Insufficient and disrupted sleep are rarely addressed in expectant and new mothers, despite evidence that disturbed sleep is a modifiable risk factor for negative health outcomes for mothers and their children. In this study the investigators will adapt, refine, and pilot test the implementation of a behavioral sleep intervention consisting of short videos designed to accompany a free behavioral sleep app. In Phase 1, the investigators will develop and refine the intervention with input from direct care workers who serve at-risk perinatal women. In Phase 2, direct care workers will deploy the training to expectant mothers with sleep concerns and the investigators will assess the reach, effectiveness, adoption, implementation, and maintenance of this scalable, efficient intervention to improve sleep.
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Phase 1 Reach
Timeframe: Throughout training period, i.e., for about 6 months; one time measure.
Phase 1 Effectiveness
Timeframe: At enrollment and 1 month after training.
Phase 1 Acceptability
Timeframe: 1 month after training
Phase 2 Reach
Timeframe: one time measure during enrollment period, ~ 6 months
Phase 2 Effectiveness
Timeframe: 6 weeks after enrollment
Phase 2 Effectiveness - Insomnia Severity Index
Timeframe: at enrollment and 6 weeks after enrollment
Phase 2 Effectiveness - Implementation
Timeframe: from enrolllment through 6 weeks after enrollment