Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study

Background: Insomnia is the most common sleep disorder. The recommended treatment is cognitive behavioural therapy for insomnia (CBTi). A sleep diary is a core tool in CBTi. We have developed a digital sleep diary with a standardised feedback function. Aim: To study feasibility of the digital sleep...

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Main Authors: Thea Christine Thorshov, Caroline Tonje Øverby, Diana Dobran Hansen, Way Kiat Bong, Knut Skifjeld, Petter Hurlen, Toril Dammen, Anne Moen, Harald Hrubos-Strøm
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Sleep Medicine: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590142723000332
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author Thea Christine Thorshov
Caroline Tonje Øverby
Diana Dobran Hansen
Way Kiat Bong
Knut Skifjeld
Petter Hurlen
Toril Dammen
Anne Moen
Harald Hrubos-Strøm
author_facet Thea Christine Thorshov
Caroline Tonje Øverby
Diana Dobran Hansen
Way Kiat Bong
Knut Skifjeld
Petter Hurlen
Toril Dammen
Anne Moen
Harald Hrubos-Strøm
author_sort Thea Christine Thorshov
collection DOAJ
description Background: Insomnia is the most common sleep disorder. The recommended treatment is cognitive behavioural therapy for insomnia (CBTi). A sleep diary is a core tool in CBTi. We have developed a digital sleep diary with a standardised feedback function. Aim: To study feasibility of the digital sleep diary in participants of the Akershus Sleep Apnea (ASAP) cohorts with difficulties falling asleep or maintaining sleep. To describe sleep diary engagement and explore experiences with the digital sleep diary with potential influences in insomnia symptom management. Material and methods: Twenty participants were recruited from the ASAP. All filled out a digital sleep diary up to 12 weeks. Treatment options provided were a self-help book (N = 11) or electroencephalography neurofeedback (N = 9) in addition to the sleep diary standardised feedback function. We collected quantitative data from the sleep diary reports and we sub-divided insomnia by sleep onset insomnia and non-sleep onset insomnia. Finally, we performed qualitative interviews. Results: The median number of entries to the sleep diary was 81 (25th quartile: 26, 75th quartile 84). In the qualitative analysis, we identified two main themes; “structure and overview” and “usability and digital features”. Conclusion: The sleep diary was found to be feasible when distributed in combination with a self-help book or electroencephalography neurofeedback. The qualitative results emphasised the importance of a timely graphical overview and visualisations of self-recorded sleep.
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spelling doaj.art-0ee97fe6b48b4872a3820392b6d6e2182023-12-09T06:07:47ZengElsevierSleep Medicine: X2590-14272023-12-016100093Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method studyThea Christine Thorshov0Caroline Tonje Øverby1Diana Dobran Hansen2Way Kiat Bong3Knut Skifjeld4Petter Hurlen5Toril Dammen6Anne Moen7Harald Hrubos-Strøm8Division of Surgery, Department of Otorhinolaryngology, Akershus University Hospital, Lørenskog, Norway; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Norway; Corresponding author. Division of Surgery, Department of Otorhinolaryngology, Akershus University Hospital, Lørenskog, Norway.Division of Surgery, Department of Otorhinolaryngology, Akershus University Hospital, Lørenskog, Norway; Faculty of Medicine, Institute of Clinical Medicine, Campus Ahus, University of Oslo, NorwayDivision of Surgery, Department of Otorhinolaryngology, Akershus University Hospital, Lørenskog, Norway; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, NorwayFaculty of Technology, Art and Design, Department of Computer Science, Human-Computer Interaction and Universal Design of ICT, Oslo Metropolitan University, Oslo, NorwayNorsk e-helse, Oslo, NorwayDivision of Clinical Informatics, Department of Diagnostics and Technology, Akershus University Hospital, Lørenskog, NorwayFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, Norway; Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayFaculty of Medicine, Institute of Health and Society, Department of Nursing Science, University of Oslo, NorwayDivision of Surgery, Department of Otorhinolaryngology, Akershus University Hospital, Lørenskog, Norway; Faculty of Medicine, Institute of Clinical Medicine, Campus Ahus, University of Oslo, NorwayBackground: Insomnia is the most common sleep disorder. The recommended treatment is cognitive behavioural therapy for insomnia (CBTi). A sleep diary is a core tool in CBTi. We have developed a digital sleep diary with a standardised feedback function. Aim: To study feasibility of the digital sleep diary in participants of the Akershus Sleep Apnea (ASAP) cohorts with difficulties falling asleep or maintaining sleep. To describe sleep diary engagement and explore experiences with the digital sleep diary with potential influences in insomnia symptom management. Material and methods: Twenty participants were recruited from the ASAP. All filled out a digital sleep diary up to 12 weeks. Treatment options provided were a self-help book (N = 11) or electroencephalography neurofeedback (N = 9) in addition to the sleep diary standardised feedback function. We collected quantitative data from the sleep diary reports and we sub-divided insomnia by sleep onset insomnia and non-sleep onset insomnia. Finally, we performed qualitative interviews. Results: The median number of entries to the sleep diary was 81 (25th quartile: 26, 75th quartile 84). In the qualitative analysis, we identified two main themes; “structure and overview” and “usability and digital features”. Conclusion: The sleep diary was found to be feasible when distributed in combination with a self-help book or electroencephalography neurofeedback. The qualitative results emphasised the importance of a timely graphical overview and visualisations of self-recorded sleep.http://www.sciencedirect.com/science/article/pii/S2590142723000332InsomniaPatient-reported outcomesSelf-managementMotivationEngagementFeasibility
spellingShingle Thea Christine Thorshov
Caroline Tonje Øverby
Diana Dobran Hansen
Way Kiat Bong
Knut Skifjeld
Petter Hurlen
Toril Dammen
Anne Moen
Harald Hrubos-Strøm
Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study
Sleep Medicine: X
Insomnia
Patient-reported outcomes
Self-management
Motivation
Engagement
Feasibility
title Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study
title_full Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study
title_fullStr Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study
title_full_unstemmed Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study
title_short Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study
title_sort experience with the use of a digital sleep diary in symptom management by individuals with insomnia a pilot mixed method study
topic Insomnia
Patient-reported outcomes
Self-management
Motivation
Engagement
Feasibility
url http://www.sciencedirect.com/science/article/pii/S2590142723000332
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