On the Reactivity of Sleep Monitoring with Diaries

M. S. Goelema, M. M. Willems, R. Haakma, P. Markopoulos

Abstract

The declining costs of wearable sensors have made self-monitoring of sleep related behavior easier for personal use but also for sleep studies. Several monitor devices come with apps that make use of diary entries to provide people with an overview of their sleeping habits and give remotely advice. However, it could be that filling in a sleep diary impacts people’s perception of their sleep or the very behavior that is being measured. A small-scale field study about the effects of sleep monitoring (keeping a sleep diary) on a cognitive and a behavioral level is discussed. The method was designed to be as open as possible in order to focus on the effects of sleep monitoring where participants are not given a goal, motivation or feedback. Some behavioral modifications were observed, for example, differences in total sleep time and bedtimes were found (compared to a non-monitoring week and a monitoring week). Nevertheless, what the causes are of these changes remains unclear, as it turned out that the two actigraph devices used in this study differed greatly. In addition, some participants became more aware of their sleeping routine, but changing a sleeping habit was found challenging because of other priorities. It is important to know what the effects may be of sleep monitoring as the outcomes may already have an effect on the participant behavior which could cause researchers to work with data that do not represent a real life situation. In addition, the self-monitoring may serve as an intervention for facilitating healthier sleeping habits.

