Evidence map›Paper›PMID 32939342›Full record

ArticleInternet interventions2020

Treating subclinical and clinical symptoms of insomnia with a mindfulness-based smartphone application: A pilot study.

Tiffany Low, Russell Conduit, Prerna Varma, Hailey Meaklim, Melinda L Jackson

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PubMed Full text at PMC Publisher
In one paragraph

Article in Internet interventions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tiffany LowSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
Russell ConduitSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
Prerna VarmaSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
Hailey MeaklimSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
Melinda L JacksonSchool of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesEmerging research suggests that face-to-face group mindfulness-based therapies are an effective intervention for insomnia. This pilot study examined the effectiveness of a mindfulness-based smartphone application for improving objectively-measured sleep, self-reported sleep, insomnia severity, pre-sleep arousal and daytime mood.

methodA community sample of 23 adults with subclinical to moderately severe symptoms of insomnia were randomized to either a mindfulness or progressive muscle relaxation (PMR) smartphone application for 40 or 60 days. Objective sleep outcomes assessed using actigraphy, and self-report measures of total wake time, cognitive and somatic pre-sleep arousal, and daytime positive and negative affect were assessed for 14 nights at baseline and post-intervention. Insomnia severity was recorded at baseline and post-intervention.

resultsA greater reduction in sleep onset latency was observed in the mindfulness group over time, relative to the PMR group. The mindfulness group also reported medium effect size improvements for sleep efficiency. No significant interaction effects were found for self-reported sleep measures, however, main effects of time were found for both groups for total wake time, insomnia severity, cognitive pre-sleep arousal, and daytime positive and negative affect.

conclusionsThese preliminary findings suggest that both mindfulness and PMR smartphone applications have the potential to improve symptoms of insomnia. In particular, this mindfulness-based smartphone application may improve sleep onset latency and reduce the duration of night-awakenings. Further research exploring digital therapeutics as a self-help option for those with insomnia is needed.

Indexed as

ANOVA, analysis of varianceISI, Insomnia Severity IndexMBSR, mindfulness-based stress reductionMindfulnessNA, negative affectPA, positive affectPMR, progressive muscle relaxationPre-sleep arousalProgressive muscle relaxationPSAS (Cog), cognitive subscale of Pre-Sleep Arousal ScalePSAS, Pre-Sleep Arousal ScalePSAS (Som), somatic subscale of Pre-Sleep Arousal ScaleSFI, sleep fragmentation indexSleepSmartphone applicationsSOL, sleep onset latencyTIB, time in bedTST, total sleep timeTWT, total wake timeWASO, wake after sleep onset

Identifiers

PMID32939342
PMCPMC7479350

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.