Practice parameters for the use of actigraphy in the military operational context: the Walter Reed Army Institute of Research Operational Research Kit-Actigraphy (WORK-A)

Jaime K. Devine; Jake Choynowski; Tina Burke; Kajsa Carlsson; Vincent F. Capaldi; Ashlee B. McKeon; Walter J. Sowden

doi:10.1186/s40779-020-00255-7

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Practice parameters for the use of actigraphy in the military operational context: the Walter Reed Army Institute of Research Operational Research Kit-Actigraphy (WORK-A)

METHODOLOGY | Updated：2023-02-28

- Practice parameters for the use of actigraphy in the military operational context: the Walter Reed Army Institute of Research Operational Research Kit-Actigraphy (WORK-A)
- Military Medical Research Vol. 8, Issue 1, Pages: 103-115(2021)
- Affiliations：
  
  1.Operational Fatigue and Performance, Institutes for Behavior Resources, Baltimore, MD 21218, USA
  2.Behavioral Biology Branch, Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD 20910, USA
  3.Tripler Army Medical Center, Honolulu, HI 96859, USA
- Author bio：
  
  * ashlee.b.mckeon.mil@mail.mil
- Funds：
- DOI：10.1186/s40779-020-00255-7
  CLC：
- Published：2021-03
- Accepted：
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Devine et al.: Practice parameters for the use of actigraphy in the military operational context: the Walter Reed Army Institute of Research Operational Research Kit-Actigraphy (WORK-A). Mil Med Res, 2020, 7: 31.
DOI：

Devine et al.: Practice parameters for the use of actigraphy in the military operational context: the Walter Reed Army Institute of Research Operational Research Kit-Actigraphy (WORK-A). Mil Med Res, 2020, 7: 31. DOI： 10.1186/s40779-020-00255-7.

摘要

Abstract

Background:

The Walter Reed Army Institute of Research (WRAIR) Operational Research Kit-Actigraphy (WORK-A) is a set of unique practice parameters and actigraphy-derived measures for the analysis of operational military sleep patterns. The WORK-A draws on best practices from the literature and comprises 15 additional descriptive variables. Here

we demonstrate the WORK-A with a sample of United States Army Reserve Officers’ Training Corps (ROTC) cadets (

=286) during a month-long capstone pre-commissioning training exercise.

Methods:

The sleep of ROTC cadets (

=286) was measured by Philips Actiwatch devices during the 31-day training exercise. The preliminary effectiveness of the WORK-A was tested by comparing differences in sleep measures collected by Actiwatches as calculated by Philips Actiware software against WORK-A-determined sleep measures and self-report sleep collected from a subset of ROTC cadets (

=140).

Results:

Actiware sleep summary statistics were significantly different from WORK-A measures and self-report sleep (

≤0.001). Bedtimes and waketimes as determined by WORK-A major sleep intervals showed the best agreement with self-report bedtime (22:21±1:30

. 22:13±0:40

=0.21) and waketime (04:30±2:17

. 04:31±0:47

=0.68). Though still significantly different

the discrepancy was smaller between the WORK-A measure of time in bed (TIB) for major sleep intervals (352±29) min and self-report nightly sleep duration [(337±57) min

=0.006] than that between the WORK-A major TIB and Actiware TIB [(177±42) min

≤0.001].

Conclusions:

Default actigraphy methods are not the most accurate methods for characterizing soldier sleep

but reliable methods for characterizing operational sleep patterns is a necessary first step in developing strategies to improve soldier readiness. The WORK-A addresses this knowledge gap by providing practice parameters and a robust variety of measures with which to profile sleep behavior in service members.

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