دورية أكاديمية

Sleep Quality and Quantity in Caregivers of Children with Type 1 Diabetes Using Closed-Loop Insulin Delivery or a Sensor-Augmented Pump

التفاصيل البيبلوغرافية
العنوان: Sleep Quality and Quantity in Caregivers of Children with Type 1 Diabetes Using Closed-Loop Insulin Delivery or a Sensor-Augmented Pump
المؤلفون: Juan J. Madrid-Valero, Julia Ware, Janet M. Allen, Charlotte K. Boughton, Sara Hartnell, Malgorzata E. Wilinska, Ajay Thankamony, Carine de Beaufort, Ulrike Schierloh, Fiona M. Campbell, Judy Sibayan, Laura E. Bocchino, Craig Kollman, Roman Hovorka, Alice M. Gregory, KidsAP Consortium
بيانات النشر: Pediatric Diabetes
سنة النشر: 2023
المجموعة: Hindawi Publishing Corporation
الوصف: Introduction. Parents of children living with type 1 diabetes (T1D) often report short and/or poor quality sleep. The development of closed-loop systems promises to transform the management of T1D. This study compared sleep quality and quantity in caregivers of children using a closed-loop system (CL) or sensor-augmented pump (SAP) therapy. Method. Data from sleep diaries, accelerometers, and questionnaires were provided by forty parents (classified as caregiver 1 (main analyses) or 2 (supplementary analyses) based on their contribution towards treatment management) of 21 very young children aged 1 to 7 years living with T1D (mean age: 4.7 (SD = 1.7)). Assessments were made at a single post-randomisation time point when the child was completing either the 16-week CL arm (n = 10) or the 16-week SAP arm (n = 11) of the main study. Results. Overall, there was a mixed pattern of results and group differences were not statistically significant at the p<0.05 level. However, when we consider the direction of results and results from caregiver 1, sleep diary data showed that parents of the CL (as compared to the SAP) group reported a shorter sleep duration but better sleep quality, fewer awakenings, and less wake after sleep onset (WASO). Actiwatch data showed that caregiver 1 of the CL (as compared to the SAP) group had a shorter sleep latency; greater sleep efficiency; and less wake after sleep onset. Results from the Pittsburgh Sleep Quality Index also showed better sleep quality for caregiver 1 of the CL group as compared to the SAP group. Conclusions. Results from this study suggest that sleep quality and quantity in parents of children using CL were not significantly different to those using SAP. Considering effect sizes and the direction of the non-significant results, CL treatment could be associated with better sleep quality in the primary caregiver. However, further research is needed to confirm these findings. This trial is registered with NCT05158816.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: https://doi.org/10.1155/2023/7937007Test
DOI: 10.1155/2023/7937007
الإتاحة: https://doi.org/10.1155/2023/7937007Test
حقوق: Copyright © 2023 Juan J. Madrid-Valero et al.
رقم الانضمام: edsbas.21489049
قاعدة البيانات: BASE