SleepNCT06131944
A Combined School- and Home-Based Sleep Promotion Program
A study testing Rested & Ready to Learn in people with Sleep, run by University of South Carolina at 1 site in United States.
Trial summary
The goal of this single group trial is to test the feasibility and acceptability of a combined school- and home-based sleep promotion program for young children prior to the kindergarten transition. Read more about this study
- Who is it for?
- Ages 4 to 6 yearsHealthy volunteers can take part
- Conditions the study is for
- Sleep
- What is being tested?
- Rested & Ready to Learn
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 13 participants
- Where
- 1 siteUnited States
- Study dates
- 26 Mar 2024to 1 Feb 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 4 to 6 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Child between the ages of 4-6 years
- Currently enrolled in a participating school's 4-year-old kindergarten (4K) classroom
- Parent/guardian willing to complete questionnaires in English
- Parent/guardian must have access to a mobile phone with texting capability
Who cannot join
- Parent or child has a medical condition that impairs their ability to participate
Trial locations and contacts
1 site in 1 country.
United States1 site
University of South Carolina
Columbia, South Carolina, 29208
About this study
Official title: Prevention Strategies to Enhance Young Children's Sleep Development - Part 1
The goal of this single group trial is to test the feasibility and acceptability of a combined school- and home-based sleep promotion program for young children prior to the kindergarten transition.
Read the detailed description
This single group pilot study will test a combined school- and home-based sleep promotion intervention designed to improve young children's sleep and classroom behavior. All participants will receive the intervention. Intervention content will be delivered via text message to parents' phones and in the classroom. The primary aim of this study is to assess the feasibility and acceptability of the intervention. The secondary aim is to assess the preliminary signal of effect on children's sleep and classroom behavior. Findings from this study will inform any necessary intervention modifications prior to a pilot randomized controlled trial.
- Conditions
- Sleep
- Being tested
- Rested & Ready to Learn
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rested & Ready to LearnBehavioural
The intervention arm targets improving young children's sleep by providing parents with sleep education and activities to do at home with their child. Classroom teachers will also deliver a brief lesson aligned with intervention topics to reinforce key messaging in the classroom. The sleep intervention will focus on the benefits of sleep (physical health, social-emotional health, classroom participation/learning), creating and sticking to a bedtime routine, screen use before bed, and developmentally appropriate sleep behavior.
| Study group | Role | What they receive |
|---|---|---|
| Rested & Ready to Learn | Experimental | All participants will receive the four-week Rested \& Ready to Learn sleep promotion program which includes text messaging to parents, home activities for parents and children to complete together, and brief classroom lessons. Receives: Behavioral: Rested & Ready to Learn |
What is being measured
The primary outcome is the main question the study is designed to answer.
Trial-related feasibility - recruitment capability
Recruitment capability will be measured by the proportion of eligible children who enroll at baseline.
Measured: Through recruitment period, up to 6 weeks
Trial-related feasibility - retention
Retention will be measured by the proportion of enrolled children who remain in the study through the length of the intervention. Reasons for dropout will also be assessed.
Measured: Weekly through study completion (weeks 1-5)
Intervention-related feasibility - intervention fidelity
Intervention fidelity, the delivery of the intervention as originally planned, will be assessed via teacher report. Intervention fidelity will be assessed with a study-specific questionnaire to assess if all classroom components were delivered as planned.
Measured: Weekly through study completion (weeks 1-4)
Intervention-related feasibility - rate of attendance
Children's attendance at school during intervention sessions will be provided by class records.
Measured: Weekly through study completion (weeks 1-4)
Intervention-related feasibility - participant adherence to intervention (home)
Adherence to the home-based component will rely on link usage data to assess parent engagement with the online materials. Investigators will extract information related to the number of parents who click links from weekly material and number of parents who do not open links.
Measured: Weekly through study completion (weeks 1-4)
Intervention-related feasibility - participant adherence to intervention (school)
School-based adherence will be assessed by a teacher-completed survey which will indicate whether or not they implemented the intervention each week.
Measured: Weekly through study completion (weeks 1-4)
Intervention-related feasibility - data collection completion rates
Data collection completion rates will be calculated to understand the feasibility of data collection protocols.
Measured: Weekly through study completion (weeks 1-4)
Intervention-related feasibility - data collection feasibility
Feasibility of data collection procedures will be assessed with qualitative feedback from parents during semi-structured interviews following the study.
Measured: Post-intervention (week 5-7)
Acceptability
Acceptability of the intervention conditions is defined as participants' perception that the intervention is satisfactory and will be assessed with short weekly questionnaires for parents and teachers. Overall acceptability will be assessed with an exit-survey consisting of Likert-scale items and open-ended responses to understand likes/dislikes, content, logistics, and feedback for future iterations. Likert-style questions will have response options ranging from 1-5 with greater scores representing higher acceptability.
