移动应用在改善多社区成年人失眠症状方面的有效性:系统性审查和元分析
Songee Jung1, Takeaki Takeuchi2, Minako Kitahara2
1Department of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Sleep medicine
|May 18, 2024
概括
移动睡眠应用程序在改善成年人失眠症状方面表现有前途. 基于认知行为疗法 (CBT) 的应用可能会带来好处,尽管证据质量在不同研究中有所不同.
科学领域:
- 数字健康数字健康
- 睡眠医学 睡眠医学
- 行为科学 行为科学
背景情况:
- 失眠是一种普遍的疾病,影响全球成年人.
- 移动睡眠应用程序提供了一个可扩展的干预方法.
- 关于这些应用程序有效性的证据需要综合.
研究的目的:
- 评估移动睡眠应用在缓解成年人失眠症状方面的有效性.
- 综合了研究研究不同类型的睡眠应用的发现.
主要方法:
- 在主要数据库 (PubMed,Cochrane,PsycINFO,Web of Science) 进行了全面的文献搜索,截至2023年3月.
- 对七项已识别的研究进行了元分析,其中包括一个横截面研究和六项随机对照试验 (RCT).
- 研究的质量使用Cochrane偏差风险工具和纽卡斯尔-太华尺度进行了评估.
主要成果:
- 包括7项研究,共10139名参与者;大多数参与者是女性.
- 使用基于认知行为疗法 (CBT) 的应用程序进行的三项RCT的元分析显示,失眠症状显著改善 (匹兹堡睡眠质量指数),但异质性很高.
- 其他两项基于CBT的RCT在低异质性的失眠严重性 (失眠严重性指数) 中没有发现显著改善.
结论:
- 有限的证据表明,基于CBT的移动睡眠应用程序可能有助于改善成年人的失眠症状.
- 需要进一步进行高质量的研究来确认疗效并解决发现的异质性.
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