Search

Background: Time spent in sleep, sedentary behaviour (SB), and physical activity are exhaustive and mutually exclusive parts of a 24-h day that need to be considered in a combination. The aim of this study was to identify validated self-reported tools for assessment of movement behaviours across the whole 24-h day, and to review their attributes and measurement properties. Methods: The databases PubMed, Scopus, and SPORTDiscus were searched until September 2023. Inclusion criteria were: (i) published in English language, (ii) per-reviewed paper, (iii) assessment of self-reported time spent in sleep, SB, and physical activity, (iv) evaluation of measurement properties of all estimates across the full 24-h day, and (v) inclusion of adolescents, adults, or older adults. The methodological quality of included studies was assessed using the Consensus-based Standards for the selection of health Measurement Instruments checklist. Results: Our search returned 2064 records. After studies selection, we included 16 articles that reported construct validity and/or test-retest reliability of 12 unique self-reported tools – eight questionnaires, three time-use recalls, and one time-use diary. Most tools enable assessment of time spent in sleep, and domain-specific SB and physical activity, and account that sum of behaviours should be 24 h. Validity (and reliability) correlation coefficients for sleep ranged between 0.22 and 0.69 (0.41 and 0.92), for SB between 0.06 and 0.57 (0.33 and 0.91), for light-intensity physical activity between 0.18 and 0.46 (0.55 and 0.94), and for moderate- to vigorous-intensity physical activity between 0.38 and 0.56 (0.59 and 0.94). The quality of included studies being mostly fair-to-good. Conclusions: This review found that only a limited number of validated self-reported tools for assessment of 24-h movement behaviours are currently available. Validity and reliability of most tools are generally adequate to be used in epidemiological studies and population surveillance, while little is known about adequacy for individual level assessments and responsiveness to behavioural change. To further support research, policy, and practice, there is a need to develop new tools that resonate with the emerging 24-h movement paradigm and to evaluate measurement properties by using compositional data analysis. Systematic review registration: PROSPERO CRD42022330868. [ABSTRACT FROM AUTHOR]

Despite the acknowledged complexity and time pressures of early childhood educators' work, very few studies have examined the nature of this work, minute-by-minute, over the working day. This paper reports on data gathered through 10,155 time-use diary (TUD) records provided by 321 educators participating in the Exemplary Early Childhood Educators at Work Australian Research Council Linkage Project. Participants were recruited from preschool/kindergarten and long day care centres that had achieved a rating of Exceeding the Australian National Quality Standard on all seven Quality Areas. Analyses of this extensive dataset illustrate the rhythm and diversity of educators' work across a typical day and identify the similarities and differences in worktime distributions for educators working in preschool vs. long day care settings, and for educators with different qualifications and positional responsibilities. The findings suggest differential allocations of worktime that raise important considerations for achieving high quality early childhood education and care services. [ABSTRACT FROM AUTHOR]

Abstract Background Screen behaviours are highly prevalent in young people and excessive screen use may pose a risk to physical and mental health. Understanding the timing and social settings in which young people accumulate screen time may help to inform the design of interventions to limit screen use. This study aimed to describe diurnal patterns in adolescents’ screen-based behaviours and examine the association of social context with these behaviours on weekdays and weekend days. Methods Time use diary data are from the sixth wave (2015/2016) of the Millennium Cohort Study, conducted when participants were aged 14 years. Outcome variables were electronic games/Apps, TV-viewing, phone calls and emails/texts, visiting social networking sites and internet browsing. Social context was categorised as alone only, parents only, friends only, siblings only, parents and siblings only. Multilevel multivariable logistic regression was used to examine the association between social contexts and screen activities. Results Time spent in TV-viewing was greatest in the evening with a peak of 20 min in every hour between 20:00 and 22:00 in both sexes on weekdays/weekend days. Time spent using electronic games/Apps for boys and social network sites for girls was greatest in the afternoon/evening on weekdays and early afternoon/late evening on weekend days. Screen activities were mainly undertaken alone, except for TV-viewing. Compared to being alone, being with family members was associated with (Odds Ratio (95% Confidence Interval)) more time in TV-viewing in both boys and girls throughout the week (Weekdays: Boys, 2.84 (2.59, 3.11); Girls, 2.25 (2.09, 2.43); Weekend days: Boys, 4.40 (4.16, 4.67); Girls, 5.02 (4.77, 5.27)). Being with friends was associated with more time using electronic games on weekend days in both sexes (Boys, 3.31 (3.12, 3.51); Girls, 3.13 (2.67, 3.67)). Conclusions Reductions in screen behaviours may be targeted throughout the day but should be sensitive to differing context. Family members, friends, and adolescent themselves may be important target groups in behaviour change interventions. Future research to address the complex interplay between social context, content and quality of screen behaviours will aid the design of behaviour change interventions.

