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• W3200127626 abstract "Research Doctorate - Doctor of Philosophy (PhD)%%%%Background: Large proportions of the adult population report insufficient physical activity and poor sleep health in the absence of a clinical sleep disorder. Both behaviours have a substantial impact on overall health and well-being and are thought to share a bi-directional relationship. This implies insufficient physical activity and poor sleep health should be targeted in combination. Intervention strategies that are delivered using mobile health (m-health) solutions show promising effects and improve the reach of behaviour change interventions to improve public health. To date, there is no published evidence to show that an m-health trial to improve physical activity and sleep health in combination would be efficacious. Though key to the development of such a trial, no previous reviews have compiled the evidence from sleep interventions with particular focus on adults who report poor sleep health without a clinically-diagnosed sleep disorder. Moreover, there is limited understanding of the psychosocial mechanisms in a behaviour change intervention targeting multiple behaviours, and there are no instruments available to measure these mechanisms in the context of sleep health. Objectives: To address these gaps, the thesis had one primary aim and three related secondary aims. The primary thesis aim was to test the efficacy of a theory-based m-health intervention (The Synergy Study) to improve physical activity and sleep quality in adults. The three secondary thesis aims were: (1) to review the evidence from studies that have examined the effectiveness of cognitive and behavioural interventions to improve sleep health in adults without sleep disorders; (2) to develop and test the psychometric qualities of an instrument for the assessment of the psychosocial determinants of sleep hygiene practice; and, (3) to examine potential mediators of changes in physical activity, sleep quality and sleep hygiene in the Synergy Study. Methods and Results: Primary Aim (Chapter 6) The Primary Aim was investigated in the Synergy Study, a two-arm randomised waitlist-controlled trial including 160 Australian adults reporting insufficient physical activity and poor sleep quality at screening. The intervention consisted of a mobile application (referred to as ‘app’) that was built for participants to utilise educational resources, goal-setting, self-monitoring and feedback strategies. In addition, participants received personalised support including weekly progress reports, tool sheets and prompts for 12 weeks. The primary endpoint of the intervention occurred at three months and participants completed follow-up assessments at six months. All assessments were conducted online using self-report measures. Minutes of moderate-to-vigorous intensity physical activity (MVPA) and sleep quality were co-primary outcomes and the study also assessed a range of secondary outcomes (i.e., resistance training, sitting time, sleep hygiene, sleep timing variability, insomnia severity, daytime…" @default.
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• W3200127626 date "2019-01-01" @default.
• W3200127626 modified "2023-09-23" @default.
• W3200127626 title "Development and evaluation of a mobile health intervention to improve physical activity and sleep health in adults: the Synergy Study" @default.
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