Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, WV 26506, USA.
College of Pharmacy, Chicago State University, Chicago, IL 60628, USA.
Sleep Health. 2019 Aug;5(4):401-408. doi: 10.1016/j.sleh.2019.02.005. Epub 2019 Apr 26.
We examined (Study #1) the association of attitudes, subjective norms (SN), and perceived behavioral control (PBC) with intentions to reduce late evening electronic device (e-device) use and (Study #2) the impact of a brief theory-driven message on reducing the use.
Young adults aged 18-30 years participated in Internet surveys to assess sleep quality, attitudes, SN, PBC, and intentions to reduce and patterns of late evening e-device use. In Study #1, participants (n = 160) were randomized to receive a Theory of Planned Behavior (TPB)-driven message based on information from the National Sleep Foundation and were assessed for intentions to decrease late evening e-device use immediately afterward. In Study #2, participants (n = 148) were given the same message but were assessed for behaviors 24 hours-1 week afterward.
In Study #1, regressions indicated that less supportive attitudes and higher PBC were associated with higher intention to reduce e-device use at baseline (P < .01); intentions and PBC were associated with current use (P < .01). Participants receiving the message were more likely to reduce late evening e-device use intentions (adjusted odds ratio: 2.30, 95% confidence interval: 1.06-4.99). In Study #2, those receiving the intervention with attitudes consistent with limiting use were more likely to reduce use 24 hours-1 week after the intervention (adjusted odds ratio: 3.13, 95% confidence interval: 1.10-8.91).
Attitudes and PBC were associated with intention to reduce late evening e-device use, and our brief TPB-driven message benefited young adults with attitudes inconsistent with use. TPB-based interventions can decrease late evening e-device use and promote better quantity and quality of sleep.
我们研究了(研究 #1)态度、主观规范(SN)和感知行为控制(PBC)与减少深夜电子设备(e-device)使用意图之间的关系,以及(研究 #2)简短的基于理论的信息对减少使用的影响。
18-30 岁的年轻人参与了互联网调查,以评估睡眠质量、态度、SN、PBC 以及减少和深夜 e-device 使用模式的意图。在研究 #1 中,参与者(n=160)随机接受基于国家睡眠基金会信息的计划行为理论(TPB)驱动的信息,并在之后立即评估减少深夜 e-device 使用的意图。在研究 #2 中,参与者(n=148)收到了相同的信息,但在 24 小时-1 周后评估了行为。
在研究 #1 中,回归分析表明,态度不太支持和较高的 PBC 与基线时更高的减少 e-device 使用意图相关(P<.01);意图和 PBC 与当前使用相关(P<.01)。收到信息的参与者更有可能减少深夜 e-device 使用意图(调整后的优势比:2.30,95%置信区间:1.06-4.99)。在研究 #2 中,那些与限制使用一致的态度接受干预的人更有可能在干预后 24 小时-1 周内减少使用(调整后的优势比:3.13,95%置信区间:1.10-8.91)。
态度和 PBC 与减少深夜 e-device 使用意图相关,我们简短的 TPB 驱动信息使态度与使用不一致的年轻人受益。基于 TPB 的干预措施可以减少深夜的 e-device 使用,促进更好的睡眠数量和质量。