ADHD 成人伴发失眠的机器人干预：混合方法概念验证研究。
A robot intervention for adults with ADHD and insomnia-A mixed-method proof-of-concept study.
机构信息
Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
Crown Princess Victoria's Child and Youth Hospital, Linköping, Sweden.
出版信息
PLoS One. 2023 Sep 1;18(9):e0290984. doi: 10.1371/journal.pone.0290984. eCollection 2023.
OBJECTIVE
To investigate individual effects of a three-week sleep robot intervention in adults with ADHD and insomnia, and to explore participants' experiences with the intervention.
METHODS
A proof-of-concept study with a mixed-methods design (n = 6, female = 4) where a repeated ABA single-case study was combined with interviews. Data were collected with the Consensus Sleep Diary, wrist actigraphy, questionnaires on symptoms of insomnia, arousal, emotional distress, and ADHD, and through individual interviews.
RESULTS
Visual analysis of the sleep diary and actigraphy variables did not support any effects from the robot intervention. Half of participants reported clinically relevant reductions on the Insomnia Severity Index from pre- to post-intervention. No changes regarding ADHD or arousal. Thematic analysis of the interviews resulted in three themes: (1) A pleasant companion, (2) Too much/not enough, and (3) A new routine.
CONCLUSION
Adjustments of the intervention ought to be made to match the needs of patients with both ADHD and insomnia before the next trial is conducted.
目的
探究为期三周的睡眠机器人干预对 ADHD 合并失眠成人的个体影响，并探讨参与者对干预措施的体验。
方法
采用混合方法设计的概念验证研究（n=6，女性=4），其中重复的 ABA 单病例研究与访谈相结合。使用共识睡眠日记、腕部活动记录仪、失眠症状、觉醒、情绪困扰和 ADHD 问卷以及个体访谈收集数据。
结果
对睡眠日记和活动记录仪变量的直观分析并未支持机器人干预的任何效果。半数参与者报告干预前后的失眠严重程度指数有临床相关的降低。ADHD 或觉醒方面无变化。访谈的主题分析得出三个主题：（1）愉快的伴侣，（2）太多/不够，和（3）新的常规。
结论
在进行下一次试验之前，应当对干预措施进行调整，以满足 ADHD 合并失眠患者的需求。
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