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Sleep–wake monitoring of people with intellectual disability: Examining the agreement of EMFIT QS and actigraphy

“…Another explanation for differences between our results and those of Piantino et al (2021) likely to actually represent sleep for a person with the intention to go to sleep than for a person who is put to bed but not yet tired (Hendriks et al, 2021). Further, irregular sleeping patterns, known to influence sleeping measurement (Kholghi et al, 2022;Sadeh, 2011), are common among people with intellectual disabilities (Böhmer et al, 2020;Evenhuis, 2014;Smits, 2021), which also compromise the validity of sleep-wake variables assessment.…”

“…A population study on insomnia among 1042 members of the general adult population showed that by using polysomnography, sleeping difficulties were identified in 32% of the cases, compared to 15% based on self-reports (Castro et al, 2013). However, PSG can be burdensome and overwhelming for people; it is costly and challenging to organise; measuring conditions often do not resemble real-world conditions (i.e., low ecological validity); and measurements are often restricted to only one or a couple of nights (Guillodo et al, 2020;Ibáñez et al, 2018;Markun & Sampat, 2020;Smits, 2021).…”

“…PSG is often conducted in a controlled environment, such as a hospital or a specialised sleep centre. It combines a variety of modalities, including electroencephalogram, electromyography, electrooculography, and electrocardiogram, and requires a specialist to interpret (Guillodo et al, 2020;Markun & Sampat, 2020;Smits, 2021). A population study on insomnia among 1042 members of the general adult population showed that by using polysomnography, sleeping difficulties were identified in 32% of the cases, compared to 15% based on self-reports (Castro et al, 2013).…”