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Subjective-Objective Discrepancies Among Patients with Sleep Complaints in the Patient-Centered Medical Home
Title
Subjective-Objective Discrepancies Among Patients with Sleep Complaints in the Patient-Centered Medical Home.
Creator
Dotson, Keri, Dunn, Michael, Cassisi, Jeffrey, Bowers, Clint, University of Central Florida
Abstract / Description
Sleep misperception (-) the discrepancy between objective and subjective measures of sleep (-) has been shown to be prevalent among patients with insomnia and may be a promising target for sleep intervention. This study examined sleep misperception in a diverse outpatient medical sample using consumer-grade wearable actigraphs (i.e., Fitbit Charge HR(TM)). Forty-four self-identified problem sleepers aged 20 to 79 participated in the study. Participants completed sleep diaries for one week...
Show moreSleep misperception (-) the discrepancy between objective and subjective measures of sleep (-) has been shown to be prevalent among patients with insomnia and may be a promising target for sleep intervention. This study examined sleep misperception in a diverse outpatient medical sample using consumer-grade wearable actigraphs (i.e., Fitbit Charge HR(TM)). Forty-four self-identified problem sleepers aged 20 to 79 participated in the study. Participants completed sleep diaries for one week while also tracking their sleep using the Fitbit Charge HR(TM). After receiving a personalized sleep report based on these data, participants repeated another week of sleep assessment. Sleep misperception was observed for both total sleep time and sleep onset latency during the first week, such that participants underestimated their total amount of sleep per night and overestimated the amount of time it took them to fall asleep. Pre-post changes in self-reported sleep, mood, and health were examined as a secondary aim in this study. Objectively measured sleep remained relatively unchanged from baseline to follow-up. Despite this lack of change in actual sleep, participants perceived themselves to be sleeping more hours per night, falling asleep more quickly, and sleeping better overall at one-week follow-up. Statistically significant improvements in depression, anxiety, mental health functioning, and insomnia symptom severity were also observed at follow-up. Overall, findings showed that sleep misperception is prevalent among problem sleepers and that sleep discrepancy can be reduced through the use of corrective sleep feedback.
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Date Issued
2018
Identifier
CFE0006976, ucf:51645
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006976
Stand-Alone Personalized Normative Feedback for College Student Drinkers: A Meta-Analytic Review, 2004 to 2014
Title
Stand-Alone Personalized Normative Feedback for College Student Drinkers: A Meta-Analytic Review, 2004 to 2014.
Creator
Dotson, Keri, Dunn, Michael, Cassisi, Jeffrey, Bowers, Clint, University of Central Florida
Abstract / Description
Personalized normative feedback (PNF) has shown promise as a stand-alone intervention for reducing alcohol use among college students. PNF uses norms clarification to correct drinking norms misperceptions by highlighting discrepancies between personal alcohol use, perceived peer alcohol use, and actual peer alcohol use. Previous reviews of personalized feedback interventions have identified norms clarification as key a component, prompting researchers to study PNF as a single-component...
Show morePersonalized normative feedback (PNF) has shown promise as a stand-alone intervention for reducing alcohol use among college students. PNF uses norms clarification to correct drinking norms misperceptions by highlighting discrepancies between personal alcohol use, perceived peer alcohol use, and actual peer alcohol use. Previous reviews of personalized feedback interventions have identified norms clarification as key a component, prompting researchers to study PNF as a single-component intervention for college drinking. As the number of publications focused on PNF effectiveness has increased in recent years, an empirical review of these studies is warranted to assess the potential impact of PNF as a stand-alone program. The purpose of the present study was to summarize available research and to perform a meta-analytic review of personalized normative feedback as a stand-alone intervention for college student drinking. Studies were included if they examined a stand-alone PNF drinking intervention, used a college student sample, reported alcohol use outcomes, and used a pre-post experimental design with follow-up at least 28 days post-intervention. Eight studies (13 interventions) completed between 2004 and 2014 were included. Effect size estimates (ESs) were calculated as the standardized mean difference in change scores between treatment and control groups. Compared to control participants, students who received PNF reported a greater reduction in drinking and harms from baseline to follow-up. Results were similar for both gender-neutral and gender-specific PNF. Overall, intervention effects for drinking were small but reliable. This study offers an empirical summary of stand-alone PNF for reducing college student drinking and provides a foundation for future research.
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Date Issued
2015
Identifier
CFE0005606, ucf:50257
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005606