Use of mHealth Technologies to Increase Sleep Quality among Older Adults: A Scoping Review.

IF 2.1 Q3 CLINICAL NEUROLOGY Clocks & Sleep Pub Date : 2024-09-04 DOI:10.3390/clockssleep6030034
Giulia Grotto, Michela Martinello, Alessandra Buja
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Abstract

Sleep disorders increase with age and are known risk factors for several mental and physical diseases. They also significantly contribute to a lower quality of life. Nonpharmaceutical approaches, such as cognitive behavioral therapy for insomnia, sleep hygiene advice, relaxation exercises, and physical activity programs, can be delivered directly to patients via mHealth technologies, thereby increasing the accessibility of such interventions and reducing health care-related costs. This scoping review aims to evaluate the effectiveness of mHealth interventions for improving sleep quality among older adults. Published studies in the last 10 years (2013-2023) were identified by searching electronic medical databases (PubMed, PsycINFO, CINAHL, and Scopus) in July 2023 and were independently reviewed by two different authors. The analysis of the data was performed in 2023. The research retrieved 693 records; after duplicates were removed, 524 articles were screened based on their title and abstract, and 28 of them were assessed in full text. A total of 23 studies were excluded because they did not meet the inclusion criteria in terms of population age (60 years or over) or type of intervention (mHealth-based) or because they addressed secondary insomnia. A total of five studies were included in this review, and all of them reported improvements in subjective sleep quality after the application of the mHealth interventions. Two studies also conducted objective assessments of sleep outcomes using actigraphy, reporting improvements only in some of the variables considered. Despite the limited number of available studies, these results are promising and encourage further research.

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使用移动医疗技术提高老年人的睡眠质量:范围审查。
睡眠障碍会随着年龄的增长而增加,是多种精神和身体疾病的已知风险因素。睡眠障碍也是导致生活质量下降的重要原因。非药物治疗方法,如失眠认知行为疗法、睡眠卫生建议、放松练习和体育锻炼计划,可通过移动医疗技术直接提供给患者,从而提高此类干预措施的可及性并降低医疗相关成本。本范围综述旨在评估移动医疗干预对改善老年人睡眠质量的有效性。本文于 2023 年 7 月通过搜索电子医学数据库(PubMed、PsycINFO、CINAHL 和 Scopus)确定了过去 10 年(2013-2023 年)发表的研究,并由两位不同的作者进行了独立审查。数据分析于 2023 年进行。研究共检索到 693 条记录;去除重复内容后,根据标题和摘要筛选出 524 篇文章,并对其中 28 篇文章进行了全文评估。共有 23 项研究因其人群年龄(60 岁或以上)或干预类型(基于移动医疗)不符合纳入标准,或因其涉及继发性失眠而被排除。本综述共纳入了五项研究,所有研究都报告了应用移动保健干预措施后主观睡眠质量的改善情况。有两项研究还使用行动记录仪对睡眠结果进行了客观评估,但仅报告了部分变量的改善情况。尽管现有研究数量有限,但这些结果很有希望,值得进一步研究。
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来源期刊
Clocks & Sleep
Clocks & Sleep Multiple-
CiteScore
4.40
自引率
0.00%
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0
审稿时长
7 weeks
期刊最新文献
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