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Currently accepted at: JMIR Mental Health

Date Submitted: Aug 2, 2017
Open Peer Review Period: Aug 3, 2017 - Sep 10, 2017
Date Accepted: Oct 19, 2017
(closed for review but you can still tweet)

This paper has been accepted and is currently in production.

It will appear shortly on 10.2196/mental.8634

The final accepted version (not copyedited yet) is in this tab.

The final, peer-reviewed published version of this preprint can be found here:

Technology-Assisted Behavioral Intervention to Extend Sleep Duration: Development and Design of the Sleep Bunny Mobile App

Baron KG, Duffecy J, Reid K, Begale M, Caccamo L

Technology-Assisted Behavioral Intervention to Extend Sleep Duration: Development and Design of the Sleep Bunny Mobile App

JMIR Ment Health 2018;5(1):e3

DOI: 10.2196/mental.8634

PMID: 29321122

PMCID: 5784182

Technology-Assisted Behavioral Intervention to Extend Sleep Duration: Development and Design of the Sleep Bunny Mobile App

  • Kelly Glazer Baron; 
  • Jennifer Duffecy; 
  • Kathryn Reid; 
  • Mark Begale; 
  • Lauren Caccamo

ABSTRACT

Background:

Despite the high prevalence of short sleep duration (29.2% of adults sleep <6 hours on weekdays), there are no existing theory-based behavioral interventions to extend sleep duration. The popularity of wearable sleep trackers provides an opportunity to engage users in interventions.

Objective:

The objective of this study was to outline the theoretical foundation and iterative process of designing the “Sleep Bunny,” a technology-assisted sleep extension intervention including a mobile phone app, wearable sleep tracker, and brief telephone coaching. We conducted a two-step process in the development of this intervention, which was as follows: (1) user testing of the app and (2) a field trial that was completed by 2 participants with short sleep duration and a cardiovascular disease risk factor linked to short sleep duration (body mass index [BMI] >25).

Methods:

All participants had habitual sleep duration <6.5 hours verified by 7 days of actigraphy. A total of 6 individuals completed initial user testing in the development phase, and 2 participants completed field testing. Participants in the user testing and field testing responded to open-ended surveys about the design and utility of the app. Participants in the field testing completed the Epworth Sleepiness Scale and also wore an actigraph for a 1-week baseline period and during the 4-week intervention period.

Results:

The feedback suggests that users enjoyed the wearable sleep tracker and found the app visually pleasing, but they suggested improvements to the notification and reminder features of the app. The 2 participants who completed the field test demonstrated significant improvements in sleep duration and daytime sleepiness.

Conclusions:

Further testing is needed to determine effects of this intervention in populations at risk for the mental and physical consequences of sleep loss.


 Citation

Please cite as:

Baron KG, Duffecy J, Reid K, Begale M, Caccamo L

Technology-Assisted Behavioral Intervention to Extend Sleep Duration: Development and Design of the Sleep Bunny Mobile App

JMIR Mental Health. (forthcoming/in press)

DOI: 10.2196/mental.8634

URL: https://preprints.jmir.org/preprint/8634

PMID: 29321122

PMCID: 5784182

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.