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. 2024 Feb 1;20(2):309-312.
doi: 10.5664/jcsm.10878.

A novel voice interactive sleep log: concurrent validity with actigraphy and sleep diaries

Daniel Lewin  1 , Claire M Starling  2 , Eric S Zhou  3 , Daniel Greenberg  4 , Callen Shaw  4 , Hannah Arem  2   5
Affiliations

A novel voice interactive sleep log: concurrent validity with actigraphy and sleep diaries

Daniel Lewin et al. J Clin Sleep Med. .

Abstract

This is a preliminary validation study of a novel approach to an interactive sleep data collection platform. We compared actigraphy, paper and pencil logs, and the novel voice interactive sleep log in a sample of 17 breast cancer survivors with insomnia symptoms and also report qualitative data on acceptability. We used correlation coefficients and Bland Altman plots to evaluate convergent validity across these measures and report means for acceptability ratings. The sleep log data collected via paper and pencil vs the voice interactive measure had comparable mean values and variable validity coefficients across key sleep variables compared to actigraphy except for wake after sleep onset, where the voice-interactive system had fair concurrent validity with actigraphy. The voice interactive sleep log has several advantages over pencil and paper logs and actigraphy as it reduces patient burden, automatically calculates sleep variables, documents the timeliness of response and provides daily feedback to respondents on calculated sleep metrics.

Clinical trial registration: Registry: ClinicalTrials.gov; Identifier: NCT05233800.

Citation: Lewin D, Starling CM, Zhou ES, Greenberg D, Shaw C, Arem H. A novel voice interactive sleep log: concurrent validity with actigraphy and sleep diaries. J Clin Sleep Med. 2024;20(2):309-312.

Keywords: actigraphy; assessment; insomnia; sleep log.

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Conflict of interest statement

All authors have reviewed and approved this manuscript. Work for this study was performed at Healthcare Delivery Research, Medstar Health Research Institute, Washington, DC. This study was funded by the National Cancer Institute (NCI) grant number R44CA232905. The design of the study; collection, analysis, and interpretation of data, and writing the manuscript are independent of the funding body. The study protocol has undergone full external peer review by the funding body as part of the peer-review process. Daniel Lewin, PhD, has no conflicts of interests, disclosures, or financial interests aside from those normally associated with Small Business Innovation Research. Claire M. Starling, MPH, has no financial interests’ conflicts or disclosures. Eric S. Zhou, PhD, has received consulting fees from Samsung and has no other conflicts or financial interest aside from those normally associated with Small Business Innovation Research. Daniel Greenberg, BA, is Principal Investigator on the grant supporting this research and is a principal in Media Rez and has an interest consistent with the policy on Small Business Innovation Research. Callen Shaw, BS, is Co-Investigator on the grant supporting this research and is a staff member of Media Rez and has an interest consistent with the policy on Small Business Innovation Research. Hannah Arem, PhD, Principal Investigator on the grant has no conflicts of interests, disclosures/financial interests aside from those normally associated with Small Business Innovation Research.

References

    1. Carney CE, Buysse DJ, Ancoli-Israel S, et al. . The consensus sleep diary: standardizing prospective sleep self-monitoring . Sleep. 2012. ; 35 ( 2 ): 287 – 302 . - PMC - PubMed
    1. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research . Psychiatry Res. 1989. ; 28 ( 2 ): 193 – 213 . - PubMed
    1. Bastien CH, Vallières A, Morin CM . Validation of the Insomnia Severity Index as an outcome measure for insomnia research . Sleep Med. 2001. ; 2 ( 4 ): 297 – 307 . - PubMed
    1. Starling CM, Greenberg D, Zhou E, et al. . Testing delivery of components of cognitive behavioral therapy for insomnia to breast cancer survivors by smart speaker: a study protocol . BMC Med Inform Decis Mak. 2022. ; 22 ( 1 ): 163 . - PMC - PubMed
    1. Schmidt-Nowara W, Beck A, Jessop C . Actigraphic assessment of a treatment trial of sleep restriction in chronic insomnia . Sleep Res. 1992. ; 21 : 259 .

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