Abstract
Introduction
Rest-activity patterns are important aspects of healthy sleep and may be disturbed in conditions like circadian rhythm disorders, insomnia, insufficient sleep syndrome, and neurological disorders. Long-term monitoring of rest-activity patterns is typically performed with diaries or actigraphy. Here, we propose a fully unobtrusive method to obtain rest-activity patterns using smartphone keyboard activity. This study investigated whether keyboard activities from habitual smartphone use are reliable estimates of rest and activity timing compared to daily self-reports within healthy participants.
Methods
First-year students (n = 51) used a custom smartphone keyboard to passively and objectively measure smartphone use behaviours, and filled out the Consensus Sleep Diary for one week. The time of the last keyboard activity before a nightly absence of keystrokes, and the time of the first keyboard activity following this period were used as markers.
Results
Results revealed high correlations between these markers and user-reported onset and offset of resting period (r ranged 0.74 - 0.80). Linear mixed models could estimate onset and offset of resting periods with reasonable accuracy (R2 ranged 0.60 - 0.66). This indicates that smartphone keyboard activity can be used to estimate rest-activity patterns. In addition, effects of chronotype and type of day were investigated.
Conclusion
Implementing this monitoring method in longitudinal studies would allow for long-term monitoring of (disturbances to) rest-activity patterns, without user burden or additional costly devices. It could be particularly useful in studies amongst clinical populations with sleep-related problems, or in populations for whom disturbances in rest-activity patterns are secondary complaints, such as neurological disorders.
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