• The process and preliminary analysis of the one-week virtual, physical, and app activities survey are presented. • Combining online and offline survey platforms, providing incentives, and maintaining close communication with respondents contribute to the survey's success. • Integrating information on virtual and physical activities into conventional time-use data provides a better understanding of daily activity participation. • App usage by senior workers or those who reside in Jakarta tends to create multiple effects, either creation or avoidance of travel. The increasing prevalence of information and communication technology (ICT), particularly through smartphones, has profoundly shaped individuals' daily schedules, making it an integral part of travel behaviour research. However, comprehensive data on daily virtual and physical activities as well as app usage behaviour remains limited. This paper describes the implementation of a survey to capture cross-dimensional weekly virtual-physical activities diary, including the details of travel, in-home, and out-of-home behaviour, extended smartphone app usage behaviour, and the psychological and perceived built environment factors affecting them. To our knowledge, this is the first attempt to expand the panel time-use survey to comprehensively capture daily smartphone app usage, the impact of such usage on travel, and their underlying behaviour (motivations and planned behaviour) in developing countries. Furthermore, it aims to demonstrate the possible usefulness of this dataset in assessing the impact of ICT on travel. The survey was deployed in Jakarta, Bandung, Denpasar, and Cianjur in Indonesia from May 2022 to January 2023. The protocol, mechanism, location, instrument, survey process, and preliminary data are described in the paper. Out of all respondents approached in all cities, 1,193 respondents over 18 years of age, or only 39 %, participated in the study. Respondents reported engaging in 23–32 activities daily and multitasking with average of 2–3 activities. The data collection process for this survey highlighted the importance of utilising both paper-and-pencil surveys and digital questionnaires, providing assistance and incentives, and maintaining open communication with respondents. This approach ensured successful data collection from individuals residing in different Indonesian cities, taking into account their diverse ICT qualities, education levels, and standards of living. Preliminary analysis shows that different combinations of travel and time use characteristics correlate with individuals' sociodemographic profile and residential location but not all perceived built environment conditions and personality traits. Integrating information on virtual and physical activities into conventional time-use data provides a better understanding of daily activity participation. The result also shows that the impact of app usage on travel varies across sociodemographic groups and cities. Apps usage by senior workers tends to create varied effects, either creation or avoidance of travel. Residents of Jakarta, a megapolitan area that provides more opportunities and economic intensity, tend to use multiple apps to avoid taking trips and generating new activities. The result also demonstrates that leisure app usage has multiple effects on travel and that the generation of new activities is associated with spontaneous app usage decisions. These preliminary results and extensive variables collected in this study highlight opportunities for future research on ICT and travel. [ABSTRACT FROM AUTHOR]

Sociologists are often questioning the differences between gender roles/norms and actual behaviour in the adult population. The purpose of this paper is to explore to what extent attitudes toward gender roles correspond with adults’ participation in various domestic chores, pointing to the differences between men and women in general and within couples in the Czech Republic. We aim to find whether attitudes indicating gender roles equality are reflected in the real behaviour. Our findings indicate certain discrepancies between attitudes and behaviour. Although the attitudes expressed by the respondents appear to lead to more gender equality, their reflection in everyday life is weak. The inclination to equality in the answers to attitudinal questions did not significantly influence the equal distribution of unpaid domestic work, nor did it influence the difference between the work done by each partner in the couple. Furthermore, the results point to the fact that discrepancies do not differentiate by attained educational level (it is an argument against the status differentiation). It requires in further research to look at the factors that allow men and women to handle the demands specific for the different stages in their life. [ABSTRACT FROM AUTHOR]

