0410 Impact of Digital Monitoring, Assessment, and Cognitive Behavioral Therapy on Subjective Sleep Quality, Workplace Productivity and Health Related Quality of Life

The ubiquitous smartphone technology and societal pressures of constant connection have increased at an accelerated pace during the past decade, resulting in an always-on society. All too often, this has led to the belief that sleep is a dispensable luxury. The price is huge, as sleep deficiencies of many kinds have reached the level of a pandemic, affecting health, mood, life expectancy, and performance. However, we can use technology to undo the damages caused by technology itself. To test the above, Aetna initiated a randomized controlled trial to validate the efficacy of a mobile CBTI solution for improving sleep quality, workplace productivity, and quality of life in a commercial business population. 500 employees were recruited and surveyed for Insomnia using the Pittsburgh Sleep Quality Index (PSQI), the Workplace Productivity and Impairment (WPAI), and Health Related Quality of Life (HRQOL). Participants were stratified to sleep scores and randomly assigned to intervention/waiting list groups. The intervention consisted of a mobile application (SleepRate) and digital assessment for Insomnia based on both subjective and measured sleep data over seven nights, followed by weekly cycles of personalized, adaptive digital guidance relying on accepted protocols of CBTI. A second survey was administered at week 6, and the final survey at week 12. Of the 250 who received the application, 183 completed a baseline sleep assessment, and 83 completed 3 weeks of digital therapy with an weekly average of 5 tracked nights. At the end of 12 weeks, PSQI scores were 68% lower compared to the control group (P = 0.00), improving 4.8 points from baseline. Workplace presenteeism was 49.4% lower than for the control (P=0.00), and the HRQOL indicated 4.8 Healthy Days (P=0.00) per month were added to application users. Daytime sleepiness and sleep satisfaction also improved significantly. The availability of digital health technology allows people to diminish their sleep deficiencies in the comfort of their own home, leading to greater workplace productivity and quality of life. NA.