Predicting Youth Athlete Sleep Quality and the Development of a Translational Tool to Inform Practitioner Decision Making

2021 ◽  
pp. 194173812110560
Author(s):  
Haresh T. Suppiah ◽  
Richard Swinbourne ◽  
Jericho Wee ◽  
Qixiang He ◽  
Johan Pion ◽  
...  

Background: Identifying key variables that predict sleep quality in youth athletes allows practitioners to monitor the most parsimonious set of variables that can improve athlete buy-in and compliance for athlete self-report measurement. Translating these findings into a decision-making tool could facilitate practitioner willingness to monitor sleep in athletes. Hypothesis: Key predictor variables, identified by feature reduction techniques, will lead to higher predictive accuracy in determining youth athletes with poor sleep quality. Study Design: Cross-sectional study. Level of Evidence: Level 3. Methods: A group (N = 115) of elite youth athletes completed questionnaires consisting of the Pittsburgh Sleep Quality Index and questions on sport participation, training, sleep environment, and sleep hygiene habits. A least absolute shrinkage and selection operator regression model was used for feature reduction and to select factors to train a feature-reduced sleep quality classification model. These were compared with a classification model utilizing the full feature set. Results: Sport type, training before 8 am, training hours per week, presleep computer usage, presleep texting or calling, prebedtime reading, and during-sleep time checks on digital devices were identified as variables of greatest influence on sleep quality and used for the reduced feature set modeling. The reduced feature set model performed better (area under the curve, 0.80; sensitivity, 0.57; specificity, 0.80) than the full feature set models in classifying youth athlete sleep quality. Conclusion: The findings of our study highlight that sleep quality of elite youth athletes is best predicted by specific sport participation, training, and sleep hygiene habits. Clinical Relevance: Education and interventions around the training and sleep hygiene factors that were identified to most influence the sleep quality of youth athletes could be prioritized to optimize their sleep characteristics. The developed sleep quality nomogram may be useful as a decision-making tool to improve sleep monitoring practice among practitioners.

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 484-495
Author(s):  
Maryam Moradi ◽  
◽  
Hamideh Mohammadzadeh ◽  
Reza Noori ◽  
Kokab Basiri Moghadam ◽  
...  

Objectives: Low quality sleep is one of the most common problems in old age. The present study aims to determine the effect of a sleep hygiene education program using Telephone Follow-Up (TFU) method on the sleep quality of the elderly. Methods & Materials: This quasi-experimental study was conducted on 80 eligible elderly people aged 60-74 years who were selected using a systematic random sampling method and were randomly assigned into intervention and control groups. The intervention group received a one-hour face-to-face education session on sleep hygiene. The TFU were carried out two times per week in the first month and once a week in the second month after intervention. The control group received routine care. The data collection tools were a demographic form and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The PSQI was completed for both groups immediately after the second month. Results: There was no statistically significant difference in the mean PSQI score before intervention in the intervention (8.02) and control (7.47) groups (P=0.32), but after the intervention, the mean PSQI score in the intervention group (5.42) was significantly reduced compared to the control group (7.67) (P<0.001). Conclusion: Sleep hygiene education program based on TFU improves the sleep quality of the elderly. It is recommended that health care providers use this method to improve the sleep quality of the elderly.


2019 ◽  
Vol 7 (6) ◽  
pp. 327-328
Author(s):  
Helmut Frohnhofen

Background: Aging causes physiological changes which affect the quality of sleep. Supervised physical exercise is an important therapeutic resource to improve the sleep of the elderlies, however there is a low adherence to those type of programs, so it is necessary to implement an exercise program which is feasible and effective. The study aimed to test the hypothesis that a semi-supervised home exercise program, improves sleep quality and daytime sleepiness of elderlies of the community who present poor sleep quality. Methods: This was a randomized controlled trial study, conducted from May to September 2017, in Northeastern Brazil, with elderlies of the community aging 60 years old or older, sedentary, with lower scores or equal to 5 at the Pittsburgh Sleep Quality Index (PSQI) and without cognitive decline. From one hundred ninety-one potential participants twenty-eight refused to participate, therefore, one hundred thirty-one (mean age 68 ± 7 years), and 88% female, were randomly assigned to an intervention group - IG (home exercise and sleep hygiene, n = 65) and a control group - CG (sleep hygiene only, n = 66). Sleep assessment tools were used: PSQI, Epworth sleepiness scale (ESS) and clinical questionnaire of Berlin. The level of physical activity has been assessed by means of International Physical Activity Questionnaire adapted for the elderly (IPAQ) and Mini-Mental State Examination for cognitive decline. All participants were assessed before and after the 12-week intervention period and, also, the assessors were blind. Results: The IG showed significant improvement in quality of sleep with a mean reduction of 4.9 ± 2.7 points in the overall PSQI (p < 0.01) and in all its 7 components of evaluation (p < 0.05), and improvement of secondary endpoint, daytime sleepiness, a decline of 2.8 ± 2.2 points in the ESS (p < 0.01). Conclusion: Our results suggest that semi-supervised home exercise is effective in improving the quality of sleep and self-referred daytime sleepiness of sedentary elderlies of the community who presented sleep disorders. Trial registration: Ensaiosclinicos.gov.br process number: RBR-3cqzfy.