Background: Screen behaviours are highly prevalent in young people and excessive screen use may pose a risk to physical and mental health. Understanding the timing and social settings in which young people accumulate screen time may help to inform the design of interventions to limit screen use. This study aimed to describe diurnal patterns in adolescents' screen-based behaviours and examine the association of social context with these behaviours on weekdays and weekend days.Methods: Time use diary data are from the sixth wave (2015/2016) of the Millennium Cohort Study, conducted when participants were aged 14 years. Outcome variables were electronic games/Apps, TV-viewing, phone calls and emails/texts, visiting social networking sites and internet browsing. Social context was categorised as alone only, parents only, friends only, siblings only, parents and siblings only. Multilevel multivariable logistic regression was used to examine the association between social contexts and screen activities.Results: Time spent in TV-viewing was greatest in the evening with a peak of 20 min in every hour between 20:00 and 22:00 in both sexes on weekdays/weekend days. Time spent using electronic games/Apps for boys and social network sites for girls was greatest in the afternoon/evening on weekdays and early afternoon/late evening on weekend days. Screen activities were mainly undertaken alone, except for TV-viewing. Compared to being alone, being with family members was associated with (Odds Ratio (95% Confidence Interval)) more time in TV-viewing in both boys and girls throughout the week (Weekdays: Boys, 2.84 (2.59, 3.11); Girls, 2.25 (2.09, 2.43); Weekend days: Boys, 4.40 (4.16, 4.67); Girls, 5.02 (4.77, 5.27)). Being with friends was associated with more time using electronic games on weekend days in both sexes (Boys, 3.31 (3.12, 3.51); Girls, 3.13 (2.67, 3.67)).Conclusions: Reductions in screen behaviours may be targeted throughout the day but should be sensitive to differing context. Family members, friends, and adolescent themselves may be important target groups in behaviour change interventions. Future research to address the complex interplay between social context, content and quality of screen behaviours will aid the design of behaviour change interventions. [ABSTRACT FROM AUTHOR]

• We examined 2213 young children's time use and later self-regulation. • Time spent in quiet free play between 2 and 5 years' age predicted later self-regulation. • Time spent in active free play at 4–5 years predicted later self-regulation. • We controlled for known confounds and earlier self-regulation abilities. • Findings contribute to debates over whether early play supports self-regulation abilities. Self-regulation skills are foundational to successful participation in society, and predict a suite of positive outcomes throughout life. It has long been asserted that free (i.e., unstructured) play is important for the development of self-regulation, but studies investigating play and self-regulation have faced empirical limitations. The current study used a large sample (n = 2213) from the Longitudinal Study of Australian Children to investigate time spent in unstructured quiet and active play activities at ages 2–3 and 4–5 years as a predictor of self-regulation abilities 2 years later. Children's play was reported by parents who completed a 24-hour time-use diary for 1 random weekend day and 1 weekday. Self-regulation was indexed at ages 4–5 and 6–7 by parent-, teacher- and observer-reported items comparable to similar large, longitudinal studies. Results showed that the more time children spent in unstructured quiet play in the toddler and preschool years, the better their self-regulation abilities at ages 4–5 and 6–7 years, even after controlling for earlier self-regulation abilities and other known predictors. Further, between 1 and 5 hours of preschoolers' unstructured active play time significantly predicted self-regulation 2 years later. This study provides early support for parenting programs designed to increase opportunities for children to spend time in unstructured, free play in the early years. [ABSTRACT FROM AUTHOR]

