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Home-Based Assessment of Sleep Quality and Post Concussive Symptoms in Veterans with Mild Traumatic Brain Injury

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Augmented Cognition (HCII 2022)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 13310))

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Abstract

Military Veterans report sleep complaints which can be exacerbated by traumatic brain injuries (TBIs) contributing to poor health outcomes. The aim of this study is to examine the relation between sleep quality and postconcussive symptoms, cognitive performance, behavior, and physical activity using home-based remote measures in Veterans with a history of mild TBIs. Methods: Participants completed online questionnaires (Neurobehavioral Symptom Inventory [NSI], Five Facet Mindfulness Questionnaire-39 [FFMQ], and Pittsburgh Sleep Quality Index [PSQI]). The Oral Trail Making test and Ohio State University TBI Identification Method (OSU TBI-ID) were administered by a licensed psychologist. Actigraphy (wGT3X-BT) was monitored to measure sleep and step count over 7 days. During three-month follow up the NSI and PSQI were repeated, and sleep and step count was reassessed for 7-days (using a Fitbit). Data were analyzed using Pearson’s correlations. Results: Eight (8 Males; age: 55 ± 7 yrs, Body Mass Index (BMI): 32 ± 7 kg/m2 mean ± SD) Veterans with mild TBI completed the baseline. Six Veterans completed during the three month follow up. There were no significant relations between sleep and FFMQ, or step count. There was a significant relation between sleep duration and processing speed (r2 = 0.76, P = 0.01) and between the PSQI and NSI (r2 = 0.69, P = 0.02). During the follow up, there were no relations between sleep and NSI, FFMQ, or step count. Conclusion: This preliminary analysis suggests evaluating sleep remotely is achievable and valuable information can be gathered to evaluate sleep and health in Veterans with mild TBI. Our work supports the usefulness of home-based assessments and wearable devices.

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Authors and Affiliations

  1. Washington DC VA Medical Center, War Related Illness and Injury Study Center, Washington DC, 20422, USA

    Kamila U. Pollin, Immanuel Samuel, Charity B. Breneman, Mary M. Valmas, Ryan C. Brewster, Matthew J. Reinhard & Michelle E. Costanzo

  2. Henry M Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, 20817, USA

    Immanuel Samuel & Charity B. Breneman

Authors
  1. Kamila U. Pollin
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  2. Immanuel Samuel
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  3. Charity B. Breneman
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  4. Mary M. Valmas
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  5. Ryan C. Brewster
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  6. Matthew J. Reinhard
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  7. Michelle E. Costanzo
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Correspondence to Michelle E. Costanzo .

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  1. Soar Technology Inc., Orlando, FL, USA

    Dylan D. Schmorrow

  2. Katmai Government Services, Orlando, FL, USA

    Cali M. Fidopiastis

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Authors report no conflicts of interest. the opinions presented in this article are those of the authors and do not reflect the views of any institution/agency of the U.S. government or the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc.

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Pollin, K.U. et al. (2022). Home-Based Assessment of Sleep Quality and Post Concussive Symptoms in Veterans with Mild Traumatic Brain Injury. In: Schmorrow, D.D., Fidopiastis, C.M. (eds) Augmented Cognition. HCII 2022. Lecture Notes in Computer Science(), vol 13310. Springer, Cham. https://doi.org/10.1007/978-3-031-05457-0_7

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  • DOI: https://doi.org/10.1007/978-3-031-05457-0_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-05456-3

  • Online ISBN: 978-3-031-05457-0

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