0389 When Sleep Quality Improves, Do Performance and Satisfaction in Other Life Roles Change
Bibliographic record
Abstract
Chronic insomnia is a prevalent condition negatively impacting the health and daily functioning of many Veterans. Occupational therapy is focused on helping individuals maximize performance and participation in their daily activities. Sleep is our largest occupation consuming around 1/3rd of our lives and sleep challenges create barriers to daily goals. Therefore, sleep is something occupational therapy should be concerned with and address to improve sleep itself and possibly other functional outcomes as well. We recruited a convenience sample of 45 student Veterans to participate in occupational therapist-led Cognitive Behavioral Therapy for Insomnia (CBTI). We collected pre- and post-intervention data on sleep quality and daily functioning using the PROMIS Sleep scales and the Canadian Occupational Performance Measure (COPM), respectively. The COPM assesses one’s perceived performance and satisfaction across five pre-selected domains of daily functioning. We examined un-adjusted pre-post changes for both constructs using paired t-tests and we examined the association between sleep quality and daily functioning over time using multivariable linear mixed models to account for the correlation of repeated measures within participants. The results represent a preliminary analysis of the first 16 participants. The preliminary sample included 14 males and 2 females who were fully matriculated students at Colorado State University. Mean (standard deviation) age was 32.1 (6.6) years. Un-adjusted analyses demonstrated significant (p < .05) improvements in sleep quality, perceived performance in daily functioning, and satisfaction with daily functioning. Similarly, the multivariable regression analyses yielded significant associations between changes in sleep quality and both performance and satisfaction with daily functioning over time. Perceived performance and satisfaction with daily functioning can be enhanced through effective interventions targeting improvements in sleep quality in student Veterans. Additional research is needed to evaluate the variability in the improvements in daily functioning and to determine whether these effects are maintained longer-term. The Restoring Effective Sleep Tranquility "REST" project is supported by the New Start for Student Veterans Program at Colorado State University.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.014 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".