Community-based studies suggest that most blacks are unaware of symptoms of obstructive sleep apnea (OSA) or related cardiovascular morbidity. The primary objective is to develop a tailored sleep health education (TASHE) program using a multi-level, community-engaged approach. We will use focus groups themes to develop culturally and linguistically tailored (1) OSA health brochures and (2) role-model stories. We will incorporate those themes in (3) an interactive website with OSA health content for lay people. This will also serve as a platform facilitating exchange of information between sleep scientists, community health providers, potential patients, and lay health advisors. We will seek endorsement of TASHE materials by healthcare providers and stakeholders to ensure their adoption and dissemination. The secondary objective is to evaluate TASHE's effectiveness in increasing OSA health literacy among blacks. Blacks in randomized exposure sites (n=10) will have access to all three levels of TASHE materials. Blacks in control sites (n=10) will only receive standard sleep literature. Project sites will include black-owned barbershops, beauty salons, and faith-based organizations; these are traditional safe-haven and cultural epicenters where social norms and public opinions about health in black communities are often shaped. A well-qualified team comprising experts in sleep medicine, behavioral and health education sciences, and social marketing from SUNY Downstate Medical Center, New York School of Medicine, and Columbia University will investigate the following aims: 1) to identify barriers limiting adoption of recommended healthful sleep practices through focus groups with blacks frequenting barbershops, beauty salons, and faith-based organizations; 2) to develop and refine TASHE materials using serial focus groups with (a) blacks frequenting participating study sites, (b) community healthcare providers, and (c) community stakeholders; 3) to ascertain TASHE's effectiveness in increasing OSA health literacy by comparing blacks exposed to TASHE materials vs. those exposed to standard sleep health literature. If effective, the project will provide empirical support for wide- scale use of TASHE as a multi-level, community-engaged approach to enhance OSA health literacy among blacks. There are 31,000 black barbershops and churches across the United States that could use this non- traditional model of sleep health promotion. The long-term goal is to use this infrastructure to disseminate evidence-based healthful sleep practices.

Public Health Relevance

This collaborative research project will develop a community-based infrastructure to support implementation of translational and dissemination research in sleep health and circadian rhythm. It will generate culturally and linguistically tailored sleep health messages to increase sleep health literacy among blacks. It is anchored by an equitable partnership between academicians and community stakeholders to ensure adoption and dissemination of tailored sleep health messages.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Education Projects (R25)
Project #
4R25HL116378-04
Application #
9127327
Study Section
Special Emphasis Panel (ZHL1)
Program Officer
Brown, Marishka
Project Start
2013-09-06
Project End
2017-06-30
Budget Start
2016-07-01
Budget End
2017-06-30
Support Year
4
Fiscal Year
2016
Total Cost
Indirect Cost
Name
New York University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
121911077
City
New York
State
NY
Country
United States
Zip Code
10016
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Robbins, Rebecca; Niederdeppe, Jeff (2017) How Online Peer-to-Peer Conversation Shapes the Effects of a Message About Healthy Sleep. Prev Sci 18:141-151
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Jehan, Shazia; Jean-Louis, Giardin; Zizi, Ferdinand et al. (2017) Sleep, Melatonin, and the Menopausal Transition: What Are the Links? Sleep Sci 10:11-18
Jehan, Shazia; Auguste, Evan; Pandi-Perumal, Seithikurippu R et al. (2017) Depression, Obstructive Sleep Apnea and Psychosocial Health. Sleep Med Disord 1:
Jehan, Shazia; Zizi, Ferdinand; Pandi-Perumal, Seithikurippu R et al. (2017) Shift Work and Sleep: Medical Implications and Management. Sleep Med Disord 1:
Williams, Natasha J; Robbins, Rebecca; Rapoport, David et al. (2016) Tailored approach to sleep health education (TASHE): study protocol for a web-based randomized controlled trial. Trials 17:585

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