Author(s):  
Gordon Bowen ◽  
Deidre Bowen

Social media is seen very much as a marketing tool and there is little in the literature that considers its use as a strategic decision making tool. This conceptual paper is an attempt to redress the balance. Social media user-generated content from blogs or consumer feedback are methods that social media can support effective strategic decision making. However, the business and organisational environments are influential on the effective of the data collected and ultimately its analysis. The decision making approach – single or multistage are significant influencers on the quality of the decisions. Multistage decision making is supportive of controversial decision making, which leads to better utilisation of the information and consequently, better decision making. Ultimately, robust decision making is underpinned by the effectiveness of the decision making process.


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Ifana Z. Rahmah ◽  
D. Retnaningsih ◽  
Rista Apriana

XVI + 86 halaman + 7 tabel + 2 Gambar + 12 LampiranLatar Belakang: Kualitas tidur adalah kemampuan individu untuk tetap tertidur dan mendapatkan tidur REM dan NREM yang pas. Perubahan tidur akibat proses penuaan pada lansia dapat mempengaruhi kualitas tidur. Sehingga lanjut usia perlu mendapatkan praktik sleep hygiene yang baik dan tepat agar dapat meningkatkan kualitas tidur pada lansia. Tujuan: Mengetahui hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang. Metode            : Metode penelitian menggunakan metode deskriptif korelatif dengan desain penelitian cross sectional. Sampel yang digunakan dalam penelitian ini sebanyak 35 lansia.Teknik pengambilan sampel menggunakan sampling jenuh. Metode pengumpulan data menggunakan kuesioner. Analisa data menggunakan uji rank spearman dengan nilai signifikasi 5%. Hasil : Hasil uji rank spearman di dapatkan bahwa ada hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang dengan nilai p value = 0,000 yang berarti ≤0,05 (5%), maka H0ditolak dan Ha diterima. Kesimpulan : Ada hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang dengan arah korelasi positif dan tingkat keeratan tinggi. Saran : Untuk pelayanan keperawatan dapat menerapkan praktik sleep hygiene yang dapat di jadikan intervensi mandiri perawat dalam upaya meningkatkan kualitas tidur lansia.Kata Kunci           : Sleep hygiene, kualitas tidur, lansia.Daftar Pustaka   : 37 (2006-2017) Xvi + 87 pages + 7 Tables + 2 Pictures + 12 EnclosuresBackground       :  Sleep quality is the ability of the individual to stay asleep and get a proper REM and NREM sleep. Sleep changes due to the aging process in the elderly can affect sleep quality. So that the elderly need to get a good sleep hygiene practices and appropriate in order to improve the quality of sleep of elderly. Method : Research method using correlative descriptive method with cross sectional studied design. The samples were 35 elderly persons. Simple random sampling used as total sampling. This study employed the questionnaires as data collecting methods. The spearman rank test used as statistical data analysis with significant value 5% . Result : The result of spearman rank statistic test show that there is relation between sleep hygiene and sleep quality at the elderly with p value = 0,000 which mean ≤ 0,05 (5%) then H0 is rejected and Ha is received. Conclusion: There is a relationship between sleep hygiene and sleep quality at the elderly in the nursing home Harapan Ibu Ngaliyan Semarang with the direction of positive and level of high closeness. Advice                : For nursing service can apply the the practice of sleep hygiene that can be made in the independent intervention of nurses in an effort to improve the quality of elderly sleep.Keywords            : Sleep hygiene, sleep quality, elderly.References         : 36 (2006-2017)


2018 ◽  
Vol 71 (suppl. 1) ◽  
pp. 17-24 ◽  
Author(s):  
Ilija Andrijevic ◽  
Svetlana Simic ◽  
Cedomirka Stanojevic ◽  
Boris Golubovic ◽  
Dragana Milutinovic

Introduction. The purpose of this study was to evaluate sleep quality among healthcare science students and to assess its association with sleep hygiene knowledge and practices, circadian typology and lifestyle factors. Material and Methods. The research was conducted as a cross-sectional questionnaire-based internet study on a sample of 268 students. The Pittsburgh Sleep Quality Index and The Self-Morningness-Eveningness Questionnaire were applied as research instruments to assess sleep quality and chronotypes respectively, while evaluation of the other variables was conducted using he Sleep Hygiene Knowledge Questionnaire, socio-demographic questionnaire and the questionnaire of lifestyle factors. Results. The average of the Pittsburgh Sleep Quality Index global score for all students was 6.9 ? 3.2. The poor sleep quality (The Pittsburgh Sleep Quality Index > 5) was reported in 62.7% of students. Sleep efficiency less than 85% was found in 43.0% of students, and 78% of students reported daytime dysfunctionality. Sleep quality was significantly worse among female students; coffee, alcohol and energy drink consumers and long-term cell phone users. Only 11.9% of students were classified as the morning chronotype and they had the best quality of sleep and the best sleep hygiene knowledge and practices, whereas the evening chronotype had the worst quality of sleep. A significant negative correlation was identified between sleep hygiene knowledge (r = - 0.133) and practice (r = 0.501) and sleep quality whereby the lower t he Sleep Hygiene Knowledge Questionnaire and Sleep Hygiene Practice Scale scores follow a higher the Pittsburgh Sleep Quality Index score. Conclusion. Majority of students had a suboptimal level of overall sleep quality, satisfactory knowledge of sleep hygiene, but they did not have the sleep hygiene practices which suggests that knowledge is not a factor of deterring from unhealthy behaviors.


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