Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial.
The objective of this randomized controlled trial was to test whether a commercially available, mindfulness meditation mobile app, (i.e., Calm app), was effective in reducing fatigue (primary outcome), pre-sleep arousal, and daytime sleepiness (secondary outcomes) in adults with sleep disturbance (I...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2021-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0244717 |
| _version_ | 1819007966452383744 |
|---|---|
| author | Jennifer L Huberty Jeni Green Megan E Puzia Linda Larkey Breanne Laird Ana-Maria Vranceanu Robert Vlisides-Henry Michael R Irwin |
| author_facet | Jennifer L Huberty Jeni Green Megan E Puzia Linda Larkey Breanne Laird Ana-Maria Vranceanu Robert Vlisides-Henry Michael R Irwin |
| author_sort | Jennifer L Huberty |
| collection | DOAJ |
| description | The objective of this randomized controlled trial was to test whether a commercially available, mindfulness meditation mobile app, (i.e., Calm app), was effective in reducing fatigue (primary outcome), pre-sleep arousal, and daytime sleepiness (secondary outcomes) in adults with sleep disturbance (Insomnia Severity Index Score >10) as compared to a wait-list control group. Associations between the use of the Calm app (i.e., adherence to the intervention) and changes in sleep quality was also explored in the intervention group only. Adults with sleep disturbance were recruited (N = 640). Eligible and consenting participants (N = 263) were randomly assigned to the intervention (n = 124) or a wait-list control (n = 139) group. Intervention participants were asked to meditate using the Calm app ≥10 minutes/day for eight weeks. Fatigue, daytime sleepiness, and pre-sleep arousal were assessed at baseline, mid- (4-weeks) and post-intervention (8-weeks) in both groups, whereas sleep quality was evaluated only in the intervention group. Findings from intent-to-treat analyses suggest the use of the Calm app for eight weeks significantly decreased daytime fatigue (p = .018) as well as daytime sleepiness (p = .003) and cognitive (p = .005) and somatic (p < .001) pre-sleep arousal as compared to the wait-list control group. Within the intervention group, use of the Calm app was associated with improvements in sleep quality (p < .001). This randomized controlled trial demonstrates that the Calm app can be used to treat fatigue, daytime sleepiness, and pre-sleep arousal in adults with sleep disturbance. Given that the Calm app is affordable and widely accessible, these data have implications for community level dissemination of a mobile app to improve sleep-related symptoms associated with sleep disturbance. Trial registration: ClinicalTrials.gov NCT04045275. |
| first_indexed | 2024-12-21T00:32:58Z |
| format | Article |
| id | doaj.art-f9ab9b3c201440168171b987e610d744 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-21T00:32:58Z |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-f9ab9b3c201440168171b987e610d7442022-12-21T19:21:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01161e024471710.1371/journal.pone.0244717Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial.Jennifer L HubertyJeni GreenMegan E PuziaLinda LarkeyBreanne LairdAna-Maria VranceanuRobert Vlisides-HenryMichael R IrwinThe objective of this randomized controlled trial was to test whether a commercially available, mindfulness meditation mobile app, (i.e., Calm app), was effective in reducing fatigue (primary outcome), pre-sleep arousal, and daytime sleepiness (secondary outcomes) in adults with sleep disturbance (Insomnia Severity Index Score >10) as compared to a wait-list control group. Associations between the use of the Calm app (i.e., adherence to the intervention) and changes in sleep quality was also explored in the intervention group only. Adults with sleep disturbance were recruited (N = 640). Eligible and consenting participants (N = 263) were randomly assigned to the intervention (n = 124) or a wait-list control (n = 139) group. Intervention participants were asked to meditate using the Calm app ≥10 minutes/day for eight weeks. Fatigue, daytime sleepiness, and pre-sleep arousal were assessed at baseline, mid- (4-weeks) and post-intervention (8-weeks) in both groups, whereas sleep quality was evaluated only in the intervention group. Findings from intent-to-treat analyses suggest the use of the Calm app for eight weeks significantly decreased daytime fatigue (p = .018) as well as daytime sleepiness (p = .003) and cognitive (p = .005) and somatic (p < .001) pre-sleep arousal as compared to the wait-list control group. Within the intervention group, use of the Calm app was associated with improvements in sleep quality (p < .001). This randomized controlled trial demonstrates that the Calm app can be used to treat fatigue, daytime sleepiness, and pre-sleep arousal in adults with sleep disturbance. Given that the Calm app is affordable and widely accessible, these data have implications for community level dissemination of a mobile app to improve sleep-related symptoms associated with sleep disturbance. Trial registration: ClinicalTrials.gov NCT04045275.https://doi.org/10.1371/journal.pone.0244717 |
| spellingShingle | Jennifer L Huberty Jeni Green Megan E Puzia Linda Larkey Breanne Laird Ana-Maria Vranceanu Robert Vlisides-Henry Michael R Irwin Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial. PLoS ONE |
| title | Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial. |
| title_full | Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial. |
| title_fullStr | Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial. |
| title_full_unstemmed | Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial. |
| title_short | Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial. |
| title_sort | testing a mindfulness meditation mobile app for the treatment of sleep related symptoms in adults with sleep disturbance a randomized controlled trial |
| url | https://doi.org/10.1371/journal.pone.0244717 |
| work_keys_str_mv | AT jenniferlhuberty testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial AT jenigreen testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial AT meganepuzia testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial AT lindalarkey testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial AT breannelaird testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial AT anamariavranceanu testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial AT robertvlisideshenry testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial AT michaelrirwin testingamindfulnessmeditationmobileappforthetreatmentofsleeprelatedsymptomsinadultswithsleepdisturbancearandomizedcontrolledtrial |