by totaling seven component scores. Lower scores indicate healthier sleep quality.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Type of BCTs used by parent coded from the Hot Topics Task
Parent measure.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Number of negative and positive communication behaviors coded from the Hot Topics Task
Parent measure.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Youth's perception of general conflict between parent and child measured via Conflict Behavior Questionnaire.
Youth measure. 20 items each on a true/false scale. Total score ranges from 0 to 20 and is computed by adding up total score points. Higher scores indicate more general conflict.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Youth self-reported motivation of participating in TranS-C/making sleep behavior changes via the Intrinsic Motivation Questionnaire
Youth measure. 18 items on a 7-point Likert scale, with three subscales being used: Interest/Enjoyment, Perceived Competence, and Effort/Importance. Total score ranges from 3 to 21 (1-7 for each subscale score) and is computed by averaging items within each subscale and adding the 3 subscale scores.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Regularity in sleep midpoint across the week measured via daily sleep diary
Youth measure.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Regularity in sleep midpoint across the week measured via actigraphy
Youth measure.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
Morningness/eveningness preference measured via Children's Morningness Eveningness Preference Scale
Youth measure. 10 items are weighed on either 4- or 5-point scales. Total score ranges from 10 to 43 and is computed by adding up total points. Scores between 10 and 20 indicate eveningness, scores between 28 and 42 indicate morningness, scores between 21 and 27 are categorized as neither.
Time frame: Change from baseline to post-treatment, which is an average of 9 weeks after the beginning of treatment
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