References

  1. Ajzen, I., 1991. The theory of planned behavior. Organizational Behavior and Human Decision Processes, Theories of Cognitive Self-Regulation 50, 179-211.
  2. Ancoli-Israel, S., Cole, R., Alessi, C., Chambers, M., Moorcroft, W., Pollak, C., 2003. The role of actigraphy in the study of sleep and circadian rhythms. Sleep 26, 342-392.
  3. Blackwell, T., Redline, S., Ancoli-Israel, S., Schneider, J.L., Surovec, S., Johnson, N.L., Cauley, J.A., Stone, K.L., 2008. Comparison of Sleep Parameters from Actigraphy and Polysomnography in Older Women: The SOF Study. Sleep 31, 283-291.
  4. Bolger, N., Davis, A., Rafaeli, E., 2003. Diary Methods: Capturing Life as it is Lived. Annual Review of Psychology 54, 579-616.
  5. Bouffard-Bouchard, T., Parent, S., Larivee, S., 1991. Influence of Self-Efficacy on Self-Regulation and Performance among Junior and Senior High-School Age Students. International Journal of Behavioral Development 14, 153-164.
  6. Butryn, M.L., Phelan, S., Hill, J.O., Wing, R.R., 2007. Consistent Self-monitoring of Weight: A Key Component of Successful Weight Loss Maintenance. Obesity 15, 3091-3096.
  7. Buysse, D.J., Reynolds III, C.F., Monk, T.H., Berman, S.R., Kupfer, D.J., 1989. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research 28, 193-213.
  8. Carney, C.E., Buysse, D.J., Ancoli-Israel, S., Edinger, J.D., Krystal, A.D., Lichstein, K.L., Morin, C.M., 2012. The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring. Sleep 35, 287- 302.
  9. Carney, C.E., Lajos, L.E., Waters, W.F., 2004. Wrist Actigraph Versus Self-Report in Normal Sleepers: Sleep Schedule Adherence and Self-Report Validity. Behavioral Sleep Medicine 2, 134-143.
  10. Cellini, N., Buman, M.P., McDevitt, E.A., Ricker, A.A., Mednick, S.C., 2013. Direct comparison of two actigraphy devices with polysomnographically recorded naps in healthy young adults. Chronobiology International 30, 691-698.
  11. Dahl, R.E., Lewin, D.S., 2002. Pathways to adolescent health sleep regulation and behavior. Journal of Adolescent Health 31, 175-184.
  12. Fishbein, M., 1979. A theory of reasoned action: Some applications and implications. Nebraska Symposium on Motivation 27, 65-116.
  13. Gajar, A., Schloss, P.J., Schloss, C.N., Thompson, C.K., 1984. Effects of Feedback and Self-Monitoring on Head Trauma Youths' Conversation Skills. Journal of Applied Behavior Analysis 17, 353-358.
  14. Gironda, R.J., Lloyd, J., Clark, M.E., Walker, R.L., 2007. Preliminary evaluation of reliability and criterion validity of Actiwatch-Score. Journal of Rehabilitation Research and Development 44, 223.
  15. Goelema, M.S., Haakma, R., Markopoulos, P., 2014. Does being monitored during sleep affect people on a cognitive and behavioral level? Presented at the 7th International Conference on Health Informatics (ICHI 7814), Angers, 27-33.
  16. Helzer, J.E., Badger, G.J., Rose, G.L., Mongeon, J.A., Searles, J.S., 2002. Decline in Alcohol Consumption during Two Years of Daily Reporting. Journal of Studies on Alcohol and Drugs 63, 551-558.
  17. Hjorth, M.F., Chaput, J.-P., Damsgaard, C.T., Dalskov, S.- M., Michaelsen, K.F., Tetens, I., Sjödin, A., 2012. Measure of sleep and physical activity by a single accelerometer: Can a waist-worn Actigraph adequately measure sleep in children? Sleep and Biological Rhythms 10, 328-335.
  18. Hyde, M., O'driscoll, D.M., Binette, S., Galang, C., Tan, S.K., Verginis, N., Davey, M.J., Horne, R.S.C., 2007. Validation of actigraphy for determining sleep and wake in children with sleep disordered breathing. Journal of Sleep Research 16, 213-216.
  19. Kazdin, A.E., 1974. Reactive self-monitoring: The effects of response desirability, goal setting, and feedback. Journal of Consulting and Clinical Psychology 42, 704-716.
  20. Korotitsch, W.J., Nelson-Gray, R.O., 1999. An overview of self-monitoring research in assessment and treatment. Psychological Assessment 11, 415-425.
  21. Litt, M.D., Cooney, N.L., Morse, P., 1998. Ecological momentary assessment (EMA) with treated alcoholics: Methodological problems and potential solutions. Health Psychology 17, 48-52.
  22. Lockley, S.W., Skene, D.J., Arendt, J., 1999. Comparison between subjective and actigraphic measurement of sleep and sleep rhythms. Journal of Sleep Research 8, 175-183.
  23. Marino, M., Li, Y., Rueschman, M.N., Winkelman, J.W., Ellenbogen, J.M., Solet, J.M., Dulin, H., Berkman, L.F., Buxton, O.M., 2013. Measuring Sleep: Accuracy, Sensitivity, and Specificity of Wrist Actigraphy Compared to Polysomnography. Sleep 36, 1747-1755.
  24. Martin, S., Schneider, B., Heinemann, L., Lodwig, V., Kurth, H.-J., Kolb, H., Scherbaum, W.A., 2006. Selfmonitoring of blood glucose in type 2 diabetes and long-term outcome: an epidemiological cohort study. Diabetologia 49, 271-278.
  25. Monk, T.H., Petrie, S.R., Hayes, A.J., Kupfer, D.J., 1994. Regularity of daily life in relation to personality, age, gender, sleep quality and circadian rhythms. Journal of Sleep Research 3, 196-205.
  26. Monk, T.H., Reynolds, C.F., Buysse, D.J. DeGrazia, J.M., Kupfer, D.J., 2003. The Relationship Between Lifestyle Regularity and Subjective Sleep Quality. Chronobiology International 20, 97-107
  27. Motl, R.W., McAuley, E., Dlugonski, D., 2012. Reactivity in baseline accelerometer data from a physical activity behavioral intervention. Health Psychology 31, 172- 175.
  28. Okajima, I., Komada, Y., Inoue, Y., 2011. A meta-analysis on the treatment effectiveness of cognitive behavioral therapy for primary insomnia. Sleep and Biological Rhythms 9, 24-34.
  29. O'Kane, M.J., Bunting, B., Copeland, M., Coates, V.E., Gulliford, 2008. Efficacy of Self Monitoring of Blood Glucose in Patients with Newly Diagnosed Type 2 Diabetes (ESMON Study): Randomised Controlled Trial. British Medical Journal 336, 1174-1177.
  30. Sadeh, A., 2011. The role and validity of actigraphy in sleep medicine: An update. Sleep Medicine Reviews 15, 259-267.
  31. Sadeh, A., Raviv, A., Gruber, R., 2000. Sleep patterns and sleep disruptions in school-age children. Developmental Psychology 36, 291-301.
  32. Schunk, D.H., Zimmerman, B.J., 2008. Motivation and Self-Regulated Learning: Theory, Research, and Applications. Lawrence Erlbaum Associates, New York, NY.
  33. Swan, M., 2012. Sensor Mania! The Internet of Things, Wearable Computing, Objective Metrics, and the Quantified Self 2.0. Journal of Sensor and Actuator Networks 1, 217-253.
  34. Todd, J., Mullan, B., 2014. The Role of Self-Monitoring and Response Inhibition in Improving Sleep Behaviours. Int.J. Behav. Med. 21, 470-477.
  35. Totterdell, P., Reynolds, S., Parkinson, B., Briner, R.B., 1994. Associations of sleep with everyday mood, minor symptoms and social interaction experience. Journal of Sleep Research & Sleep Medicine 17, 466- 475.
  36. Tryon, W.W., 2004. Issues of validity in actigraphic sleep assessment. SLEEP 27, 158-165.
  37. Weiss, A.R., Johnson, N.L., Berger, N.A., Redline, S., 2010. Validity of Activity-Based Devices to Estimate Sleep. J Clin Sleep Med 6, 336-342.
  38. Zimmerman, B.J., Kitsantas, A., 1999. Acquiring writing revision skill: Shifting from process to outcome selfregulatory goals. Journal of Educational Psychology 91, 241-250.
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Paper Citation


in Harvard Style

Goelema M., Willems M., Haakma R. and Markopoulos P. (2016). On the Reactivity of Sleep Monitoring with Diaries . In Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016) ISBN 978-989-758-170-0, pages 240-247. DOI: 10.5220/0005662602400247


in Bibtex Style

@conference{healthinf16,
author={M. S. Goelema and M. M. Willems and R. Haakma and P. Markopoulos},
title={On the Reactivity of Sleep Monitoring with Diaries},
booktitle={Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016)},
year={2016},
pages={240-247},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005662602400247},
isbn={978-989-758-170-0},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016)
TI - On the Reactivity of Sleep Monitoring with Diaries
SN - 978-989-758-170-0
AU - Goelema M.
AU - Willems M.
AU - Haakma R.
AU - Markopoulos P.
PY - 2016
SP - 240
EP - 247
DO - 10.5220/0005662602400247