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. Author manuscript; available in PMC: 2026 Apr 9.
Published in final edited form as: Sleep. 2026 May 12;49(5):zsag053. doi: 10.1093/sleep/zsag053

Table 2.

Agreement metrics for HB vs. PSG and ACT vs. PSG

Sleep Metric Mean (SD) r a Bias (SD)b
[95% CI]
p value LoA lower bound [95% CI] LoA upper bound
[95% CI]
MDC ICC
(95% CI)
Headband c
TST 358.6 (96.4) 0.9 −6.7 (40.7)
[−17.3, 2.9]
0.20 −86.0
[−112.8, −57.1]
72.6
[55.9, 87.1]
79.3 0.91
(0.86, 0.95)
WASO 92.8 (66.9) 0.8 9.4 (37.6)
[−0.4, 18.3]
0.06 −64.3
[−74.1, −55.4]
83.1
[73.2, 92.1]
73.7 0.82
(0.73, 0.89)
SOLd 28.4 (23.37) 0.6 −2.3 (24.1)
[−9.5, 3.4]
0.49 −49.5
[−78.3, −21.6]
44.9
[20.5, 64.5]
47.2 0.59
(0.38, 0.74)
SE (%) 75.7 (14.3) 0.8 −1.1 (7.8)
[−2.9, 0.9]
0.29 −16.3
[−18.2, −14.3]
14.2
[12.4, 16.1]
15.3 0.84
(0.75, 0.90)
Lighte 251.6 (83.2) 0.2 −34.9 (60.0)
[−50.6, −20.8]
<0.01 −152.5
[−198.4, −106.4]
82.6
[53.0, 109.4]
117.5 0.66
(0.50, 0.78)
Deepf 23.9 (26.8) 0.4 5.5 (25.8)
[−1.0, 11.9]
0.10 −45.1
[−63.4, −28.3]
56.1
[41.4, 69.1]
67.8 0.51
(0.31, 0.67)
REMg 83.2 (47.5) 0.4 22.7 (40.2)
[12.4, 33.0]
<0.01 −56.0
[−73.9, −38.2]
101.4
[83.6, 119.3]
78.7 0.44
(0.22, 0.62)
Actigraphy h
TST 417.3 (100.2) 0.8 52.0 (55.4)
[38.0, 65.7]
< 0.01 −56.6
[−95.8, −22.9]
160.5
[126.1, 191.6]
108.6 0.73
(0.60, 0.83)
WASO 55.5 (44.0) 0.5 −27.9 (54.6)
[−41.3, −13.9]
< 0.01 −134.8
[−163.4, −103.4]
79.0
[46.7, 118.1]
106.9 0.41
(0.18, 0.59)
SOL 2.4 (5.4) 0.3 −24.1 (27.4)
[−31.2, −17.7]
< 0.01 −77.7
[−98.6, −55.3]
29.5
[16.8, 40.4]
53.6 −0.17
(−0.40, 0.08)
SE (%) 87.7 (9.1) 0.6 10.9 (10.9)
[8.2, 13.6]
< 0.01 −10.3
[−18.4, −3.6]
32.2
[26.0, 38.0]
21.3 0.28
(0.03, 0.49)

Abbreviations. ACT=Actigraphy; CI=Confidence Interval; HB=Headband; ICC=Intraclass Correlation Coefficient; LoA=Limit of agreement; MDC=Minimum detectable change; PSG=Polysomnography; REM=Rapid eye movement sleep; SD=Standard Deviation; SE=Sleep efficiency; SOL=Sleep onset latency; TST=Total Sleep Time; WASO=Wake After Sleep Onset.

a

Pearson correlation coefficient

b

Difference= device (headband or actigraphy) – polysomnography

c

Apart from REM sleep, all HB variables showed proportional bias and non-normality. SOL and deep sleep showed heteroscedasticity. Classic bias and LoA estimates are reported for consistency and comparability across metrics. Bias and LoAs were reported using bootstrapped confidence intervals except for REM sleep.

d

n=51; 10 participants removed for sleep onset that preceded start of polysomnography.

e

N1 and N2 sleep stages; mean (SD) of 69.8 (12.5) and 79.1 (9.3) percent in headband and polysomnography, respectively.

f

N3 sleep stage; mean (SD) of 6.9 (8.7) and 4.7 (6.3) percent in headband and polysomnography, respectively.

g

Mean (SD) of 23.3 (12.6) and 16.2 (8.6) percent in headband and polysomnography, respectively.

h

All ACT variables showed proportional bias and non-normality. TST and SOL showed heteroscedasticity. Classic bias and LoA estimates are reported for consistency and comparability across metrics. Bias and LoAs were reported using bootstrapped confidence intervals.