Abstract Background The central aim was to examine the accuracy of the full range of daily activities recorded in self-report time-use diaries against data from two objective passive data collection devices (wearable camera and accelerometer) serving as criterion reference instruments. This enabled systematic checks and comparisons on the timing, sequence and duration of activities recorded from the three data sources. Methods Participants (n = 148) were asked to complete a single-day self-report paper time-use diary designed for use in the Harmonised European Time Use Study (HETUS), while simultaneously wearing a camera that continuously recorded images of their activities, and an accelerometer tracking physical movement. In a reconstruction interview shortly after the data collection period, participants viewed the camera images to help researchers interpret the image sequences. Of the initial 148 recruits (multi-seed snowball sample, 59% women, aged 18–91, 43% > 40) 131 returned usable diary and camera records (of whom 124 also provided a usable whole-day accelerometer record. We compare time allocation estimates from the diary and camera records, and also match the diary and camera records to the simultaneously recorded accelerometer vector magnitudes. Results The data were examined at three analytic levels: aggregate, individual diarist and timeslot. The most important finding is that the estimates of mean daily time devoted to 8 of the 10 main activities differ by

This paper presents the first causal estimates of the effect of weather on children's time allocation. It exploits exogenous variations in local weather observed during the random diary dates of two nationally representative cohorts of Australian children whose time-use diaries were surveyed biennially over 10 years. Unfavorable weather conditions, as represented by cold or hot temperature or rain, cause children to switch activities from outdoors to indoors, mainly by reducing the time allocated to active pursuits and travel and increasing the time allocated to media. Furthermore, the effects of bad weather are more pronounced on weekends and for children with asthma. Our results also provide some evidence of adaptation, as temperature tends to have greater impact not only in winter months but also in colder regions. Our findings are robust to a wide range of sensitivity checks, including controlling for individual fixed effects and using alternative model specifications. Overall, the results suggest that extreme weather conditions may diminish children's health, development and long-term achievements through their effects on children's time allocation. [ABSTRACT FROM AUTHOR]

Background: My E-Diary for Activities and Lifestyle (MEDAL) is a web-based time-use diary developed to assess the diet and movement behaviors of Asian school children., Objective: This study aims to determine the accuracy of MEDAL in assessing the dietary intake of Malaysian school children, using photographs of the children's meals taken by their parents as an objective reference., Methods: A convenience sample of 46 children aged 10 to 11 years recorded their daily meals in MEDAL for 4 days (2 weekdays and 2 weekend days). Their parents took photographs of the meals and snacks of their children before and after consumption during the 4-day period and sent them along with a brief description of food and drinks consumed via an instant SMS text messaging app. The accuracy of the children's reports of the food they had consumed was determined by comparing their MEDAL reports to the photographs of the food sent by their parents., Results: Overall, the match, omission, and intrusion rates were 62% (IQR 46%-86%), 39% (IQR 16%-55%), and 20% (IQR 6%-44%), respectively. Carbohydrate-based items from the food categories "rice and porridge"; "breads, spreads, and cereals"; and "noodles, pasta, and potatoes" were reported most accurately (total match rates: 68%-76%). "Snack and dessert" items were omitted most often (omission rate: 54%). Furthermore, side dishes from "vegetables and mushrooms," "eggs and tofu," "meat and fish," and "curry" food groups were often omitted (omission rates: 42%-46%). Items from "milk, cheese, and yogurt"; "snacks and desserts"; and "drinks" food groups intruded most often (intrusion rates: 37%-46%). Compared to the items reported by the boys, those reported by the girls had higher match rates (69% vs 53%) and lesser omission rates (31% vs 49%; P=.03, respectively)., Conclusions: In conclusion, children aged 10 to 11 years can self-report all their meals in MEDAL, although some items are omitted or intruded. Therefore, MEDAL is a tool that can be used to assess the dietary intake of Malaysian school children., (©Kar Mun Chong, Airu Chia, Nur Syahirah Shah Budin, Bee Koon Poh, Nor Aini Jamil, Denise Koh, Mary Foong-Fong Chong, Jyh Eiin Wong. Originally published in JMIR Pediatrics and Parenting (https://pediatrics.jmir.org), 07.05.2024.)

