■这种单臂,混合方法,试点研究在超重和睡眠健康状况欠佳的成年人样本中,对睡眠和昼夜节律功能障碍(TranS-C)的多维睡眠健康(MDSH)进行了适应性诊断干预的可行性和初步疗效。
■参加者最多可收到8,每周,远程交付,量身定制的TranS-C会话。在干预前和干预后,匹兹堡睡眠质量指数,Epworth嗜睡量表,和7天的Fitbit数据用于评估睡眠维度的变化(规律性,机敏,定时,满意,持续时间,和效率)和综合MDSH评分。研究可行性研究的招聘,数据收集,和干预参与(完成核心TranS-C会话)。通过半结构化访谈评估干预措施的可接受性,使用专题分析进行了分析。
■来自85次推荐,11个人有资格,10人完成了研究。所有干预参与者都完成了计算其综合MDSH得分所需的措施,并完成了核心干预课程。访谈的主题支持干预的远程交付方法,提供的信息的适用性,以及对自我报告健康的影响。干预导致平均综合MDSH评分有很大改善(Cohen'sd=1.17)。除了时间安排外,还观察到个体睡眠健康维度的小效应到大效应。
■适应的TranS-C对于体重过多且睡眠健康状况欠佳的成年人是可以接受的,并且可能有效改善短期MDSH。随着招聘方式的改变,更大规模的研究是可行的。局限性包括样本量小和缺乏控制条件。
UNASSIGNED: This single-arm, mixed-methods, pilot study examined the feasibility and preliminary efficacy of an adapted version of the transdiagnostic intervention for sleep and circadian dysfunction (TranS-C) on multidimensional sleep health (MDSH) in a sample of adults with excess weight and suboptimal sleep health.
UNASSIGNED: Participants received up to eight, weekly, remotely delivered, tailored TranS-C sessions. At pre- and post-intervention, the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and 7 days of Fitbit data were used to evaluate changes in sleep dimensions (regularity, alertness, timing, satisfaction, duration, and efficiency) and the composite MDSH score. Study feasibility examined recruitment, data collection, and intervention engagement (completion of core TranS-C sessions). Acceptability of the intervention was assessed with semi-structured interviews, which were analyzed using thematic analysis.
UNASSIGNED: From 85 referrals, 11 individuals were eligible, and 10 completed the study. All intervention participants completed the measures needed to calculate their composite MDSH score and completed the core intervention sessions. Themes from interviews support the intervention\'s remote delivery approach, applicability of the information provided, and impact on self-reported health. The intervention resulted in a large improvement in the mean composite MDSH score (Cohen\'s d = 1.17). Small-to-large effects were also observed for individual sleep health dimensions except for timing.
UNASSIGNED: Adapted TranS-C is acceptable for adults with excess weight and suboptimal sleep health and may be effective at improving short-term MDSH. With changes to recruitment methods, a larger study is feasible. Limitations include the small sample size and the lack of a control condition.