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Using consumer sleep trackers for sleep extension interventions: retention, adherence, and user experiences.
Eliza Taylor1, Mary Takgbajouah2, Jennifer Duffecy3
1Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT, United States.
Sleep Advances : a Journal of the Sleep Research Society
|April 29, 2026
Summary
Consumer sleep trackers (CSTs) effectively engage participants in sleep studies when combined with coaching. While helpful for motivation, technical issues and data responses present challenges for wearable sleep technology.
Area of Science:
- Behavioral Science
- Health Technology
- Sleep Medicine
Background:
- Consumer sleep trackers (CSTs) offer valuable data for behavioral interventions.
- Previous research has not fully explored CST implementation in diverse health studies.
Purpose of the Study:
- To describe the implementation, adherence, and participant perceptions of CSTs.
- To evaluate CSTs in two distinct behavioral sleep extension studies.
Main Methods:
- Randomized controlled trial designs were used in both studies.
- Participants received CSTs, coaching (Zoom/phone), and sleep education.
- Adherence measured by data recording days; feedback via open-ended surveys and thematic analysis.
Main Results:
- High adherence (89% and 86%) and retention (100% and 86%) were observed.
- Participants found CSTs motivating for goal tracking.
- Barriers included technical issues, discomfort, and emotional responses to sleep data.
Conclusions:
- CSTs, with coaching, enhance engagement in sleep behavior change studies.
- Further research is needed to optimize wearable technology for health behavior modification.
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