This study provides a new test of time-use diary methodology, comparing diaries with a pair of objective criterion measures: wearable cameras and accelerometers. A volunteer sample of respondents (n = 148) completed conventional self-report paper time-use diaries using the standard UK Harmonised European Time Use Study (HETUS) instrument. On the diary day, respondents wore a camera that continuously recorded images of their activities during waking hours (approximately 1,500–2,000 images/day) and also an accelerometer that tracked their physical activity continuously throughout the 24-hour period covered by the diary. Of the initial 148 participants recruited, 131 returned usable diary and camera records, of whom 124 also provided a usable whole-day accelerometer record. The comparison of the diary data with the camera and accelerometer records strongly supports the use of diary methodology at both the aggregate (sample) and individual levels. It provides evidence that time-use data could be used to complement physical activity questionnaires for providing population-level estimates of physical activity. It also implies new opportunities for investigating techniques for calibrating metabolic equivalent of task (MET) attributions to daily activities using large-scale, population-representative time-use diary studies. [ABSTRACT FROM AUTHOR]

Background Throughout the developed world, adolescents are growing up with increased access to and engagement with a range of screen-based technologies, allowing them to encounter ideas and people on a global scale from the intimacy of their bedroom. The concerns about digital technologies negatively influencing sleep are therefore especially noteworthy, as sleep has been proven to greatly affect both cognitive and emotional well-being. The associations between digital engagement and adolescent sleep should therefore be carefully investigated in research adhering to the highest methodological standards. This understood, studies published to date have not often done so and have instead focused mainly on data derived from general retrospective self-report questionnaires. The value of this work has been called into question by recent research showing that retrospective questionnaires might fail to accurately measure these variables of interest. Novel and diverse approaches to measurement are therefore necessary for academic study to progress. Methods This study analyses data from 11,884 adolescents included in the UK Millennium Cohort Study to examine the association between digital engagement and adolescent sleep, comparing the relative effects of retrospective self-report vs. time-use diary measures of technology use. By doing so, it provides an empirical lens to understand the effects of digital engagement both throughout the day and before bedtime and adds nuance to a research area primarily relying on retrospective self-report. Results The study finds that there is a small negative association relating digital engagement to adolescent sleep both on weekdays and weekend days (median standardized association βweekday = −0.06 and βweekend = −0.03). There is a more negative association between digital engagement and total sleep time on weekdays compared to weekend days (median standardized βweekday = −0.08, median standardized βweekend = −0.02), while there is no such difference when examining adolescents’ bedtime. Surprisingly, and contrary to our expectations, digital technology use before bedtime is not substantively associated with the amount of sleep and the tardiness of bedtime in adolescents. Conclusions Results derived from the use of transparent Specification Curve Analysis methods show that the negative associations in evidence are mainly driven by retrospective technology use measures and measures of total time spent on digital devices during the day. The effects are overall very small: for example, an additional hour of digital screen time per day was only related to a 9 min decrease in total time spent sleeping on weekdays and a 3 min decrease on weekends. Using digital screens 30 min before bed led to a 1 min decrease in total time spent sleeping on weekdays and weekends. The study shows that more work should be done examining how to measure digital screen time before interventions are designed.

Background: Throughout the developed world, adolescents are growing up with increased access to and engagement with a range of screen-based technologies, allowing them to encounter ideas and people on a global scale from the intimacy of their bedroom. The concerns about digital technologies negatively influencing sleep are therefore especially noteworthy, as sleep has been proven to greatly affect both cognitive and emotional well-being. The associations between digital engagement and adolescent sleep should therefore be carefully investigated in research adhering to the highest methodological standards. This understood, studies published to date have not often done so and have instead focused mainly on data derived from general retrospective self-report questionnaires. The value of this work has been called into question by recent research showing that retrospective questionnaires might fail to accurately measure these variables of interest. Novel and diverse approaches to measurement are therefore necessary for academic study to progress. Methods: This study analyses data from 11,884 adolescents included in the UK Millennium Cohort Study to examine the association between digital engagement and adolescent sleep, comparing the relative effects of retrospective self-report vs. time-use diary measures of technology use. By doing so, it provides an empirical lens to understand the effects of digital engagement both throughout the day and before bedtime and adds nuance to a research area primarily relying on retrospective self-report. Results: The study finds that there is a small negative association relating digital engagement to adolescent sleep both on weekdays and weekend days (median standardized association βweekday = -0.06 and βweekend = -0.03). There is a more negative association between digital engagement and total sleep time on weekdays compared to weekend days (median standardized βweekday = -0.08, median standardized βweekend = -0.02), while there is no such difference when examining adolescents' bedtime. Surprisingly, and contrary to our expectations, digital technology use before bedtime is not substantively associated with the amount of sleep and the tardiness of bedtime in adolescents. Conclusions: Results derived from the use of transparent Specification Curve Analysis methods show that the negative associations in evidence are mainly driven by retrospective technology use measures and measures of total time spent on digital devices during the day. The effects are overall very small: for example, an additional hour of digital screen time per day was only related to a 9 min decrease in total time spent sleeping on weekdays and a 3 min decrease on weekends. Using digital screens 30 min before bed led to a 1 min decrease in total time spent sleeping on weekdays and weekends. The study shows that more work should be done examining how to measure digital screen time before interventions are designed. [ABSTRACT FROM AUTHOR]

