scholarly journals Feasibility and Acceptability of Wearable Sleep Electroencephalogram Device Use in Adolescents: Observational Study

10.2196/20590 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e20590
Author(s):  
Jessica R Lunsford-Avery ◽  
Casey Keller ◽  
Scott H Kollins ◽  
Andrew D Krystal ◽  
Leah Jackson ◽  
...  
Keyword(s):  
Sleep Disturbances ◽  
Life Stage ◽  
Population Level ◽  
Sleep Eeg ◽  
Healthy Behaviors ◽  
Sleep Assessment ◽  
Acceptable Method ◽  
Sleep Recording ◽  
Device Use ◽  
User Friendly

Background Adolescence is an important life stage for the development of healthy behaviors, which have a long-lasting impact on health across the lifespan. Sleep undergoes significant changes during adolescence and is linked to physical and psychiatric health; however, sleep is rarely assessed in routine health care settings. Wearable sleep electroencephalogram (EEG) devices may represent user-friendly methods for assessing sleep among adolescents, but no studies to date have examined the feasibility and acceptability of sleep EEG wearables in this age group. Objective The goal of the research was to investigate the feasibility and acceptability of sleep EEG wearable devices among adolescents aged 11 to 17 years. Methods A total of 104 adolescents aged 11 to 17 years participated in 7 days of at-home sleep recording using a self-administered wearable sleep EEG device (Zmachine Insight+, General Sleep Corporation) as well as a wristworn actigraph. Feasibility was assessed as the number of full nights of successful recording completed by adolescents, and acceptability was measured by the wearable acceptability survey for sleep. Feasibility and acceptability were assessed separately for the sleep EEG device and wristworn actigraph. Results A total of 94.2% (98/104) of adolescents successfully recorded at least 1 night of data using the sleep EEG device (mean number of nights 5.42; SD 1.71; median 6, mode 7). A total of 81.6% (84/103) rated the comfort of the device as falling in the comfortable to mildly uncomfortable range while awake. A total of 40.8% (42/103) reported typical sleep while using the device, while 39.8% (41/103) indicated minimal to mild device-related sleep disturbances. A minority (32/104, 30.8%) indicated changes in their sleep position due to device use, and very few (11/103, 10.7%) expressed dissatisfaction with their experience with the device. A similar pattern was observed for the wristworn actigraph device. Conclusions Wearable sleep EEG appears to represent a feasible, acceptable method for sleep assessment among adolescents and may have utility for assessing and treating sleep disturbances at a population level. Future studies with adolescents should evaluate strategies for further improving usability of such devices, assess relationships between sleep EEG–derived metrics and health outcomes, and investigate methods for incorporating data from these devices into emerging digital interventions and applications. Trial Registration ClinicalTrials.gov NCT03843762; https://clinicaltrials.gov/ct2/show/NCT03843762

scholarly journals Feasibility and Acceptability of Wearable Sleep Electroencephalogram Device Use in Adolescents: Observational Study (Preprint)

2020 ◽  
Author(s):  
Jessica R Lunsford-Avery ◽  
Casey Keller ◽  
Scott H Kollins ◽  
Andrew D Krystal ◽  
Leah Jackson ◽  
...  
Keyword(s):  
Sleep Disturbances ◽  
Life Stage ◽  
Population Level ◽  
Sleep Eeg ◽  
Healthy Behaviors ◽  
Sleep Assessment ◽  
Acceptable Method ◽  
Sleep Recording ◽  
Device Use ◽  
User Friendly

