Effect of Sleep Report Feedback With Health Guidance Using a Sleep Monitoring Device for Improving Sleep in Community-Dwelling Older People: A Three-Arm Randomized Controlled Trial

IF 2.7 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2026-08-07 DOI:10.1111/ggi.70756

Hitomi Chikama, Miyae Yamakawa, Kazue Shigenobu, Hiroyuki Kurakami, Kodai Nobuhara, Kazuhiro Umemura, Wataru Mizukami, Yasushi Takeya, Eriko Koujiya, Hiroyoshi Adachi, Manabu Ikeda

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引用次数: 0

Abstract

Aim

To evaluate the effectiveness of sleep monitoring, report feedback, and telephone-based guidance regarding sleep hygiene and daytime activity for community-dwelling older adults.

Methods

We conducted a three-arm randomized controlled trial among community-dwelling adults in Japan. Participants were divided into three groups: (A) sleep report feedback and telephone-based health guidance for 6 months; (B) sleep report feedback and telephone-based health guidance for the first 3 months followed by sleep report feedback alone for the subsequent 3 months; and (C) sleep report feedback alone for 6 months. All groups used a sleep monitoring device. The Athens Insomnia Scale (AIS) score was the primary outcome. We analyzed time-series data by comparing different groups before and after the intervention to determine factors influencing the AIS score. All significance levels were set at p < 0.05.

Results

In total, 229 participants (80, 74, and 75 participants in groups A, B, and C, respectively) were randomized (men: 37.1%; mean age: 78.5 years; average AIS score: 6.5). Linear mixed model analysis revealed a significant group-by-time interaction for AIS scores (p = 0.002). Both intervention groups showed significant within-group improvements in AIS scores at 3 months compared with baseline, whereas the control group showed no significant change over time. In between-group comparisons, Group B showed significantly lower AIS scores than the control group at 3 months.

Conclusions

Combining sleep report feedback with telephone-based health guidance may support improvement in subjective sleep status among community-dwelling older adults.

Trial Registration

Committee and registered in the UMIN Clinical Trials Registry (study number: 21249; date of first registration: December 15, 2021; receipt number: R000052743; https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052743)

查看原文本刊更多论文

使用睡眠监测设备的睡眠报告反馈与健康指导对改善社区居住老年人睡眠的影响：一项三组随机对照试验

目的：评估社区老年人睡眠监测、报告反馈和基于电话的睡眠卫生和日间活动指导的有效性。方法：我们在日本社区居民中进行了一项三组随机对照试验。参与者分为三组：(A)睡眠报告反馈和电话健康指导，为期6个月；(B)前3个月采用睡眠报告反馈和电话健康指导，随后3个月仅采用睡眠报告反馈；(C)单独反馈6个月的睡眠报告。所有组都使用睡眠监测设备。雅典失眠症量表（AIS）评分是主要观察指标。我们通过比较干预前后不同组的时间序列数据来确定影响AIS评分的因素。结果：共有229名受试者（A组80人，B组74人，C组75人）被随机分配（男性：37.1%，平均年龄：78.5岁，平均AIS评分：6.5）。线性混合模型分析显示AIS评分存在显著的组-时间交互作用（p = 0.002）。与基线相比，两个干预组在3个月时的AIS评分均有显著的组内改善，而对照组在一段时间内无显著变化。在组间比较中，B组在3个月时AIS评分明显低于对照组。结论：将睡眠报告反馈与电话健康指导相结合，可能有助于改善社区居住老年人的主观睡眠状态。试验注册：委员会并在UMIN临床试验注册中心注册（研究编号：21249；首次注册日期：2021年12月15日；收据号：R000052743； https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052743）。

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.