On Designing Mobile Diary To Assist Cognitive Behavioral Therapy of Sleep Disorder

• Main Authors: Borade Pradnya Uttamrao, 卜莉亞
• Other Authors: 洪一平
• Format: Others
• Language: en_US
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/95825711141171182722

碩士 === 國立臺灣大學 === 資訊工程學研究所 === 100 === Worldwide prevalence of life-style related health problems is increasing rapidly and this has culminated into serious health risks including sleep problems. Insomnia is a sleep disorder and potentially a serious condition that adversely affects the functioning, health status, and quality of lives of millions worldwide. In general, treating insomnia focuses on determining the cause of the sleeping problems. Cognitive-behavioral therapy (CBT) has emerged as a “treatment of choice” for managing the sleeping complains of insomnia. CBT is one of the most extensively researched forms of psychotherapy. However, more studies are required in insomnia research and existing self-reported instruments that are called as sleep diaries need further investigation. “Sleep quality” term is commonly used in sleep medicine. It’s a degree of excellence in sleep and based on subjective measurement. Questionnaires such as Athens Insomnia Scale (AIS), Insomnia Severity Index (ISI), and Pittsburg Sleep Quality Index (PSQI) have been specifically designed to measure “sleep quality”, while PSQI stands as the only tool that provides global assessment of sleep. However, the available stock of “sleep quality” questionnaire has a statistical heterogeneity in their formats, scopes and other attributes. Therefore, in this thesis we aim to eliminate potential shortcomings of these measures and identify a valid screening tool as a self-reported instrument that can be easily administered Preliminary sleep diary was designed and administered on the basis of CBT in collaboration with National Taiwan University Hospital for a period of 1 month to test the internal consistency and validity of preliminary sleep diary. After analysis it was found that preliminary sleep diary entries were not sufficient to calculate “sleep quality”. Hence the clear need of a tool or instrument to assist practitioners in the clinical screening of sleep disorder was identified. Consequently we designed a new sleep quality index called “Daily Sleep Quality Index” (DSQI) based on the philosophy of CBT. DSQI calculates “sleep quality” score on daily basis. Lately, information and communication technologies have been harnessed for use in health promotion programs. Mobile phones provide a particularly promising platform for health management applications due to their central role in people’s lives as well as their technical capabilities. This thesis also presents a mobile based sleep diary application to assist CBT. Further DSQI sleep questionnaire was transformed into mobile based application tool that is acceptable to different group of users.