Outcome measures
inflammation, sleep disturbance, sleep-related impairment
INFLAMMATION, SECONDARY
Primary outcome: Sleep duration at 8 weeks. Sleep will be measured by 8–10 days of actigraphy at baseline/screening, week 8, and 6 and 12 months with the Actiwatch Spectrum device (Philips Respironics Inc.). Devices will be configured using default settings and scored using the Acitware Software (Philips Respironics, Inc.). Actigraphy will be manually scored using a standardized procedure [Main secondary outcome: 24-h SBP at 8 weeks. We will use the validated (AAMI criteria) SpaceLabs 90,207 monitor which is generally considered the “gold standard” for ABPM [Dietary intake will be collected using the ASA-24, an online automated 24-h dietary recall system [Objective 24-h physical activity data including sedentary behavior will be collected using the ActivPAL4 activity monitor [Other measures of cardiometabolic risk will be measured at screening, week 8, and months 6 and 12 including BMI and body fat estimation using a bioimpedance scale (Tanita of America, Arlington Heights, IL), waist and hip circumference, inflammation (IL-6, CRP), lipids, and HbA1c. Training procedures for body measurements include 1:1 training and practice with Dr. Baron and sign off when the staff member can demonstrate following procedures. We will also evaluate the effects on nocturnal and diurnal BP and on non-dipping BP status defined by ABPM levels as mean nighttime to daytime SBP/DBP ratio of > 0.90 [Participants will complete measures of patient-reported outcomes at session baseline, week 8, and months 3, 6, 9, and 12, including the PROMIS sleep disturbance and sleep-related impairment [We will assess intervention acceptability and user engagement to inform our findings and plan for future studies (Fitbit usage, coaching session attendance and duration, and email lesson engagement and use surveys and open-ended questions at the end of the intervention and follow-up periods).Data collection forms are not posted publicly but will be made available upon request.