Studies of early childhood educators' perceptions of work intensity and complexity have shown that ensuring a good balance between workload and the time needed to complete the work is critical for work quality, work satisfaction, and staff retention. This article explores the possibilities of time-use data for making visible the diversity and complex patterns of early childhood work. Pen-and-paper time-use diaries were completed for one full day by 21 educators working in preschool and child care centers, generating a total of 168 hours of data. Diary entries were coded using the Taxonomy of Early Childhood Work to identify the types of activities performed, the time spent in each activity, and changes in work activities across the day. On average, educators worked an 8-hour day, of which 60% was spent in direct contact with children in intentional teaching, routine care and transition, "being with" children during play, and providing emotional support. Other activities included organizing the indoor/outdoor play areas, administration, planning/evaluation, professional learning, and staff breaks. The findings demonstrate the benefits of time-use methodology as a means of objectively identifying and quantifying the diversity, complexity, and intensity of early childhood educators' work. [ABSTRACT FROM AUTHOR]

Highlights • A quantitative comparison of time-use diary and electricity demand data is presented. • Household occupants report common energy-related activities relatively accurately. • Electricity demand data cannot be used to infer use of appliances with thermostats. • Digital activity reporting techniques are recommended for future time-use studies. Abstract Understanding demand flexibility in the residential sector depends on understanding the causal link between household occupants' activities and resulting electricity demand. Self-reported electricity use via time-use diaries is often used as a direct descriptor of occupants' activities and has been integrated into residential electricity demand simulation models. Conversely, smart meter electricity demand data is increasingly used to infer occupants' activities. Underlying both these approaches are a number of unverified assumptions about people's perceptions of their energy use, the accuracy with which they report these activities and the physical operation of electrical devices. This paper carries out a comparison between self-reported energy-related activities and monitored electricity demand in 15 households over a week-long time period, with focus on electric hot water cylinders and heat pumps as appliances with large potential for demand flexibility. This comparison quantifies the extent to which self-reported activity is a predictor of electricity demand and conversely, whether electricity demand can accurately identify occupant activity. Results show that, although there is significant variation across households, self-reported activity tends to be a reasonably good predictor of electricity demand. However, due to the intervention of thermostat-controlled devices, electricity demand is not a good indicator of occupant activity. [ABSTRACT FROM AUTHOR]

The increasing popularity of global positioning systems (GPSs) has prompted transportation researchers to develop methods that can automatically extract and classify episodes from GPS data. This paper presents a transferable and efficient method of extracting and classifying activity episodes from GPS data, without additional information. The proposed method, developed using Python®, introduces the use of the multinomial logit (MNL) model in classifying extracted episodes into different types:stop,car,walk,bus, andother(travel) episodes. The proposed method is demonstrated using a GPS dataset from the Space-Time Activity Research project in Halifax, Canada. The GPS data consisted of 5127 person-days (about 47 million points). With input requirements directly derived from GPS data and the efficiency provided by the MNL model, the proposed method looks promising as a transferable and efficient method of extracting activity and travel episodes from GPS data. [ABSTRACT FROM AUTHOR]

