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  1. Article ; Online: Commentary: Broadening the Reach: Multidimensional Sleep Health and Cultural Diversity in Pediatric Sleep Research.

    Davidson, Jordan A / Simon, Stacey L

    Journal of pediatric psychology

    2024  Volume 49, Issue 3, Page(s) 164–165

    MeSH term(s) Child ; Humans ; Adolescent ; Sleep ; Schools ; Cultural Diversity
    Language English
    Publishing date 2024-01-13
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 625329-5
    ISSN 1465-735X ; 0146-8693
    ISSN (online) 1465-735X
    ISSN 0146-8693
    DOI 10.1093/jpepsy/jsae002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Preliminary exploration of a multidimensional sleep health composite in adolescent females with frequent migraine.

    Clementi, Michelle A / Kienzler, Caitlin / Yonker, Marcy / Harmon, Michelle / Simon, Stacey L

    Headache

    2023  Volume 63, Issue 10, Page(s) 1437–1447

    Abstract: Objective: This observational study aimed to: (i) describe and explore preliminary psychometric properties of a multidimensional sleep health composite score in adolescent females with frequent migraine; and (ii) examine associations between the ... ...

    Abstract Objective: This observational study aimed to: (i) describe and explore preliminary psychometric properties of a multidimensional sleep health composite score in adolescent females with frequent migraine; and (ii) examine associations between the composite score, headache characteristics, and emotional health.
    Background: Sleep health is a multidimensional construct comprised of various dimensions of sleep and circadian functioning, including Regularity, Satisfaction, Alertness, Timing, Efficiency, and Duration (Ru-SATED framework). The Ru-SATED sleep health composite score may provide a holistic perspective of sleep among adolescents with frequent migraine in the context of neurobiological and psychosocial impacts on sleep unique to this developmental period.
    Methods: In all, 60 female adolescents (aged 12-18 years) with high-frequency episodic or chronic migraine completed wrist-worn actigraphy for 10 days and concurrent daily electronic surveys assessing headache, sleep, and emotional health. A sleep health composite score was derived from empirically supported "healthy" versus "unhealthy" ratings on the six Ru-SATED sleep dimensions.
    Results: Half of participants (27/54 [50%]) had a composite score ≥4 (i.e., at least four of the six dimensions rated as poor). Convergent validity of the composite score was acceptable (rs = 0.30-0.56, all p < 0.05). Internal consistency among the dimensions was low (α = 0.45). Multivariate multiple regression models indicated that worse sleep health was associated with greater headache-related disability (B = 0.71, p = 0.018) and anxiety (B = 0.59, p = 0.010), and trended toward significance for sadness (B = 0.35, p = 0.052). The composite score was not significantly associated with headache frequency or severity.
    Conclusions: A multidimensional sleep health composite score may provide an alternative, more comprehensive picture of sleep disturbance among adolescent females with frequent migraine. Larger studies are needed to examine psychometric properties more rigorously and further explore the composite score as a potentially unique predictor of headache outcomes.
    MeSH term(s) Humans ; Adolescent ; Female ; Migraine Disorders/complications ; Sleep ; Headache/complications ; Surveys and Questionnaires ; Anxiety Disorders
    Language English
    Publishing date 2023-09-01
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14626
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evidence-Based Behavioral Strategies in Smartphone Apps for Children's Sleep: Content Analysis.

    Simon, Stacey L / Kaar, Jill L / Talker, Ishaah / Reich, Jennifer

    JMIR pediatrics and parenting

    2022  Volume 5, Issue 1, Page(s) e32129

    Abstract: Background: Empirically supported treatments for pediatric sleep problems exist, but many families turn to other sources for help with their children's sleep, such as smartphone apps. Sleep apps are easy for families to access, but little evidence ... ...

