Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study

Background/objectives: Emerging research suggests that face-to-face group mindfulness-based therapies are an effective intervention for insomnia. This pilot study examined the effectiveness of a mindfulness-based smartphone application for improving objectively-measured sleep, self-reported sleep, i...

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Main Authors: Tiffany Low, Russell Conduit, Prerna Varma, Hailey Meaklim, Melinda L. Jackson
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Internet Interventions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782920301019
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author Tiffany Low
Russell Conduit
Prerna Varma
Hailey Meaklim
Melinda L. Jackson
author_facet Tiffany Low
Russell Conduit
Prerna Varma
Hailey Meaklim
Melinda L. Jackson
author_sort Tiffany Low
collection DOAJ
description Background/objectives: Emerging research suggests that face-to-face group mindfulness-based therapies are an effective intervention for insomnia. This pilot study examined the effectiveness of a mindfulness-based smartphone application for improving objectively-measured sleep, self-reported sleep, insomnia severity, pre-sleep arousal and daytime mood. Method: A community sample of 23 adults with subclinical to moderately severe symptoms of insomnia were randomized to either a mindfulness or progressive muscle relaxation (PMR) smartphone application for 40 or 60 days. Objective sleep outcomes assessed using actigraphy, and self-report measures of total wake time, cognitive and somatic pre-sleep arousal, and daytime positive and negative affect were assessed for 14 nights at baseline and post-intervention. Insomnia severity was recorded at baseline and post-intervention. Results: A greater reduction in sleep onset latency was observed in the mindfulness group over time, relative to the PMR group. The mindfulness group also reported medium effect size improvements for sleep efficiency. No significant interaction effects were found for self-reported sleep measures, however, main effects of time were found for both groups for total wake time, insomnia severity, cognitive pre-sleep arousal, and daytime positive and negative affect. Conclusions: These preliminary findings suggest that both mindfulness and PMR smartphone applications have the potential to improve symptoms of insomnia. In particular, this mindfulness-based smartphone application may improve sleep onset latency and reduce the duration of night-awakenings. Further research exploring digital therapeutics as a self-help option for those with insomnia is needed.
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spelling doaj.art-3581f78d37df4434b8e41d4d93a3af2a2022-12-21T23:33:55ZengElsevierInternet Interventions2214-78292020-09-0121100335Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot studyTiffany Low0Russell Conduit1Prerna Varma2Hailey Meaklim3Melinda L. Jackson4School of Health and Biomedical Sciences, RMIT University, Melbourne, AustraliaSchool of Health and Biomedical Sciences, RMIT University, Melbourne, AustraliaSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, AustraliaSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, AustraliaSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia; Corresponding author at: Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, 18 Innovation Walk, Clayton, VIC 3001, Australia.Background/objectives: Emerging research suggests that face-to-face group mindfulness-based therapies are an effective intervention for insomnia. This pilot study examined the effectiveness of a mindfulness-based smartphone application for improving objectively-measured sleep, self-reported sleep, insomnia severity, pre-sleep arousal and daytime mood. Method: A community sample of 23 adults with subclinical to moderately severe symptoms of insomnia were randomized to either a mindfulness or progressive muscle relaxation (PMR) smartphone application for 40 or 60 days. Objective sleep outcomes assessed using actigraphy, and self-report measures of total wake time, cognitive and somatic pre-sleep arousal, and daytime positive and negative affect were assessed for 14 nights at baseline and post-intervention. Insomnia severity was recorded at baseline and post-intervention. Results: A greater reduction in sleep onset latency was observed in the mindfulness group over time, relative to the PMR group. The mindfulness group also reported medium effect size improvements for sleep efficiency. No significant interaction effects were found for self-reported sleep measures, however, main effects of time were found for both groups for total wake time, insomnia severity, cognitive pre-sleep arousal, and daytime positive and negative affect. Conclusions: These preliminary findings suggest that both mindfulness and PMR smartphone applications have the potential to improve symptoms of insomnia. In particular, this mindfulness-based smartphone application may improve sleep onset latency and reduce the duration of night-awakenings. Further research exploring digital therapeutics as a self-help option for those with insomnia is needed.http://www.sciencedirect.com/science/article/pii/S2214782920301019SleepMindfulnessProgressive muscle relaxationPre-sleep arousalSmartphone applications
spellingShingle Tiffany Low
Russell Conduit
Prerna Varma
Hailey Meaklim
Melinda L. Jackson
Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study
Internet Interventions
Sleep
Mindfulness
Progressive muscle relaxation
Pre-sleep arousal
Smartphone applications
title Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study
title_full Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study
title_fullStr Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study
title_full_unstemmed Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study
title_short Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study
title_sort treating subclinical and clinical symptoms of insomnia with a mindfulness based smartphone application a pilot study
topic Sleep
Mindfulness
Progressive muscle relaxation
Pre-sleep arousal
Smartphone applications
url http://www.sciencedirect.com/science/article/pii/S2214782920301019
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