Efficacy of sleep extension therapy using a remote support system in university students with increased social jetlag: a parallel, single-blind, randomized controlled trial

Efficacy of sleep extension therapy using a remote support system in university students with increased social jetlag: a parallel, single-blind, randomized controlled trial
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使用远程支持系统进行睡眠延长治疗对社交时差增加的大学生的疗效:一项平行、单盲、随机对照试验

DOI:
10.1007/s41105-023-00453-5
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发表时间:
2023
影响因子:
1.1
通讯作者:
Iwami Taku
Iwami Taku
中科院分区:
医学4区
文献类型:
--
作者:
Furihata Ryuji;Shimamoto Tomonari;Makino Yuto;Kimata Shunsuke;Tateyama Yukiko;Okabayashi Satoe;Kiyohara Kosuke;Iwami Taku

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目的探讨利用远程支持系统(SET-R)对时差增加的大学生进行睡眠延长治疗的疗效。方法采用两臂平行随机对照试验,对60分钟后社会时差增加的日本大学生进行 ≥ 评分。SET-R提供了个性化的睡眠时间表,以电子邮件和睡眠卫生教育、刺激控制疗法和渐进性肌肉放松为网络内容,逐步延长睡眠时间。控制组收到了一封电子邮件,鼓励他们记录自己的睡眠。干预计划持续两周。主要结果是两周后SJL的平均变化,使用慕尼黑时型问卷(MCTQ)进行评估。其他结果包括匹兹堡睡眠质量指数、爱普沃斯嗜睡量表(ESS)、失眠严重程度指数、患者健康问卷9(PHQ-9)和睡眠测验。结果54名学生中,26人被分配到干预组,28人被分配到对照组。2周时两组(n= 26,n= 27)的平均SJL变化差异有统计学意义(27.7min,P= 0.048)。干预组的ESS、PHQ-9和睡眠测验得分均较对照组有所改善。在6个月的随访点,两组(n= 22,n= 27)SJL的平均变化差异无统计学意义,但PHQ-9和睡眠测验的得分仍然显著。结论本研究证实了SET-R在SJL增加的大学生中的有效性。
PurposeThe efficacy of sleep extension therapy using a remote support system (SET-R) was investigated in university students with increased social jetlag (SJL).MethodsFor this two-arm parallel randomized controlled trial, we recruited Japanese university students with SJL ≥ 60 min. The SET-R provided an individualized sleep schedule for gradual sleep extension using email and sleep hygiene education, stimulus control therapy, and progressive muscle relaxation as web content. The control group was sent an email that encouraged them to record their sleep. The duration of the intervention program was two weeks. The primary outcome was the mean change in SJL two weeks later, assessed using the Munich ChronoType Questionnaire (MCTQ). The other outcomes included Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale (ESS), Insomnia Severity Index, Patient Health Questionnaire-9 (PHQ-9), and sleep quiz. A follow-up survey was conducted 6 months after the intervention.ResultsOf 54 students, 26 were assigned to an intervention group and 28 to a control group. The difference in the mean change in SJL between the two groups (n= 26,n= 27) at two weeks was statistically significant (27.7 min,P= 0.048). The scores for the ESS, PHQ-9, and sleep quiz were improved in the intervention group relative to the control group. At the 6-month follow-up point, the difference in the mean change in SJL between the two groups (n= 22,n= 27) was not statistically significant, but scores for the PHQ-9, and sleep quiz remained significant.ConclusionsThis study demonstrated the efficacy of the SET-R among university students with increased SJL.Trial RegistrationThe study was registered with the UMIN Clinical Trials Registry (UMIN000042634, 2021/02/01).
DOI: 10.1371/journal.pone.0149139
发表时间: 2016
期刊: PloS one
影响因子: 3.7
作者:
Seyffert M;Lagisetty P;Landgraf J;Chopra V;Pfeiffer PN;Conte ML;Rogers MA
通讯作者: Rogers MA
DOI: 10.5664/jcsm.27345
发表时间: 2008-12
期刊: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
影响因子: --
作者:
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DOI: 10.3109/07420528.2014.914035
发表时间: 2014-08-01
影响因子: 2.8
作者:
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DOI: 10.5665/sleep.1642
发表时间: 2012-02-01
期刊: SLEEP
影响因子: 5.6
作者:
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DOI: 10.1007/s41105-022-00410-8
发表时间: 2022
影响因子: 1.1
作者:
Tan Chieko;Sato Kaori;Shiotani Hideyuki
通讯作者: Shiotani Hideyuki