    Abstract Background: Empirically supported treatments for pediatric sleep problems exist, but many families turn to other sources for help with their children's sleep, such as smartphone apps. Sleep apps are easy for families to access, but little evidence exists regarding the validity of the services and information provided in the developer descriptions of the apps.
    Objective: The goal of this study was to examine the features and claims of developer descriptions of sleep apps for children.
    Methods: A search of the Apple iTunes store and Google Play was conducted using the terms "kids sleep," "child sleep," and "baby sleep." Data on the type of app, price, user rating, and number of users were collected. Apps were analyzed in comparison with evidence-based behavioral strategies and were thematically coded on the basis of claims provided in developer descriptions.
    Results: A total of 83 app descriptions were examined, of which only 2 (2.4%) offered sleep improvement strategies. The majority were sound and light apps (78%) and 19% were bedtime games or stories. Only 18 of 83 (21.6%) apps were identified as containing empirically supported behavioral sleep strategies. Despite this, many apps asserted claims that they will help children "fall asleep instantly," "cry less and sleep better," or improve child development.
    Conclusions: A large variety of sleep apps exist for use among children, but few include evidence-based behavioral strategies according to the developer descriptions of the apps. Addressing sleep difficulties in children is important to promote physical, cognitive, and emotional development. Collaboration between sleep researchers and technology developers may be beneficial for creating evidence-supported apps to help with children's sleep in the future.
    Language English
    Publishing date 2022-03-03
    Publishing country Canada
    Document type Journal Article
    ISSN 2561-6722
    ISSN (online) 2561-6722
    DOI 10.2196/32129
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Advancing Patient-Centered Care: An International Survey of Adolescent Perspectives on Insomnia.

    Honaker, Sarah M / Simon, Stacey L / Byars, Kelly C / Simmons, Danielle M / Williamson, Ariel A / Meltzer, Lisa J

    Behavioral sleep medicine

    2024  , Page(s) 1–22

    Abstract: Objective: The study objective was to inform patient-centered care for adolescent insomnia by describing adolescents' perspectives on insomnia. Specific constructs of interest included: 1) factors that contributed to insomnia development or maintenance, ...

    Abstract Objective: The study objective was to inform patient-centered care for adolescent insomnia by describing adolescents' perspectives on insomnia. Specific constructs of interest included: 1) factors that contributed to insomnia development or maintenance, 2) impact of insomnia on day-to-day life, 3) recommended research priorities, and 4) overall experience living with insomnia.
    Method: A convenience sample of adolescents (ages 13-18 years) self-identifying with insomnia symptoms was recruited through social media. Respondents (
    Results: Participants identified as 70.8% White non-Hispanic, 77.0% female, and lived in one of five English-speaking countries (United States, United Kingdom, Canada, Australia, or New Zealand). Most (87.5%) met DSM-V diagnostic criteria for insomnia. The most common contributory factors to insomnia endorsed were stress (72.1%) and depressed mood (63.6%), while common impact areas were mood (72.2%), focus (61.0%), and pain (49.7%). Patient-centered research priorities were identifying insomnia causes (66.4%) and early detection (66.1%). Common adolescent experiences included high distress levels, feelings of invalidation, and helplessness about their insomnia.
    Conclusions: Adolescents with insomnia offer a unique perspective that should inform patient-centered research and care. There is a need for heightened screening and awareness about insomnia as a condition that causes significant distress and impairment for adolescents. To provide validating care, providers should recognize the multifaceted causes of insomnia.
    Language English
    Publishing date 2024-03-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2099743-7
    ISSN 1540-2010 ; 1540-2002
    ISSN (online) 1540-2010
    ISSN 1540-2002
    DOI 10.1080/15402002.2024.2322519
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: American Academy of Pediatrics 2016 Safe Sleep Practices: Implications for Pediatric Behavioral Sleep Medicine.

    Byars, Kelly C / Simon, Stacey L

    Behavioral sleep medicine

    2017  Volume 15, Issue 3, Page(s) 175–179

    Language English
    Publishing date 2017-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2099743-7
    ISSN 1540-2010 ; 1540-2002
    ISSN (online) 1540-2010
    ISSN 1540-2002
    DOI 10.1080/15402002.2017.1292726
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A call to create evidence-based mental health promotion interventions for youth that are equitable across ethnic/racial subgroups: Advocates 4-ALL Youth.

    Kaar, Jill L / Bowen, Anne E / Simon, Stacey L / Dadematthews, Adefunke / Chandrasekhar, Jessica L / Musci, Rashelle / Pangelinan, Melissa

    Frontiers in public health

    2023  Volume 11, Page(s) 1139921

    Abstract: Background: Adolescents from historically racial and ethnic minoritized and low-income communities have higher rates of early-life and chronic difficulties with anxiety and depression compared to non-Hispanic White youth. With mental health distress ... ...

