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The Process of Developing a Sleep Health Improvement Plan: a Lab-Based Model of Self-Help Behavior

  • Special Issue: Sleep Science
  • Published:
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Abstract

Background

Although self-help strategies to improve sleep are widely accessible, little is known about the ways in which individuals interact with these resources and the extent to which people are successful at improving their own sleep based on sleep health recommendations. The present study developed a lab-based model of self-help behavior by observing the development of sleep health improvement plans (SHIPs) and examining factors that may influence SHIP development.

Method

Sixty healthy, young adults were identified as poor sleepers during one week of actigraphy baseline and recruited to develop and implement a SHIP. Participants viewed a list of sleep health recommendations through an eye tracker and provided information on their current sleep health habits. Each participant implemented their SHIP for 1 week during which sleep was assessed with actigraphy.

Results

Current sleep health habits, but not patterns of visual attention, predicted SHIP goal selection. Sleep duration increased significantly during the week of SHIP implementation.

Conclusions

Findings indicate that the SHIP protocol is an effective strategy for observing self-help behavior and examining factors that influence goal selection. The increase in sleep duration suggests that individuals may be successful at extending their own sleep, though causal mechanisms have not yet been established. This study presents a lab-based protocol for studying self-help sleep improvement behavior and takes an initial step toward gaining knowledge required to improve sleep health recommendations.

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References

  1. Buysse DJ. Sleep health: can we define it? Does it matter? Sleep. 2014;37:9–17.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Leger D, Poursain B, Neubauer D, Uchiyama M. An international survey of sleeping problems in the general population. Curr Med Res Opin. 2008;24:307–17.

    Article  CAS  PubMed  Google Scholar 

  3. Banks S, Dinges DF. Behavioral and physiological consequences of sleep restriction. J Clin Sleep Med. 2007;3:519–28.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Walker MP. The role of sleep in cognition and emotion. Ann N Y Acad Sci. 2009;1156:168–97.

    Article  PubMed  Google Scholar 

  5. Zaharna M, Guilleminault C. Sleep, noise and health: review. Noise Health. 2010;12:64–9.

    Article  PubMed  Google Scholar 

  6. Zarcone VP. Sleep hygiene. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 3rd ed. Philadelphia, PA: WB Saunders; 2000. p. 657–61.

    Google Scholar 

  7. Stepanski EJ, Wyatt JK. Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev. 2003;7:215–25.

    Article  PubMed  Google Scholar 

  8. Hauri P. Sleep hygiene. In: Hauri P, editor. Current concepts: the sleep disorders. Kalamazoo: The Upjohn Company; 1977. p. 21–35.

    Google Scholar 

  9. Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev. 2015;22:23–36.

    Article  PubMed  Google Scholar 

  10. Gellis LA, Lichstein KL. Sleep hygiene practices of good and poor sleepers in the United States: an Internet-based study. Behav Ther. 2009;40(1):1–9.

    Article  PubMed  Google Scholar 

  11. Brown FC, Buboltz WC, Soper B. Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med. 2002;28(1):33–8.

    Article  PubMed  Google Scholar 

  12. Rezaei M, Khormali M, Akbarpour S, Sadeghniiat-Hagighi K, Shamsipour M. Sleep quality and its association with psychological distress and sleep hygiene: a cross-sectional study among pre-clinical medical students.

  13. Chen PH, Kuo HY, Chueh KH. Sleep hygiene education: efficacy on sleep quality in working women. J Nurs Res. 2010;18:283–9.

    Article  PubMed  Google Scholar 

  14. Hudson AL, Portillo CJ, Lee KA. Sleep disturbances in women with HIV or AIDS: efficacy of a tailored sleep promotion intervention. Nurs Res. 2008;57:360–6.

    Article  PubMed  Google Scholar 

  15. Kakinuma M, Takahashi M, Kato N, Aratake Y, Watanabe M, Ishikawa Y, et al. Effect of brief sleep hygiene education for workers of an information technology company. Ind Health. 2010;48:758–65.

    Article  PubMed  Google Scholar 

  16. Morita E, Miyazaki S, Okawa M. Pilot study on the effects of a 1-day sleep education program: influence on sleep of stopping alcohol intake at bedtime. Nagoya J Med Sci. 2012;74:359–65.

    PubMed  PubMed Central  Google Scholar 

  17. Yngman-Uhlin P, Fernstrom A, Borjeson S, Edell-Gustafsson U. Evaluation of an individual sleep intervention programme in people undergoing peritoneal dialysis treatment. J Clin Nurs. 2012;21:3402–17.

    Article  PubMed  Google Scholar 

  18. Morgenthaler T, Kramer M, Alessi C, Friedman L, Boehlecke B, Brown T, et al. Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine report. Sleep. 2006;29(11):1415.

    Article  PubMed  Google Scholar 

  19. Glanz K, Rimer BK, Viswanath K. Health behavior: theory, research, and practice (5th ed.). San Fransisco: Jossey-Baas; 2015.

