在年轻人中使用酒精风险和睡眠的可穿戴干预:一项随机临床试验
Lisa M Fucito1,2, Garrett I Ash3,4,5, Ran Wu1
1Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
JAMA network open
|May 30, 2025
概括
这项研究研究了一项针对有风险饮酒和睡眠问题的年轻成年人的数字干预措施. 虽然没有减少饮料总量,但干预措施改善了与睡眠有关的障碍,并降低了饮酒风险水平.
科学领域:
- 数字健康数字健康
- 行为科学 行为科学
- 睡眠医学 睡眠医学
背景情况:
- 美国的年轻人表现出高水平的酒精使用障碍.
- 基于技术的干预措施显示出减少酒精消费的希望.
- 睡眠障碍在年轻人中很常见,并且与饮酒有关.
研究的目的:
- 为了评估一个多式联网数字干预,结合可穿戴反,辅导和睡眠建议.
- 评估干预措施在减少风险饮酒和改善年轻成年人睡眠健康方面的有效性.
- 将干预与接受咨询或咨询加自我监测的对照组进行比较.
主要方法:
- 一个并行的第二阶段随机临床试验,涉及120名年轻成年人 (18-25岁) 患有睡眠问题和大量饮酒模式.
- 干预组接受了可穿戴反,指导,基于网络的睡眠建议和智能手机自我监控.
- 对照组仅接受咨询或咨询加自我监测2周,随访期为12周.
- 主要结局:饮料总数 (4至12周). 二次结果:睡眠障碍,与睡眠有关的障碍,与酒精有关的后果.
- 探索性结果:减少世界卫生组织 (WHO) 饮酒风险水平.
主要成果:
- 干预组和对照组之间主要结果 (饮料总量) 没有显著差异.
- 与对照A组相比,干预组显示了与睡眠有关的睡眠障碍的临床上有意义的减少.
- 干预组的参与者降低其WHO饮酒风险水平的可能性超过3倍.
- 睡眠障碍的改善与世卫组织饮酒风险水平的降低有关.
结论:
- 数字干预并没有显著减少总体饮酒量或睡眠障碍.
- 该干预表明,睡眠相关障碍和饮酒风险降低显著改善.
- 需要使用更大的样本大小进行进一步的研究来证实这些发现.
- 这种基于技术的方法有可能解决年轻人同时出现的酒精和睡眠问题.
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