Measured: Weekly through study completion (weeks 1-4), post-intervention (week 5-7)
Secondary outcomes (7)
Child sleep - device-based duration
Objective nocturnal sleep duration will be assessed using Axivity AX3 accelerometers worn on the non-dominant wrist for 7 days. Raw accelerometry data will be processed with open-source software, GGIR.
Measured: Baseline (week 0) and post-intervention (week 5)
Child sleep - device-based timing
Objective sleep timing will be assessed using Axivity AX3 accelerometers worn on the non-dominant wrist for 7 days. Raw accelerometry data will be processed with open-source software, GGIR.
Measured: Baseline (week 0) and post-intervention (week 5)
Child sleep - Bedtime Routines Questionnaire
Parents will complete the Bedtime Routines Questionnaire which contains 31 items on a 5-point Likert scale. This questionnaire results in two subscales - bedtime routine consistency and routine behaviors and environment. Higher scores indicate more consistent bedtime routines.
Measured: Baseline (week 0) and post-intervention (week 5)
Child behavior
Parents and teachers will complete the Child Self-Regulation and Behavior Questionnaire (CSBQ, ~10 min) which contains 34 items describing children's typical self-regulation and social behaviors in the home (parent version) and classroom (teacher version). Respondents describe what the child's behavior is like on a five-point scale ranging from "Not true" to "Very true." The CSBQ provides the following subscales: self-regulation, sociability, externalizing problems, internalizing problems, and prosocial behavior. The CSBQ is valid and reliable in children ages 3-6 years.
Measured: Baseline (week 0) and post-intervention (week 5)
Child inhibition
Inhibition (i.e., the ability to control behavioral impulses) will be assessed with the Go/No-Go task in which children are asked to identify fish and avoid sharks shown on the screen on an iPad as part of the freely accessible Early Years Toolbox. An impulse control score is calculated (% Go Accuracy x % No-Go Accuracy), which reflects the child's ability to withhold their response in the context of the strength of that typical (pre-potent) response.
Measured: Baseline (week 0) and post-intervention (week 5)
Child working memory
Working memory (i.e., amount of information that can be coordinated in the mind) will be assessed with the Mr. Ant task in which children will recall and identify the location of colorful stickers on Mr. Ant's body on an iPad as part of the freely accessible Early Years Toolbox. For the Mr Ant task, scores are calculated using a point score calculated as: beginning from level 1, one point for each consecutive level in which at least two of the three trials were performed accurately, plus 1/3 of a point for all correct trials thereafter.
Measured: Baseline (week 0) and post-intervention (week 5)
Child cognitive flexibility
Cognitive flexibility (i.e., the ability to control and redirect attention) will be assessed with the Card Sorting task in which children will sort cards by color and then shape on an iPad as part of the freely accessible Early Years Toolbox. For the Card Sorting task, investigators tend to review the accuracy of Block 1 (pre-switch) and Block 2 (post-switch). Since a post-switch accuracy score intends to index the extent to which a child could successfully switch from one sorting rule to the next, investigators will swap the two scores if the post-switch accuracy is larger than the pre-switch accuracy. This ensures that final post-switch scores (Block 2 + Block 3) reflects the child's ability to successfully switch between sorting rules.
Measured: Baseline (week 0) and post-intervention (week 5)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Nov 2023
- Study start26 Mar 2024
- Primary completion28 Jun 2024
- Study completion1 Feb 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SleepStudies of the same condition, open and under way.
- More trials run by University of South CarolinaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 13 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of South Carolina
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of General Medical Sciences (NIGMS)
- Responsible party
- Principal investigator, Sarah Burkart, University of South Carolina
- Investigators
- Sarah Burkart, PhD, Principal investigator, University of South Carolina
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06131944
- Sponsor's protocol ID
- Pro00125230
- Other IDs
- 5P20GM130420
- Status last verified
- May 2025
- First submitted
- 11 Oct 2023
- Last updated
- 14 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prevention Strategies to Enhance Young Children's Sleep Development - Part 1
- ClinicalTrials.gov ID
- NCT06131944
- Acronym / sponsor ID
- Pro00125230
- Conditions
- Sleep
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13 participants (actual)
- Lead sponsor
- University of South CarolinaUniversity, hospital or other
- Collaborators
- National Institute of General Medical Sciences (NIGMS)
- Study start
- 26 Mar 2024 (actual)
- Primary completion
- 28 Jun 2024 (actual)
- Study completion
- 1 Feb 2025 (actual)
- First posted
- 15 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this single group trial is to test the feasibility and acceptability of a combined school- and home-based sleep promotion program for young children prior to the kindergarten transition.