BACKGROUND Adolescence is an important life stage for the development of healthy behaviors, which have a long-lasting impact on health across the lifespan. Sleep undergoes significant changes during adolescence and is linked to physical and psychiatric health; however, sleep is rarely assessed in routine health care settings. Wearable sleep electroencephalogram (EEG) devices may represent user-friendly methods for assessing sleep among adolescents, but no studies to date have examined the feasibility and acceptability of sleep EEG wearables in this age group. OBJECTIVE The goal of the research was to investigate the feasibility and acceptability of sleep EEG wearable devices among adolescents aged 11 to 17 years. METHODS A total of 104 adolescents aged 11 to 17 years participated in 7 days of at-home sleep recording using a self-administered wearable sleep EEG device (Zmachine Insight+, General Sleep Corporation) as well as a wristworn actigraph. Feasibility was assessed as the number of full nights of successful recording completed by adolescents, and acceptability was measured by the wearable acceptability survey for sleep. Feasibility and acceptability were assessed separately for the sleep EEG device and wristworn actigraph. RESULTS A total of 94.2% (98/104) of adolescents successfully recorded at least 1 night of data using the sleep EEG device (mean number of nights 5.42; SD 1.71; median 6, mode 7). A total of 81.6% (84/103) rated the comfort of the device as falling in the comfortable to mildly uncomfortable range while awake. A total of 40.8% (42/103) reported typical sleep while using the device, while 39.8% (41/103) indicated minimal to mild device-related sleep disturbances. A minority (32/104, 30.8%) indicated changes in their sleep position due to device use, and very few (11/103, 10.7%) expressed dissatisfaction with their experience with the device. A similar pattern was observed for the wristworn actigraph device. CONCLUSIONS Wearable sleep EEG appears to represent a feasible, acceptable method for sleep assessment among adolescents and may have utility for assessing and treating sleep disturbances at a population level. Future studies with adolescents should evaluate strategies for further improving usability of such devices, assess relationships between sleep EEG–derived metrics and health outcomes, and investigate methods for incorporating data from these devices into emerging digital interventions and applications. CLINICALTRIAL ClinicalTrials.gov NCT03843762; https://clinicaltrials.gov/ct2/show/NCT03843762

The Military Service Sleep Assessment: an instrument to assess factors precipitating sleep disturbances in U.S. military personnel

2021 ◽  
Author(s):  
Vincent Mysliwiec ◽  
Kristi E. Pruiksma ◽  
Matthew S. Brock ◽  
Casey Straud ◽  
Daniel J. Taylor ◽  
...  
Keyword(s):  
Military Personnel ◽  
Military Service ◽  
Sleep Disturbances ◽  
Sleep Assessment ◽  
The Military

Production at the Cohort and Population Levels

2020 ◽  
pp. 149-168
Author(s):  
Michael J. Fogarty ◽  
Jeremy S. Collie
Keyword(s):  
Population Ecology ◽  
Life Stage ◽  
Population Level ◽  
Fish Population ◽  
Individual Growth ◽  
Relative Importance ◽  
Compensatory Mechanisms ◽  
Fisheries Science ◽  
Dominant Component ◽  
Time Period

The dominant focus on production processes in fisheries science sets it apart from other areas of population ecology in which population numbers are the principal currency for analysis. This chapter extends consideration of individual growth and mortality rates provided in earlier chapters to broaden the context for understanding cohort and population processes. A cohort is a group of organisms born within a given time period (e.g. year). How a fish population will respond to harvesting requires not only accurate accounting of its effective reproductive output but an understanding of the relative importance of compensatory mechanisms operating at different points in the life cycle. Recruitment (the number in a cohort surviving to a specified life stage or age) emerges as a dominant component of production at the population level. A dominant theme in this chapter concerns population regulation as embodied in the recruitment process and the high variability in this process.

Unpacking the Mississippi blues: Relationship between internalizing problems and health behaviors

2020 ◽  
pp. 002087282090831 ◽  
Author(s):  
Iuliia Churakova ◽  
Viktor Burlaka ◽  
Jandel Crutchfield ◽  
Na Youn Lee ◽  
Amy Fisher ◽  
...  
Keyword(s):  
Substance Use ◽  
Social Work ◽  
Sleep Disturbances ◽  
Healthy Lifestyle ◽  
Internalizing Behaviors ◽  
Helping Professions ◽  
Healthy Behaviors ◽  
Modifiable Factors ◽  
Work Education ◽  
The Relationship

This study examined the relationship between internalizing behaviors (measured as anxious/depressed, withdrawn, and somatic problems) and lifestyle-related, modifiable factors as substance use, sleep, and healthy behaviors in a sample of 191 college students in training for social work and other helping professions. The results indicate that participants with lower scores on internalizing behaviors had fewer sleep disturbances, higher scores on healthy behaviors and lower substance use. The implications for social work education, research, and practice are considered, including exploring the relationships between internalizing behaviors and different components of a healthy lifestyle, such as exercise, sleep, and substance use.

scholarly journals Five Year Pediatric Use of a Digital Wearable Fitness Device: Lessons from a Pilot Case Study

2020 ◽  
Author(s):  
Kimayani D. Butte ◽  
Amir Bahmani ◽  
Atul J. Butte ◽  
Xiao Li ◽  
Michael P. Snyder
Keyword(s):  
Pediatric Case ◽  
School Work ◽  
Healthy Behaviors ◽  
Step Counts ◽  
Pediatric Study ◽  
Pediatric Use ◽  
Device Use ◽  
New Applications ◽  
Successes And Challenges

