Amy B Adler1, Brian C Gunia2, Paul D Bliese3, Paul Y Kim4, Matthew L LoPresti4. 1. Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD 20910, USA. Electronic address: amy.b.adler.civ@mail.mil. 2. Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD 20910, USA; Johns Hopkins University, Carey Business School, 100 International Dr, Baltimore, MD 21202, USA. 3. Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD 20910, USA; University of South Carolina, Darla Moore School of Business, 1014 Greene St, Columbia, SC 29208, USA. 4. Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD 20910, USA.
Abstract
OBJECTIVES: The objective of this study was to assess the impact of wearing an actigraph and receiving personalized feedback on the sleep of a high-risk occupational group: United States soldiers recently returned from a combat deployment. DESIGN: Following a baseline survey with a full sample, a subsample of soldiers wore an actigraph, received feedback, and completed a brief survey. Two months later, the full sample completed a follow-up survey. The actigraph intervention involved wearing an actigraph for 3 weeks and then receiving a personalized report about sleep patterns and an algorithm-based estimate of cognitive functioning derived from individual sleep patterns. RESULTS: Propensity score matching with a genetic search algorithm revealed that subjects in the actigraph condition (n=43) reported fewer sleep problems (t value = -2.55, P<.01) and getting more sleep hours (t value =1.97, P<.05) at follow-up than those in a matched comparison condition (n=43, weighted). There were no significant differences in functioning, somatic symptoms, and mental health outcomes (posttraumatic stress disorder symptoms and depression). A significant interaction indicated that the actigraph had a more beneficial effect on those with more somatic symptoms at baseline but not those with more sleep problems. Most participants rated the personalized report as helpful. CONCLUSION: Actigraphs combined with personalized reports may offer a useful, simple intervention to improve the sleep patterns of large, high-risk occupational groups. Published by Elsevier Inc.
RCT Entities:
OBJECTIVES: The objective of this study was to assess the impact of wearing an actigraph and receiving personalized feedback on the sleep of a high-risk occupational group: United States soldiers recently returned from a combat deployment. DESIGN: Following a baseline survey with a full sample, a subsample of soldiers wore an actigraph, received feedback, and completed a brief survey. Two months later, the full sample completed a follow-up survey. The actigraph intervention involved wearing an actigraph for 3 weeks and then receiving a personalized report about sleep patterns and an algorithm-based estimate of cognitive functioning derived from individual sleep patterns. RESULTS: Propensity score matching with a genetic search algorithm revealed that subjects in the actigraph condition (n=43) reported fewer sleep problems (t value = -2.55, P<.01) and getting more sleep hours (t value =1.97, P<.05) at follow-up than those in a matched comparison condition (n=43, weighted). There were no significant differences in functioning, somatic symptoms, and mental health outcomes (posttraumatic stress disorder symptoms and depression). A significant interaction indicated that the actigraph had a more beneficial effect on those with more somatic symptoms at baseline but not those with more sleep problems. Most participants rated the personalized report as helpful. CONCLUSION: Actigraphs combined with personalized reports may offer a useful, simple intervention to improve the sleep patterns of large, high-risk occupational groups. Published by Elsevier Inc.
Authors: Tori L Crain; Leslie B Hammer; Todd Bodner; Ryan Olson; Ellen Ernst Kossek; Phyllis Moen; Orfeu M Buxton Journal: J Occup Health Psychol Date: 2018-05-28
Authors: Rebecca M Brossoit; Tori L Crain; Jordyn J Leslie; Leslie B Hammer; Donald M Truxillo; Todd E Bodner Journal: J Occup Health Psychol Date: 2018-11-29
Authors: Steven M Thurman; Nick Wasylyshyn; Heather Roy; Gregory Lieberman; Javier O Garcia; Alex Asturias; Gold N Okafor; James C Elliott; Barry Giesbrecht; Scott T Grafton; Sara C Mednick; Jean M Vettel Journal: PLoS One Date: 2018-01-29 Impact factor: 3.240