1. Evaluation of the URGOnight Tele-neurofeedback Device
- Author
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Emma Touré-Cuq, Tommy Egtberts, Martijn Arns, Noralie Krepel, Pierre Bouny, Adult Psychiatry, Cognition, and RS: FPN CN 4
- Subjects
medicine.medical_specialty ,Sleep problems ,law.invention ,Pittsburgh Sleep Quality Index ,SLEEP SPINDLES ,Randomized controlled trial ,law ,Feasibility trial ,Sleep Initiation and Maintenance Disorders ,medicine ,Insomnia ,Humans ,ADHD ,Applied Psychology ,business.industry ,Actigraphy ,Electroencephalography ,Neurofeedback ,SMR neurofeedback (URGOnight) ,INSOMNIA ,Neuropsychology and Physiological Psychology ,Physical therapy ,Feasibility Studies ,Sleep (system call) ,medicine.symptom ,Open label ,business ,Sleep duration ,Follow-Up Studies - Abstract
SMR neurofeedback shows potential as a therapeutic tool for reducing sleep problems. It is hypothesized that SMR neurofeedback trains the reticulo-thalamocortical-cortical circuit involved in sleep-spindle generation. As such, strengthening this circuit is hypothesized to reduce sleep problems. The current study aims to investigate the effectiveness of a home-based device that uses SMR neurofeedback to help reduce sleep problems. Thirty-seven participants reporting sleep problems received the SMR neurofeedback-based program for 40 (n = 21) or 60 (n = 16) sessions. The Pittsburgh Sleep Quality Index (PSQI) and Holland Sleep Disorders Questionnaire (HSDQ) were assessed at baseline, session 20, outtake, and follow-up (FU). Actigraphy measurements were taken at baseline, session 20, and outtake. Significant improvements were observed in PSQI Total (d = 0.78), PSQI Sleep Duration (d = 0.52), HSDQ Total (d = 0.80), and HSDQ Insomnia (d = 0.79). Sleep duration (based on PSQI) increased from 5.3 h at baseline to 5.8 after treatment and 6.0 h. at FU. No effects of number of sessions were found. Participants qualified as successful SMR-learners demonstrated a significantly larger gain in sleep duration (d = 0.86 pre-post; average gain = 1.0 h.) compared to non-learners. The home-based SMR tele-neurofeedback device shows the potential to effectively reduce sleep problems, with SMR-learners demonstrating significantly better improvement. Although randomized controlled trials (RCTs) are needed to further elucidate the specific effect of this device on sleep problems, this is the first home-based SMR neurofeedback device using dry electrodes demonstrating effectiveness and feasibility.
- Published
- 2022