Evidence map›Paper›PMID 42520253›Full record

Trial reportJMIR formative research2026

Interaction of Person-Affect-Cognition-Execution-Based Digital Interventions for Sleep Procrastination in Chinese University Students: Pilot Randomized Study.

Huihui Xu, Liao Zhang, Xinyi Lai, Chengjia Zhao, Xiaoyun Ma, Guohua Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Huihui Xu *Department of Clinical Psychology, Wenzhou Medical University Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang, China.ORCID 0000-0002-0376-2444
Liao Zhang *Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Kangning Hospital of Wenzhou Medical University, Higher Education Park, Chashan Sub-district, Ouhai District, Wenzhou, Zhejiang, 325000, China, 86 13957764528.ORCID 0009-0001-0314-0653
Xinyi LaiDaliang Shunfeng Junior Middle School, Foshan, Guangdong, China.ORCID 0000-0002-1682-4966
Chengjia ZhaoSchool of Education, Renmin University of China, Beijing, China.ORCID 0000-0002-3316-8833
Xiaoyun MaDepartment of Clinical Psychology, Wenzhou Medical University Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang, China.ORCID 0009-0009-2218-0624
Guohua ZhangZhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Kangning Hospital of Wenzhou Medical University, Higher Education Park, Chashan Sub-district, Ouhai District, Wenzhou, Zhejiang, 325000, China, 86 13957764528.ORCID 0000-0003-2743-3167

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sleep procrastination is a prevalent and detrimental behavior among university students. While digital interventions offer scalable solutions, they often lack a robust theoretical foundation and fail to differentiate themselves from clinical insomnia treatments. Objective: This pilot study examined the feasibility and preliminary effects of a novel intervention grounded in the Interaction of Person-Affect-Cognition-Execution (I-PACE) model, comparing online delivery with traditional offline delivery and a control group in reducing sleep procrastination. Methods: Forty-six students with high sleep procrastination were allocated to online (n=16), offline (n=16), or control (n=14) groups. The 8-week intervention targeted I-PACE components. Subjective and objective (wearable) measures were collected at baseline, postintervention, and a 2-month follow-up. Results: For subjective sleep procrastination, all groups improved similarly, with no significant group × time interaction. For objective sleep procrastination, a significant group × time interaction emerged (Wald χ²16=28.79, P=.03), with the online group showing numerically earlier sleep onset in later intervention weeks. The online group's mean approached zero at week 7 (-0.05 h) but did not differ significantly from zero (P=.96) and rebounded at week 8. No between-group comparisons survived Bonferroni correction at any single week. Conclusions: This pilot study provides preliminary evidence that an app-based, I-PACE-grounded intervention is associated with a differential objective sleep timing trajectory. The specific mechanisms remain to be tested. Subjective improvements were comparable across conditions. Adequately powered trials with formal mediation testing are needed.

Indexed as

CognitionProcrastinationSleepStudentsAdultChinaDigital MediaFemaleHumansMalePilot ProjectsUniversitiesYoung Adultdigital interventionsInteraction of Person-Affect-Cognition-ExecutionI-PACE modelself-monitoringsleep procrastinationuniversity students

Identifiers

PMID42520253
PMCPMC13412012

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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.