The Nightly medical application prototype is a potential, non-invasive class I medical device. The application has the potential to combine both diagnostic and therapeutic procedures for sleep. At home, Nightly measures the user's motion during sleep and then records the sleep pattern from the received data. The obtained data are then used for the diagnosis of sleep disorders (REM and NREM sleep). Using acoustic and visual stimulation, the application has the capability to support the natural process of falling asleep, provide a better night's sleep by minimizing sleep deprivation and nightmares, while awakening the user at the appropriate moment (during light sleep).
The study is a cohort, single-center, randomized trial. The duration of one participant included in the study is three successive nights. Visual analysis of polysomnographic recordings taken from the second and third nights will be performed independently by two independent, blinded experts. According to the sleep architecture description derived from the Nightly application, polysomnographic and actigraphy studies will be assessed using the intraclass correlation coefficient, ICC, version "Two-Way Random". Parameters of the sleep architecture will be the average total length of the individual sleep phases (provided with standard deviations and coefficients of variability defined as the quotient of standard deviation and mean).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
30
The Nightly application will be installed independently on the user's smartphone. Once the user has set up their account and has logged in, they can then perform regular sleep quality assessments. In order to record a measurement, the user must first select a film (first screen) and watch it (second screen), the visualizations and acoustics aid in the process of falling asleep. After the film finishes, the participant places the phone on the corner of the bed, firstly with the screen facing up, and then under his/her pillow. Throughout the night, the application registers sleep phases that will be analyzed later.
Institute of Psychiatry and Neurology in Warsaw
Warsaw, Poland
The ICC for distribution of the total duration of standby periods during phases NREM and REM
The ICC for distribution of the total duration of standby periods during phases NREM and REM should not be less than 0.6 in the comparative analysis of results provided by the Nightly application and at least one of the visual recordings from polysomnography.
Time frame: Through study completion - after 3rd night of PSG
The ICC value when evaluating the accuracy of recognizing sleep phases and vigilance using the Nightly application
The ICC value when evaluating the accuracy of recognizing sleep phases and vigilance using the Nightly application and the reference method should be no less than the ICC when comparing actigraphy and the reference method
Time frame: Through study completion - after 3rd night of PSG
The incidence of arousal and wakening's
The stimulation produced by the Nightly application should not significantly affect the incidence of arousal and wakening's (when compared to analogous conditions without stimulation) with presumed statistical significance (p = 0.05). In other words, the aim of the experiment is to provide evidence that the distribution of arousals and wakening's measured in the study without stimulation is not statistically different from the distribution of the number of events during the Nightly application stimulation session
Time frame: Through study completion - after 3rd night of PSG
Evaluate the effect of acoustic stimulation - total sleep time
Total sleep time will be measured.
Time frame: Through study completion - after 3rd night of PSG
Evaluate the effect of acoustic stimulation - wake after sleep onset
Wake after sleep onset will be measured.
Time frame: Through study completion - after 3rd night of PSG
Evaluate the effect of acoustic stimulation - sleep latency
Sleep latency will be measured.
Time frame: Through study completion - after 3rd night of PSG
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.