AbstractObjectivesWearable fitness devices are increasingly used by the general population, with new applications being proposed and designed for healthy adults as well as adults with chronic diseases. Fewer, if any, studies of these devices have been conducted in healthy adolescents and teenagers, especially over a long period of time. The goal of this work was to document the successes and challenges involved in 5 years of a wearable fitness device use in a pediatric case study.Materials and MethodsComparison of five years of step counts and minutes asleep from a teenaged girl and her father.ResultsAt 60 months, this may be the longest reported pediatric study involving a wearable fitness device, and the first simultaneously involving a parent and a child. We find step counts to be significantly higher for both the adult and teen on school/work days, along with less sleep. The teen walked significantly less towards the end of the 5 year study. Surprisingly, many of the adult’s and teen’s sleeping and step counts were correlated, possibly due to coordinated behaviors.DiscussionWe end with several recommendations for pediatricians and device manufacturers, including the need for constant adjustments of stride length and calorie counts as teens are growing.ConclusionWith periodic adjustments for growth, this pilot study shows these devices can be used for more accurate and consistent measurements in adolescents and teenagers over longer periods of time, to potentially promote healthy behaviors.

scholarly journals Sleep Disorders in Patients with Psoriatic Arthritis

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Mariana Castanho Risso
Keyword(s):  
Metabolic Syndrome ◽  
Psoriatic Arthritis ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Public Health Issue ◽  
Berlin Questionnaire ◽  
Sleep State ◽  
Simultaneous Control ◽  
Sleep Assessment

Sleep disorders are currently a major public health issue in Brazil, due to its high incidence and difficult diagnosis, identification of type and treatment.1 Rheumatic disorders have been associated with changes in sleep state, which cause reduction in quality of life, eventually reduced by the chronic inflammatory process of the primary disease.2–6 This study aimed to identify and describe the existence of sleep disturbances in patients with psoriatic arthritis, as well as to verify possible association of sleep disorders with metabolic syndrome and other parameters in these individuals. Thirty one patients with psoriatic arthritis from a Rheumatology Outpatient Clinic were analyzed. Three sleep assessment questionnaires were employed: Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (EPW) and The Berlin Questionnaire (BQ). Sleep walking or talking were also inquired as a complementary scale. Sociodemographic variables and the presence of hypertension, obesity, diabetes, dyslipidemia and metabolic syndrome have also been investigated. On average, sleep disorders were found in 54.83% of the studied patients (64.5% from PSQI, 51.6% from EPW and 48.4% from Berlin) and around 70% of sleep disorders in patients with simultaneous diagnosis of metabolic syndrome and psoriatic arthritis. From these results, it is notable that sleep disorders are common in patients diagnosed with psoriatic arthritis. Thus, this pathology demands greater attention in clinical practice and search for ideal and complete therapy, in addition to simultaneous control of arthritis, sleep, hypertension, dyslipidemia and obesity.

scholarly journals The detrimental impacts of smart technology device overuse among school students in Kuwait: a cross-sectional survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ali Jasem Buabbas ◽  
Madawi Anwar Al-Mass ◽  
Basma Awad Al-Tawari ◽  
Mohammad Abbas Buabbas
Keyword(s):  
High School ◽  
High School Students ◽  
Sleep Disturbances ◽  
Categorical Variables ◽  
Smart Technology ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Equal Distribution ◽  
Device Use

Abstract Background Children and adolescents are becoming the most prolific users of smart technology (ST) devices due to the numerous advantages presented by these devices. However, the overuse of ST devices can have detrimental impacts on health. Therefore, the aim of this study was to investigate the pattern of ST device use among school students in Kuwait and the possible associated health problems. Methods This cross-sectional survey used a pretested questionnaire to collect data from students of different educational levels within the governmental sector: primary, secondary and high school. Chi-square tests were applied to find associations or significant differences between the categorical variables, in which p < 0.05 was considered statistically significant. Results This study included 3015 students, of whom 53.6% were female. The sample had an equal distribution of primary (33.8%), secondary (32.4%) and high school students (33.8%). Almost all of the participants (99.7%) owned a ST device, chiefly smartphones (87.7%). Most of the students used ST devices for > 4 total hours per day on average, which is categorised as “overuse”. Among those overusing ST devices, the symptoms most commonly experienced included headaches (35.0%), sleep disturbances (36.6%) and neck/shoulder pain (37.7%). Students who used ST devices for < 1 h per session experienced eye-related problems. Moreover, students who played sports on a regular basis were more likely to spend less time per session on ST devices. The prolonged use of ST devices was associated with higher reporting of seizures, eye squints and transient vision loss. Conclusion The overuse of ST devices per day and per session by school-aged children has the potential to have a detrimental impact on their health, as has been noticed among students in Kuwait. Healthcare professionals, school authorities and parents could use these results to plan strategies to change ST device use behaviours among schoolchildren.