Detailed description
This single group pilot study will test a combined school- and home-based sleep promotion intervention designed to improve young children's sleep and classroom behavior. All participants will receive the intervention. Intervention content will be delivered via text message to parents' phones and in the classroom. The primary aim of this study is to assess the feasibility and acceptability of the intervention. The secondary aim is to assess the preliminary signal of effect on children's sleep and classroom behavior. Findings from this study will inform any necessary intervention modifications prior to a pilot randomized controlled trial.
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Rested & Ready to Learn | Experimental | Behavioral: Rested & Ready to LearnAll participants will receive the four-week Rested \& Ready to Learn sleep promotion program which includes text messaging to parents, home activities for parents and children to complete together, and brief classroom lessons. |
Who may qualify
- Ages
- 4 to 6 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Child between the ages of 4-6 years
- Currently enrolled in a participating school's 4-year-old kindergarten (4K) classroom
- Parent/guardian willing to complete questionnaires in English
- Parent/guardian must have access to a mobile phone with texting capability
Key exclusion criteria (1 listed)
- Parent or child has a medical condition that impairs their ability to participate
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rested & Ready to LearnThe intervention arm targets improving young children's sleep by providing parents with sleep education and activities to do at home with their child. Classroom teachers will also deliver a brief lesson aligned with intervention topics to reinforce key messaging in the classroom. The sleep intervention will focus on the benefits of sleep (physical health, social-emotional health, classroom participation/learning), creating and sticking to a bedtime routine, screen use before bed, and developmentally appropriate sleep behavior. | Behavioural | Rested & Ready to Learn |
Primary outcome
Trial-related feasibility - recruitment capability
Time frame: Through recruitment period, up to 6 weeks
Recruitment capability will be measured by the proportion of eligible children who enroll at baseline.
Trial-related feasibility - retention
Time frame: Weekly through study completion (weeks 1-5)
Retention will be measured by the proportion of enrolled children who remain in the study through the length of the intervention. Reasons for dropout will also be assessed.
Intervention-related feasibility - intervention fidelity
Time frame: Weekly through study completion (weeks 1-4)
Intervention fidelity, the delivery of the intervention as originally planned, will be assessed via teacher report. Intervention fidelity will be assessed with a study-specific questionnaire to assess if all classroom components were delivered as planned.
Intervention-related feasibility - rate of attendance
Time frame: Weekly through study completion (weeks 1-4)
Children's attendance at school during intervention sessions will be provided by class records.
Intervention-related feasibility - participant adherence to intervention (home)
Time frame: Weekly through study completion (weeks 1-4)
Adherence to the home-based component will rely on link usage data to assess parent engagement with the online materials. Investigators will extract information related to the number of parents who click links from weekly material and number of parents who do not open links.
Intervention-related feasibility - participant adherence to intervention (school)
Time frame: Weekly through study completion (weeks 1-4)
School-based adherence will be assessed by a teacher-completed survey which will indicate whether or not they implemented the intervention each week.
Intervention-related feasibility - data collection completion rates
Time frame: Weekly through study completion (weeks 1-4)
Data collection completion rates will be calculated to understand the feasibility of data collection protocols.
Intervention-related feasibility - data collection feasibility
Time frame: Post-intervention (week 5-7)
Feasibility of data collection procedures will be assessed with qualitative feedback from parents during semi-structured interviews following the study.
Acceptability
Time frame: Weekly through study completion (weeks 1-4), post-intervention (week 5-7)
Acceptability of the intervention conditions is defined as participants' perception that the intervention is satisfactory and will be assessed with short weekly questionnaires for parents and teachers. Overall acceptability will be assessed with an exit-survey consisting of Likert-scale items and open-ended responses to understand likes/dislikes, content, logistics, and feedback for future iterations. Likert-style questions will have response options ranging from 1-5 with greater scores representing higher acceptability.
7 secondary outcomes
Child sleep - device-based duration
Time frame: Baseline (week 0) and post-intervention (week 5)
Child sleep - device-based timing
Time frame: Baseline (week 0) and post-intervention (week 5)
Child sleep - Bedtime Routines Questionnaire
Time frame: Baseline (week 0) and post-intervention (week 5)
Child behavior
Time frame: Baseline (week 0) and post-intervention (week 5)
Child inhibition
Time frame: Baseline (week 0) and post-intervention (week 5)
Child working memory
Time frame: Baseline (week 0) and post-intervention (week 5)
Child cognitive flexibility
Time frame: Baseline (week 0) and post-intervention (week 5)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sarah Burkart, PhD principal investigator
University of South Carolina
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Rested & Ready to Learn in people with Sleep, run by University of South Carolina at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Trial-related feasibility - recruitment capability (time frame: Through recruitment period, up to 6 weeks). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2025.