    Abstract Background: Adolescents from historically racial and ethnic minoritized and low-income communities have higher rates of early-life and chronic difficulties with anxiety and depression compared to non-Hispanic White youth. With mental health distress exacerbated during and in the wake of the COVID-19 pandemic, there is a need for accessible, equitable evidence-based programs that promote psychological well-being, strengthen one's ability to adapt to adversity, and build self-efficacy prior to adolescence.
    Methods: An evidenced-based resiliency-focused health coaching intervention was adapted using a health equity implementation framework to meet the needs of a Title I elementary school in rural Alabama (AL) that serves over 80% Black and Hispanic students. To ensure that the program met local community needs while maintaining core program educational activities, all adaptations were documented utilizing a standard coding system.
    Results: Leveraging an existing academic-community partnership with Auburn University and a local AL school district, a new program, Advocates 4-All Youth (ALLY), was created. Three major adaptations were required: (1) the use of local community volunteers (ALLYs) to deliver the program versus health coaches, (2) the modification of program materials to meet the challenge of varying levels of general and health-related literacy, and (3) the integration of the Empower Action Model to target protective factors in a culturally-tailored delivery to ensure key program outcomes are found equitable for all students.
    Conclusion: With continued increases in youth mental health distress, there is a need for the development of universal primary prevention interventions to promote mental well-being and to strengthen protective factors among youth from historically disadvantaged backgrounds. ALLY was created to meet these needs and may be an effective strategy if deemed efficacious in improving program outcomes.
    MeSH term(s) Humans ; Adolescent ; Pandemics ; COVID-19/prevention & control ; Health Promotion ; Mental Health ; Anxiety Disorders
    Language English
    Publishing date 2023-04-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1139921
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  7. Article ; Online: Sleep Problems After Concussion Are Associated With Poor Balance and Persistent Postconcussion Symptoms.

    Magliato, Samantha N / Wingerson, Mathew J / Seehusen, Corrine N / Smulligan, Katherine L / Simon, Stacey L / Wilson, Julie C / Howell, David R

    Journal of child neurology

    2023  Volume 38, Issue 3-4, Page(s) 198–205

    Abstract: We examined the association of self-reported sleep problems with clinical measures of postural stability, memory performance, symptom burden, and symptom duration following youth concussion. Patients 6-18 years of age presenting ≤21 days postconcussion ... ...

    Abstract We examined the association of self-reported sleep problems with clinical measures of postural stability, memory performance, symptom burden, and symptom duration following youth concussion. Patients 6-18 years of age presenting ≤21 days postconcussion underwent a clinical evaluation including modified Balance Error Scoring System, single- and dual-task tandem gait, immediate and delayed recall, and symptom severity. We calculated time from injury until symptom resolution and determined the proportion of patients who developed persistent postconcussion symptoms, defined as a symptom duration >28 days postconcussion. We grouped patients based on whether they reported sleep problems at their postconcussion clinical evaluation and compared symptom-based and functional outcomes between groups. Of the 207 patients included, n = 97 (14.3 ± 2.9 years; 49% female; initial visit 10.2 ± 5.8 days postconcussion) reported sleep problems postconcussion and n = 110 (14.3 ± 2.4 years; 46% female; initial visit 9.3 ± 5.4 days postinjury) did not. Those reporting sleep problems postconcussion had significantly more modified Balance Error Scoring System errors than those without (8.4 ± 5.5 vs 6.7 ± 4.7;
    MeSH term(s) Adolescent ; Humans ; Female ; Infant, Newborn ; Male ; Athletic Injuries/complications ; Brain Concussion/complications ; Brain Concussion/diagnosis ; Post-Concussion Syndrome/complications ; Gait ; Sleep Wake Disorders/etiology ; Sleep Wake Disorders/complications
    Language English
    Publishing date 2023-04-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 639288-x
    ISSN 1708-8283 ; 0883-0738
    ISSN (online) 1708-8283
    ISSN 0883-0738
    DOI 10.1177/08830738231170721
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The lived experience of positive airway pressure therapy in patients with obstructive sleep apnea across the lifespan: a qualitative study.

    Simon, Stacey L / Stephenson, Judith J / Haynes, Kevin / Kennedy, Elaine Rose / Frydman, Gilles / Amdur, Adam / Parthasarathy, Sairam

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2023  Volume 20, Issue 3, Page(s) 407–416

    Abstract: Study objectives: Although treatment of obstructive sleep apnea (OSA) with positive airway pressure (PAP) therapy is effective, adherence is often poor. Understanding the patient perspective is needed to inform adherence-promoting interventions. This ... ...

