{"doi":"10.1093/sleepadvances/zpab006","title":"Engineering a mobile platform to promote sleep in the pediatric primary care setting","abstract":"STUDY OBJECTIVES: Pediatricians lack tools to support families at home for the promotion of childhood sleep. We are using the Multiphase Optimization Strategy (MOST) framework to guide the development of a mobile health platform for childhood sleep promotion. The objective of this study is to demonstrate feasibility of a mobile health platform towards treating children with insufficient sleep. METHODS: = 43). Participants wore a sleep tracker to measure sleep duration. Data were retrieved by a mobile health platform, programmed to send introductory messages during run-in (2 weeks) and goal achievement messages during intervention (7 weeks) periods. In study #1, participants were randomized to control, gain-framed incentive or loss-framed incentive arms. In study #2, participants were randomized to control, loss-framed incentive, normative feedback or loss-framed incentive plus normative feedback arms. RESULTS: In study #1, 1514 nights of data were captured (69%) and sleep duration during the intervention was higher by an average of 21 (95% CI: -8, 51) and 34 (95% CI: 7, 61) minutes per night for the gain-framed and loss-framed arms, respectively, compared to controls. In study #2, 2,689 nights of data were captured (81%), with no major differences in average sleep duration between the control and the loss-framed or normative feedback arms. CONCLUSIONS: of the MOST framework. CLINICAL TRIALS: Both studies included in this manuscript were registered at clinicaltrials.gov:-Study #1: NCT03263338-Study #2: NCT03426644.","journal":"SLEEP Advances","year":2021,"id":193820,"datarank":0.4283417276503439,"base_score":2.3978952727983707,"endowment":2.3978952727983707,"self_citation_contribution":0.3596842909197557,"citation_network_contribution":0.06865743673058823,"self_endowment_contribution":0.3596842909197557,"citer_contribution":0.06865743673058823,"corpus_percentile":null,"corpus_rank":null,"citation_count":10,"citer_count":4,"citers_with_citation_signal":3,"citers_with_endowment":3,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7996,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03426644","NCT03263338"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":334301,"name":"Knashawn H. Morales","orcid":"0000-0001-5008-1353","position":1,"is_corresponding":false},{"id":320982,"name":"Ariel A. Williamson","orcid":"0000-0003-3008-3065","position":2,"is_corresponding":false},{"id":334302,"name":"Nicholas Huffnagle","orcid":"0000-0001-6185-8260","position":3,"is_corresponding":false},{"id":572992,"name":"Casey Eck","orcid":null,"position":4,"is_corresponding":false},{"id":572993,"name":"Abigail Jawahar","orcid":null,"position":5,"is_corresponding":false},{"id":572994,"name":"Lionola Juste","orcid":null,"position":6,"is_corresponding":false},{"id":572159,"name":"Alexander G. Fiks","orcid":"0000-0001-6525-8764","position":7,"is_corresponding":false},{"id":489596,"name":"Babette S Zemel","orcid":null,"position":8,"is_corresponding":false},{"id":301393,"name":"David F. Dinges","orcid":"0000-0003-2151-4492","position":9,"is_corresponding":false},{"id":45175,"name":"Jonathan A. Mitchell","orcid":"0000-0003-3765-2419","position":0,"is_corresponding":true}],"reference_count":54,"raw_metadata":null,"created_at":"2026-07-18T23:49:51.300073Z","pmid":"33981997","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}