Overview

Investigators developed a brief, scalable, behavioral Sleep Promotion Program (SPP) for adolescents with short sleep duration and sleep-wake irregularity, which relies on one individual session and smart phone technology to deliver evidence-based strategies. This open trial portion of the R34 will focus on conducting an open trial (n=8) to iteratively refine provider training, implementation procedures, and SPP program, per participant and staff feedback.

Eligibility

Inclusion Criteria:

Youth

• Able and willing to provide informed assent (with consent from parent/guardian)
• Ages 12-18
• Currently a patient at Kids Plus Pediatrics
• Currently depressed
• Report short sleep duration (<7 hours on school nights) and/or weekday-weekend sleep timing difference of >=2 hours

Parents

        Parents must be age 18 or older and the parent/guardian of an enrolled youth participant
        and must have at least 10 hours face-to-face interaction with the youth participant per
        week.
        Exclusion Criteria:
        Youth:
          -  Significant or unstable medical conditions
          -  Diagnosis of sleep apnea, narcolepsy, restless leg syndrome, nightmare disorder, or
             periodic limb movement disorder
          -  Diagnosis of PTSD, bipolar disorder, a psychotic disorder, or substance use disorder
          -  Currently engaged in cognitive and/or behavioral therapy that aims to improve sleep
          -  Changes in medications in the month prior to screening
          -  Active suicidality requiring immediate treatment
          -  Unable or unwilling to comply with study procedures
          -  Have any physical or mental condition that would preclude study participation.
        Parents will be excluded if they:
          -  Express active suicidality that requires immediate treatment;
          -  Have any physical or mental condition that would preclude study participation; OR
          -  Are unable or unwilling to comply with study procedures.