TY - JOUR AU - Takeuchi, Hiroki AU - Suwa, Kaori AU - Kishi, Akifumi AU - Nakamura, Toru AU - Yoshiuchi, Kazuhiro AU - Yamamoto, Yoshiharu PY - 2022 DA - 2022/10/6 TI -客观推式睡眠反馈对日常生活中习惯性睡眠行为和瞬间症状的影响:mHealth干预试验使用保健物联网系统JO - JMIR mHealth Uhealth SP - e39150 VL - 10 IS - 10kw -可穿戴活动监测仪KW -智能手机应用KW -睡眠反馈KW -生态瞬时评估KW -稳定睡眠定时KW -情绪和身体症状AB -背景:睡眠有利于身心健康。一些移动和可穿戴的睡眠跟踪设备已经被开发出来，个性化的睡眠反馈是这些设备中最常见的功能。到目前为止，还没有研究实现客观的推式反馈信息，并调查接受睡眠反馈时的习惯性睡眠行为特征和每日症状。目的:我们进行了一项移动健康干预试验，以研究发送客观的推式睡眠反馈是否会改变日本上班族自我报告的情绪、身体症状和睡眠行为。方法:共31名上班族(平均年龄42.3岁，标准差7.9岁;男女比例21:10)参加了2020年11月30日至12月19日的两支手臂干预试验。参与者被要求使用智能手机应用程序每天5次表明自己的瞬时情绪和身体症状(抑郁情绪、焦虑、压力、困倦、疲劳、颈部和肩膀僵硬)。此外，每天下班后对每天的工作表现进行一次评估。他们被随机分配到反馈组或控制组，分别在每天早上收到或不收到应用程序上关于他们睡眠状态的消息。所有参与者的非惯用手腕上都戴着活动监测器，通过它，客观的睡眠数据被记录在服务器的网络上。 On the basis of the estimated sleep data on the server, personalized sleep feedback messages were generated and sent to the participants in the feedback group using the app. These processes were fully automated. Results: Using hierarchical statistical models, we examined the differences in the statistical properties of sleep variables (sleep duration and midpoint of sleep) and daily work performance over the trial period. Group differences in the diurnal slopes for mood and physical symptoms were examined using a linear mixed effect model. We found a significant group difference among within-individual residuals at the midpoint of sleep (expected a posteriori for the difference: −15, 95% credible interval −26 to −4 min), suggesting more stable sleep timing in the feedback group. However, there were no significant group differences in daily work performance. We also found significant group differences in the diurnal slopes for sleepiness (P<.001), fatigue (P=.002), and neck and shoulder stiffness (P<.001), which was largely due to better scores in the feedback group at wake-up time relative to those in the control group. Conclusions: This is the first mobile health study to demonstrate that objective push-type sleep feedback improves sleep timing of and physical symptoms in healthy office workers. Future research should incorporate specific behavioral instructions intended to improve sleep habits and examine the effectiveness of these instructions. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/10/e39150 UR - https://doi.org/10.2196/39150 UR - http://www.ncbi.nlm.nih.gov/pubmed/36201383 DO - 10.2196/39150 ID - info:doi/10.2196/39150 ER -