Sleep disorders in anti-NMDAR encephalitis

Neurology ◽  
2020 ◽  
Vol 95 (6) ◽  
pp. e671-e684 ◽  
Author(s):  
Helena Ariño ◽  
Amaia Muñoz-Lopetegi ◽  
Eugenia Martinez-Hernandez ◽  
Thaís Armangue ◽  
Mireia Rosa-Justicia ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Disease Onset ◽  
Nrem Sleep ◽  
Acute Stage ◽  
Cognitive Changes ◽  
Confusional Arousals ◽  
Nmda Receptor Encephalitis ◽  
Sleep Assessment ◽  
Normal Sleep

ObjectiveTo describe the sleep disorders in anti–NMDA receptor encephalitis (anti-NMDARe).MethodsPatients recovering from anti-NMDARe were invited to participate in a prospective observational single-center study including comprehensive clinical, video-polysomnography (V-PSG) sleep assessment, and neuropsychological evaluation. Age- and sex-matched healthy participants served as controls.ResultsEighteen patients (89% female, median age 26 years, interquartile range [IQR] 21–29 years) and 21 controls (81% female, median age 23 years, IQR 18–26 years) were included. In the acute stage, 16 (89%) patients reported insomnia and 2 hypersomnia; nightmares occurred in 7. After the acute stage, 14 (78%) had hypersomnia. At study admission (median 183 days after disease onset, IQR 110–242 days), 8 patients still had hypersomnia, 1 had insomnia, and 9 had normal sleep duration. Patients had more daytime sleepiness than controls (higher Barcelona Sleepiness Index, p = 0.02, and Epworth Sleepiness Score, p = 0.04). On V-PSG, sleep efficiency was similar in both groups, but patients more frequently had multiple and longer confusional arousals in non-REM (NREM) sleep (videos provided). In addition, 13 (72%) patients had cognitive deficits; 12 (67%) had psychological, social, or occupational disability; and 33% had depression or mania. Compared with controls, patients had a higher body mass index (median 23.5 [IQR 22.3–30.2] vs 20.5 [19.1–21.1] kg/m2; p = 0.007). Between disease onset and last follow-up, 14 (78%) patients developed hyperphagia, and 6 (33%) developed hypersexuality (2 requiring hospitalization), all associated with sleep dysfunction.ConclusionsSleep disturbances are frequent in anti-NMDARe. They show a temporal pattern (predominantly insomnia at onset; hypersomnia during recovery), are associated with behavioral and cognitive changes, and can occur with confusional arousals during NREM sleep.

scholarly journals Subjective Assessment of Sleep in Infantile Autism: A Comparative Study

2019 ◽  
Vol 9 (2) ◽  
pp. 12
Author(s):  
Maydelin Alfonso-Alfonso ◽  
Lilia Morales-Chacón ◽  
Justa González-Naranjo
Keyword(s):  
Sleep Disturbances ◽  
Children With Autism ◽  
Subjective Assessment ◽  
Cross Sectional Study ◽  
Control Group ◽  
Test Results ◽  
Sleep Habits ◽  
Cross Sectional ◽  
Sleep Breathing Disorders ◽  
Sleep Assessment

Sleep disturbances are very common in children with autism; it is for this reason that instruments that facilitate their evaluation are necessary. Objectives: Perform sleep assessment from a subjective perspective in a group of children with primary autism and compare them with a control group, using the Sleep Habits in Children Survey (CSHQ), with the purpose of determining sleep disturbances according to the subscales used. Method: A prospective cross-sectional study was conducted in a group of 21 patients with primary autism. For the evaluation of sleep disturbances, we chose the CSHQ survey. The differences between the independent groups were calculated by applying a Mann–Whitney U test. Results: In the group of children with autism, higher values of the total scale were observed in comparison with the control group (p = 0.00) which It is congruent with a large sleep dysfunction. Significant differences were observed for all subscales (p = 0.00), with the exception of the subscale number 7. Conclusions: A high presence of sleep disturbances was observed in children with primary autism, with the exception of sleep breathing disorders, which did not show significant differences between the groups.

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