Conclusions
sleep disorders, Epilepsy
EPILEPSY
Physician-assisted, internet-delivered CBT for shift workers with a high risk of sleep disorders showed significant improvement in sleep duration, as measured by wearable sensors, and subjective sleep quality. This study implies that sleep improvement programs using an app and wearable sensors are feasible and may play an important role in preventing shift work–related sleep disorders. However, no relationship was observed between sleep changes and subjective well-being. Further studies should focus on the causal relationship between daily well-being and sleep disorders related to shift work.This research was funded by the Japan Agency for Medical Research and Development (#19217687) and the National Science Foundation (#1840167). This manuscript was edited for English language by Editage.Conflicts of Interest: AS has received travel reimbursement or honorarium payments from Leuven Mindgate, American Epilepsy Society, IEEE, and Apple. AS has also received research support from Microsoft, Sony Corporation, NEC Corporation, Pola Chemicals, and Meta and consulting fees from Gideon Health and Suntory Global Innovation Center.Description of the fixed-format sleep advice.Results of ANOVA showing the effect of sex and age group on each subjective well-being score.Heat map of the measured variables.Change in the mean sleep duration before and after the intervention in female and male shift workers.