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Updated: Sep 18, 2025

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Multi-Modal Home Sleep Monitoring in Older Adults
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基于信息和通信技术的认知行为疗法的有效性使用智能睡眠应用程序对老年人失眠:随机对照试验
ChanHee Kim1, Yeonhee Lee2, Seung-Gul Kang3
1Department of Nursing, Graduate School, Yonsei University, Seoul, Republic of Korea.
Journal of medical Internet research
|June 25, 2025
概括
一个提供失眠认知行为疗法 (CBT-I) 的移动应用程序有效地改善了老年人的睡眠. 这种非面对面的方法显示出对老年人失眠的管理有希望.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 数字健康数字健康
背景情况:
- 失眠在老年人中很普遍,影响生活质量,并且由于副作用,通常不适合传统药物治疗.
- 非药物干预措施,如对失眠的认知行为疗法 (CBT-I) 是首选的,但面对面的交付对这一人口群体提出了可访问性挑战.
研究的目的:
- 评估基于信息和通信技术 (ICT) 的CBT-I计划"智能睡眠"对社区居住的失眠的老年人的有效性.
主要方法:
- 一个单盲随机对照试验涉及59名韩国老年人.
- 参与者使用"智能睡眠"移动应用程序进行了8周的非面对面的CBT-I,包括睡眠日记和咨询.
- 测量结果包括失眠严重程度,睡眠质量,睡眠效率,关于睡眠的信念,抑郁症和生活质量.
主要成果:
- 与对照组相比,干预组在失眠严重程度,睡眠质量,睡眠效率和功能障碍信念方面显著改善.
- 生活质量在各组之间没有显著差异.
- 观察到高参与度,完成睡眠日记任务的94%和100%参与咨询.
结论:
- 基于ICT的"智能睡眠"CBT-I计划有效地改善了老年人的睡眠结果,突出了数字干预的潜力.
- 该程序的用户友好性和高参与度表明其可用于非面对面的失眠管理.
- 建议通过社区福利或公共卫生中心进行分发,以提高老年人的可访问性.
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