It is commonly claimed that sleep duration has declined in recent years - over a period coinciding with a marked increase in personal electronics and communications use. The aim of this study was to assess change in sleep duration among Canadians from 1998 to 2010, and examine any associations with non-work-related screen time. The analysis uses population-representative data from Statistics Canada's General Social Survey cycles of 1998 and 2010; the respective samples numbered 10 749 and 15 390 individuals. Response rates were 80% in 1998 and 55% in 2010. Respondents were aged 15 years and older, residing in private households in the 10 Canadian provinces. The General Social Survey is administered by computer-assisted telephone interviewing. Data on sleep duration (excluding naps outside essential sleep time) and recreational screen time were obtained using a 24-h time-use diary. Survey weights were applied to adjust for non-response and non-landline households. Frequencies (respondent characteristics) and averages (time-use variables) were estimated by age group and sex. Sleep duration was examined by weighted quartile of screen time. Confidence intervals (95%) were calculated around estimates. Average sleep duration increased from 8.1 h in 1998 to 8.3 h in 2010. Average screen time increased from 140 min in 1998 to 154 min in 2010. Sleep duration and screen time were positively related in both years. The percentage of people averaging less than 6 h sleep decreased from 9.6% in 1998 to 8.6% in 2010. Between 1998 and 2010, increases in screen time did not occur at the expense of sleep duration. [ABSTRACT FROM AUTHOR]

Background: Communication impairments following traumatic brain injury (TBI) can represent a significant barrier to successful community reintegration. Previous research has typically focused on linguistic competence to identify communication difficulties experienced by people with TBI living in the community, rather than participation in everyday communication activities. Objective: To describe communication activities and communication partners of people with traumatic brain injury (TBI) over a 24-hour period compared to matched controls. Research design: A cross-sectional study using a customized, mixed-methods survey with time-use data collected from people with TBI and a demographically matched control group. Methods: Twenty people with TBI living within the community and 20 matched non-injured controls were interviewed about their involvement in communication activities over the previous 24 hours using a time-use diary.Activities were compared between the groups using Mann-Whitney U-tests and Chi-squared tests. Results: The TBI group spent significantly less time engaged in communication activities and less time engaged in conversation and reported significantly fewer numbers of communication partners compared to the control group. Conclusion: The results highlight discrepancies in participation in communication activities between people with TBI and people without TBI, suggesting the need for intervention studies to enhance communication participation in daily life following TBI. [ABSTRACT FROM PUBLISHER]

Abstract: Declines in self-reported sleep quotas with globalizing lifestyle changes have focused attention on their possible role in rising global health problems such as obesity or depression. Cultural factors that act across the life course and support sleep sufficiency have received scant attention, nor have the potential interactions of cultural and biological factors in age-related changes in sleep behavior been systematically investigated. This study examines the effects of cultural norms for napping and sleeping arrangements along with sleep schedules, age, and gender on sleep budgets among Egyptian households. Data were collected in 2000 from 16 households with 78 members aged 3–56 years at two sites in Egypt (Cairo and an agrarian village). Each participant provided one week of continuous activity records and details of each sleep event. Records showed that nighttime sleep onsets were late and highly variable. Napping was common and, along with wake time flexibility, played a key role in maintaining sleep sufficiency throughout the life course into later middle age. Cosleeping was prevalent and exhibited contrasting associations with reduced duration and sufficiency of both nocturnal and total sleep, and with earlier, more regular, and less disrupted sleep. Daily sleep quotas met published guidelines and showed age-related changes similar to existing reports, but differed in how they were achieved. Cultural norms organizing sleep practices by age and gender appear to tap their intrinsic biological properties as well. Moreover, flexibility in how sleep was achieved contributed to sleep sufficiency. The findings suggest how biocultural dynamics can play key roles in sleep patterns that sustain favorable sleep quotas from infancy onwards in populations pursuing globalizing contemporary lifestyles. [Copyright &y& Elsevier]

