利用智能可穿戴设备和患者报告数据评估原发性脑肿瘤患者的睡眠情况:一项观察性研究的可行性和中期分析

IF 2.4 Q2 CLINICAL NEUROLOGY
Maeve M Pascoe, Alex R. Wollet, Julianie De La Cruz Minyety, Elizabeth Vera, Hope Miller, O. Celiku, H. Leeper, Kelly Fernandez, Jennifer Reyes, Demarrius Young, Alvina A. Acquaye-Mallory, Kendra A. Adegbesan, L. Boris, E. Burton, Claudia P Chambers, Anna Choi, E. Grajkowska, Tricia F. Kunst, Jason Levine, M. Panzer, M. Penas-Prado, V. Pillai, L. Polskin, Jing Wu, Mark R Gilbert, T. Mendoza, Amanda L King, Dorela D. Shuboni-Mulligan, Terri S Armstrong
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引用次数: 0

摘要

睡眠-觉醒障碍是原发性脑肿瘤(PBT)患者常见的致残性疾病,但探索纵向数据的研究却很有限。本研究调查了通过智能可穿戴设备收集的纵向患者报告结果(PROs)和生理数据之间的可行性和关系。 54 名年龄≥18 岁的 PBT 患者佩戴 Fitbit 智能可穿戴设备 4 周,该设备可采集睡眠生理指标(如总睡眠时间、入睡后唤醒时间 (WASO))。他们在基线和 4 周时完成了 PROs(睡眠卫生指数、PROMIS 睡眠相关损害 (SRI) 和睡眠干扰 (SD)、晨间活力问卷 (MEQ))。对智能可穿戴设备使用的可行性(注册/自然减员、数据缺失)、临床特征、测试一致性、PROs 严重程度以及 PROs 与生理学睡眠测量之间的关系进行了评估。 大多数参与者(72%)在整个研究期间都佩戴了 Fitbit,其中 89% 的缺失率为 10%,SD 和 SRI 在使用智能可穿戴设备后有所改善,SD 与 WASO 相关。睡眠碎片机制的时间型分布偏差、风险和影响值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing Sleep in Primary Brain Tumor Patients using Smart Wearables and Patient-Reported Data: Feasibility and Interim Analysis of an Observational Study
Sleep-wake disturbances are common and disabling in primary brain tumor (PBT) patients but studies exploring longitudinal data are limited. This study investigates the feasibility and relationship between longitudinal patient-reported outcomes (PROs) and physiologic data collected via smart wearables. Fifty-four PBT patients ≥18 years wore Fitbit smart-wearable devices for 4 weeks, which captured physiologic sleep measures (e.g., total sleep time, wake after sleep onset (WASO)). They completed PROs (Sleep Hygiene Index, PROMIS Sleep-Related Impairment (SRI) and Sleep Disturbance (SD), Morningness-Eveningness Questionnaire (MEQ)) at baseline and 4 weeks. Smart wearable use feasibility (enrollment/attrition, data missingness), clinical characteristics, test consistency, PROs severity, and relationships between PROs and physiologic sleep measures were assessed. The majority (72%) wore their Fitbit for the entire study duration with 89% missing <3 days, no participant withdrawals, and 100% PRO completion. PROMIS SRI/SD and MEQ were all consistent/reliable (Cronbach’s alpha 0.74-0.92). Chronotype breakdown showed 39% morning, 56% intermediate, and only 6% evening types. Moderate-severe SD & SRI were reported in 13% and 17% at baseline, and with significant improvement in SD at 4 weeks (p=0.014). Fitbit-recorded measures showed a correlation at week 4 between WASO and SD (r=0.35, p=0.009) but not with SRI (r=0.24, p=0.08). Collecting sleep data with Fitbits is feasible, PROs are consistent/reliable, >10% of participants had SD and SRI that improved with smart wearable use, and SD was associated with WASO. The skewed chronotype distribution, risk and impact of sleep fragmentation mechanisms warrant further investigation.
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来源期刊
Neuro-oncology practice
Neuro-oncology practice CLINICAL NEUROLOGY-
CiteScore
5.30
自引率
11.10%
发文量
92
期刊介绍: Neuro-Oncology Practice focuses on the clinical aspects of the subspecialty for practicing clinicians and healthcare specialists from a variety of disciplines including physicians, nurses, physical/occupational therapists, neuropsychologists, and palliative care specialists, who have focused their careers on clinical patient care and who want to apply the latest treatment advances to their practice. These include: Applying new trial results to improve standards of patient care Translating scientific advances such as tumor molecular profiling and advanced imaging into clinical treatment decision making and personalized brain tumor therapies Raising awareness of basic, translational and clinical research in areas of symptom management, survivorship, neurocognitive function, end of life issues and caregiving
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