    Abstract Study objectives: Although treatment of obstructive sleep apnea (OSA) with positive airway pressure (PAP) therapy is effective, adherence is often poor. Understanding the patient perspective is needed to inform adherence-promoting interventions. This qualitative study assessed the experiences, preferences, facilitators, and barriers surrounding PAP therapy for the management of OSA in patients from adolescence to older adulthood.
    Methods: Eligible participants ages 19 and older were identified from administrative health care claims; adolescent participants ages 12-18 and their parents/caregivers were identified via electronic health records of a tertiary sleep specialty clinic at a large children's hospital. Forty English-speaking patients and 10 parents of adolescents diagnosed with OSA and prescribed PAP therapy completed semistructured 60-minute telephone interviews conducted by a trained facilitator. Common themes and illustrative quotes were identified.
    Results: Themes around OSA diagnosis, initiating OSA treatment, learning about OSA/PAP, decision to start PAP, PAP benefits and challenges, and reasons for nonadherence were identified. Participants suggested design and delivery changes to improve PAP devices. Issues unique to adolescents and their parents were discussed.
    Conclusions: The unique perspectives of patients regarding PAP therapy should be taken into consideration when developing interventions to increase PAP adherence and improve clinical care. Based on identified themes, opportunities for intervention may exist at all stages of care, from diagnosis to treatment initiation. Involving partners, parents, and other caregivers in PAP therapy may be beneficial for optimizing adherence.
    Citation: Simon SL, Stephenson JJ, Haynes K, et al. The lived experience of positive airway pressure therapy in patients with obstructive sleep apnea across the lifespan: a qualitative study.
    MeSH term(s) Adolescent ; Child ; Humans ; Aged ; Longevity ; Sleep Apnea, Obstructive/therapy ; Sleep ; Cognition ; Electronic Health Records
    Language English
    Publishing date 2023-10-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.10890
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Correction to: Universal, School-Based Mental Health Program Implemented among Racially and Ethnically Diverse Youth Yields Equitable Outcomes: Building Resilience for Healthy Kids.

    Chandrasekhar, Jessica L / Bowen, Anne E / Heberlein, Erin / Pyle, Emily / Studts, Christina R / Simon, Stacey L / Shomaker, Lauren / Kaar, Jill L

    Community mental health journal

    2023  Volume 59, Issue 6, Page(s) 1118

    Language English
    Publishing date 2023-02-22
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-023-01114-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Universal, School-Based Mental Health Program Implemented Among Racially and Ethnically Diverse Youth Yields Equitable Outcomes: Building Resilience for Healthy Kids.

    Chandrasekhar, Jessica L / Bowen, Anne E / Heberlein, Erin / Pyle, Emily / Studts, Christina R / Simon, Stacey L / Shomaker, Lauren / Kaar, Jill L

    Community mental health journal

    2023  Volume 59, Issue 6, Page(s) 1109–1117

    Abstract: Although suicide is a leading cause of mortality among racial and ethnic minority youth, limited data exists regarding the impact of school-based mental health interventions on these populations, specifically. A single-arm pragmatic trial design was ... ...

    Abstract Although suicide is a leading cause of mortality among racial and ethnic minority youth, limited data exists regarding the impact of school-based mental health interventions on these populations, specifically. A single-arm pragmatic trial design was utilized to evaluate the equity of outcomes of the universal, school-based mental health coaching intervention, Building Resilience for Healthy Kids. All sixth-grade students at an urban middle school were invited to participate. Students attended six weekly sessions with a health coach discussing goal setting and other resilience strategies. 285 students (86%) participated with 252 (88%) completing both pre- and post-intervention surveys. Students were a mean age of 11.4 years with 55% identifying as girls, 69% as White, 13% as a racial minority, and 18% as Hispanic. Racial minority students exhibited greater improvements in personal and total resilience compared to White students, controlling for baseline scores.
    MeSH term(s) Female ; Humans ; Adolescent ; Child ; Mental Health ; Ethnicity ; School Health Services ; Minority Groups ; Health Promotion
    Language English
    Publishing date 2023-02-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-023-01090-5
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