Background: The central aim was to examine the accuracy of the full range of daily activities recorded in self-report time-use diaries against data from two objective passive data collection devices (wearable camera and accelerometer) serving as criterion reference instruments. This enabled systematic checks and comparisons on the timing, sequence and duration of activities recorded from the three data sources.Methods: Participants (n = 148) were asked to complete a single-day self-report paper time-use diary designed for use in the Harmonised European Time Use Study (HETUS), while simultaneously wearing a camera that continuously recorded images of their activities, and an accelerometer tracking physical movement. In a reconstruction interview shortly after the data collection period, participants viewed the camera images to help researchers interpret the image sequences. Of the initial 148 recruits (multi-seed snowball sample, 59% women, aged 18-91, 43% > 40) 131 returned usable diary and camera records (of whom 124 also provided a usable whole-day accelerometer record. We compare time allocation estimates from the diary and camera records, and also match the diary and camera records to the simultaneously recorded accelerometer vector magnitudes.Results: The data were examined at three analytic levels: aggregate, individual diarist and timeslot. The most important finding is that the estimates of mean daily time devoted to 8 of the 10 main activities differ by < 10% in the camera and diary records. The single case of major divergence (eating) can be explained by a systematic difference between the procedures followed by the self-reporting diarist and the observer coding the camera records. There are more substantial differences at the respondent level, paired t-tests showing significant differences in time spent in the 4/10 categories. 45% of all variation in the accelerometer vector magnitudes in the timeslots is explained by camera and diary records. Detailed activity classifications perform much better than METs as predictors of actigraphy.Conclusions: The comparison of the diary with the camera and accelerometer records strongly supports using diary methodology for studying the full range of daily activity, particularly at aggregate levels. Accelerometer data could be combined with diary measures to improve estimation of METs equivalents for various types of active and sedentary behaviour. [ABSTRACT FROM AUTHOR]

The notion that digital-screen engagement decreases adolescent well-being has become a recurring feature in public, political, and scientific conversation. The current level of psychological evidence, however, is far removed from the certainty voiced by many commentators. There is little clear-cut evidence that screen time decreases adolescent well-being, and most psychological results are based on single-country, exploratory studies that rely on inaccurate but popular self-report measures of digital-screen engagement. In this study, which encompassed three nationally representative large-scale data sets from Ireland, the United States, and the United Kingdom ( N = 17,247 after data exclusions) and included time-use-diary measures of digital-screen engagement, we used both exploratory and confirmatory study designs to introduce methodological and analytical improvements to a growing psychological research area. We found little evidence for substantial negative associations between digital-screen engagement-measured throughout the day or particularly before bedtime-and adolescent well-being.

Introduction: Self-management is widely promoted but less attention is focused on the work required from patients. To date, many individuals struggle to practise self-management. 'Patient work', a concept that examines the 'work' involved in self-management, is an approach to understanding the tasks, effort, time and context from patient perspective. The purpose of our study is to use a novel approach combining non-obstructive observations via digital devices with in-depth qualitative data about health behaviours and motivations, to capture the full range of patient work experienced by people with type 2 diabetes and chronic comorbidities. It aims to yield comprehensive insights about 'what works' in self-management, potentially extending to populations with other chronic health conditions., Methods and Analysis: This mixed-methods observational study involves a (1) prestudy interview and questionnaires, (2) a 24-hour period during which participants wear a camera and complete a time-use diary, and a (3) poststudy interview and study feedback. Adult participants living with type 2 diabetes with at least one chronic comorbidity will be recruited using purposive sampling to obtain a balanced gender ratio and of participants using insulin and those using only oral medication. Interviews will be analysed using thematic analysis. Data captured by digital devices, diaries and questionnaires will be used to analyse the duration, time, context and patterns of health-related behaviours., Ethics and Dissemination: The study was approved by the Macquarie University Human Research Ethics Committee for Medical Sciences (reference number 5201700718). Participants will carry a wallet-sized card that explains the purpose of the study to third parties, and can remove the camera at any stage. Before the poststudy interview begins, participants will view the camera images in private and can delete any images. Should any images be used in future publications or presentations, identifying features such as human faces and names will be obscured., Competing Interests: Competing interests: Some participants may be recruited via the Macquarie Health General Practitioner clinic and Macquarie Hospital, where SV is practising as a general practitioner and KH is practising as an endocrinologist, respectively. Therefore, the two team members may be responsible for the treatment of some participants. However, SV and KH will not know whether a patient is a participant unless the participant informs them., (© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)