    Google Scholar 

  20. Reichle ED, Vanyukov PM, Laurent PA, Warren T. Serial or parallel? Using depth-of-processing to examine attention allocation during reading. Vis Res. 2008;48(17):1831–6.

    Article  PubMed  Google Scholar 

  21. Loftus GR. Eye fixations and recognition memory for pictures. Cogn Psychol. 1972;3(4):525–51.

    Article  Google Scholar 

  22. Wedel M, Pieters R. Eye fixations on advertisements and memory for brands: a model and findings. Market Sci. 2000;19(4):297–312.

    Article  Google Scholar 

  23. Land MF, Hayhoe M. In what ways do eye movements contribute to everyday activities? Vis Res. 2001;41(25–26):3559–65.

    Article  CAS  PubMed  Google Scholar 

  24. Prochaska JJ, Prochaska JO. A review of multiple health behavior change interventions for primary prevention. Am J Lifestyle Med. 2011;5(3):208–21.

    Article  Google Scholar 

  25. Prochaska JJ, Spring B, Nigg CR. Multiple health behavior change research: an introduction and overview. Prev Med. 2008;46(3):181–8.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Hou SI, Charlery SA, Roberson K. Systematic literature review of internet interventions across health behaviors. Health Psych Behav Med. 2014;2(1):455–81.

    Article  Google Scholar 

  27. Daskalova N, Metaxa-Kakavouli D, Tran A, Nugent N, Boergers J, McGeary J, Huang J. SleepCoacher: a personalized automated self-experimentation system for sleep recommendations. In: Proceedings of the 29th Annual Symposium on User Interface Software and Technology. 2016. pp. 347–358.

  28. Hershner S, O'Brien LM. The impact of a randomized sleep education intervention for college students. J Clin Sleep Med. 2018;14(03):337–47.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Monk TH, Reynolds CF, Kupfer DJ, et al. The Pittsburgh sleep diary. J Sleep Res. 1994;3:111–20.

    Article  PubMed  Google Scholar 

  30. Ancoli-Israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak CP. The role of actigraphy in the study of sleep and circadian rhythms. American Academy of Sleep Medicine review paper. Sleep. 2003;26(3):342–92.

    Article  PubMed  Google Scholar 

  31. Murawski B, Wade L, Plotnikoff RC, Lubans DR, Duncan MJ. A systematic review and meta-analysis of cognitive and behavioral interventions to improve sleep health in adults without sleep disorders. Sleep Med Rev. 2018;40:160–9.

    Article  Google Scholar 

  32. van Straten A, Cuijpers P. Self-help therapy for insomnia: a meta-analysis. Sleep Med Rev. 2009;13(1):61–71.

    Article  PubMed  Google Scholar 

  33. Zachariae R, Lyby MS, Ritterband LM, O’Toole MS. Efficacy of internet-delivered cognitive-behavioral therapy for insomnia – a systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev. 2016;30:1–10.

    Article  Google Scholar 

  34. Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Ad Health. 2010;46(2):124–32.

    Article  Google Scholar 

  35. Levin ME, Stocke K, Pierce B, Levin C. Do college students use online self-help? A survey of intentions and use of mental health resources. J Col Student Psychother. 2017;32(3):181–98.

    Article  Google Scholar 

  36. Miller LM, Bell RA. Online health information seeking: the influence of age, information trustworthiness, and search challenges. J Aging Health. 2011;24(3):525–41.

    Article  PubMed  Google Scholar 

  37. Day V, McGrath PJ, Wojtowicz M. Internet-based guided self-help for university students with anxiety, depression and stress: a randomized controlled clinical trial. Behav Res Ther. 2013;51(7):344–51.

    Article  PubMed  Google Scholar 

  38. Kass AE, Trockel M, Safer DL, Sinton MM, Cunning D, Rizk MT, et al. Internet-based preventive intervention for reducing eating disorder risk: a randomized controlled trial comparing guided with unguided self-help. Behav Res Ther. 2014;63:90–8.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Trockel M, Manber R, Chang V, Thurston A, Taylor CB. An e-mail delivered CBT for sleep-health program for college students: effects on sleep quality and depressive symptoms. J Clin Sleep Med. 2011;7(3):276–81.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Mead MP, Irish LA. Application of health behaviour theory to sleep health improvement. J Sleep Res. 2019;22:e12950.

    Google Scholar 

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Acknowledgments

Research reported in this publication was supported by an Institutional Development Award (IDeA) from the National Institute of General Medical Sciences of the National Institutes of Health (5P30GM114748).

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Correspondence to Leah A. Irish.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Irish, L.A., Veronda, A.C., van Lamsweerde, A.E. et al. The Process of Developing a Sleep Health Improvement Plan: a Lab-Based Model of Self-Help Behavior. Int.J. Behav. Med. 28, 96–106 (2021). https://doi.org/10.1007/s12529-020-09904-6

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  • DOI: https://doi.org/10.1007/s12529-020-09904-6

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