Table 3.
Measurement Tools/Forms and Their Purposes
Measurement Tool | Standardization | Recall Period | Purpose |
---|---|---|---|
Patient Health Questionnaire (PHQ2/PHQ9) | Y: correlates well (r = 0.75)50 to the Beck Depression Index (depression in the present moment); Cronbach’s alpha = 0.8951 | 2 wk | Depression screener used in recruitment (Visit 1) |
Insomnia Severity Index (ISI) | Y | 14 d | Insomnia assessment (telephone screen) |
Baseline intake | N (in house) | General | To gather information on contact details; demographics (age, gender, menopause, ethnicity, language, ability to hear); substance use (alcohol, stimulants, sleeping pills, cannabis); lifestyle (disruptions to sleep, shift work, mind-body practice); and comorbidities (a diagnosis of fibromyalgia, sleep apnea, insomnia, or depression) |
Sleep apnea screener (STOP-BANG) | Y: with minimal information requested, it is adequate for use in informal diagnosis; Cronbach’s alpha = 0.7452 | General | To predict sleep apnea at Visit 1 based on: snoring, tiredness, observations of interrupted breathing, blood pressure, BMI, age, neck circumference, and gender |
Positive and Negative Affect Schedule (PANAS) | Y: Cronbach’s alpha = 0.87 (negative affect) and 0.88 (positive affect)53 | Moment | Assessment of mood (20 questions) before/after visit |
State-Trait Anxiety Inventory Y-6 (STAI-Y6) | Y: Cronbach’s alpha = 0.89 for total scores54 | Moment | Anxiety measurement (6 questions) before/after visit |
Consent form (CF) | N (in house) | General | Confirmation of participant willingness to participate in the study |
Preintervention survey (PreI) | N (in house) | Moment | Assessment of participant perceptions about the intervention before they experience it |
1 d | Documentation of behavior and substance use in the last 24 hours (exercise, alcohol, caffeine intake, sleep quality, tiredness and restedness) | ||
Generalized Anxiety Disorder Survey (GAD-7) | Y: correlates moderately with the Penn State Worry Questionnaire (r = 0.51–0.71); Cronbach’s alpha = 0.79–0.9155 | 2 wk | Anxiety assessment (7 questions) at intake |
Pittsburgh Sleep Quality Index (PSQI) | Y: scores ≥ 5 indicate poor sleep quality; this survey correlates with other surveys used here (PHQ-9 [0.49] and GAD-7 [0.46]); Cronbach’s alpha = 0.5756 | 30 d | Sleep quality assessment at intake |
Patient-Reported Outcomes Measurement Information System (PROMIS-29) | Y: Cronbach’s alpha = 0.87–0.9757 | 7 d | Assessment of disturbed sleep, depression, anxiety, pain, and other health outcomes at intake |
Respiratory rate (RR) monitor (Spire) | This device is popularly used and attracting research interest58 | Real-time, continuous | To gather data on breathing rate; Spire is a wearable, wireless sensor clipped to a belt |
Electroencephalograph (EEG) (ProComp Infiniti device with BioGraph Infiniti software) | This device has been used in research for measurement of various physiological parameters59,60 | Real-time, continuous | To gather data on brainwave patterns and sleep |
Heart rate variability (HRV; BodyGuard2) | Validated against a clinical ECG with offline R-wave detection; Bodyguard 2 has a high beat detection rate and provides accurate HRV analysis in many conditions (sitting, lying, standing, walking, etc.)61 | Real-time, continuous | To gather data on HRV; the device is a wearable, wireless sensor placed on the chest |
Postintervention exit survey (PE) | N (in house) | 2 h | To gather perceptions of the intervention after experiencing it (credibility/acceptability/tolerability) and feedback about intervention conditions (comfort, challenges, other) |