Publications by authors named "Orfeu Buxton"

Healthy sleep is essential to employee well-being and productivity, but many modern workers do not obtain adequate sleep. Are technology-related changes to job design (i.e.

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Objective: Suboptimal sleep is associated with disruptive behaviors in childhood. We evaluate associations of mean and variability (SD) of sleep duration, quality, and timing with emotion regulation, impulsivity, and prosocial and antisocial behavior in children.

Methods: Intervention Nurses Start Infants Growing on Healthy Trajectories, a randomized controlled trial designed for obesity prevention, compared a responsive parenting intervention delivered in the first 2.

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  • This study investigated how Life's Essential 8 (LE8) impacts cognitive abilities in midlife and older adults, comparing it to Life's Simple 7 (LS7).
  • In a sample of 1,539 participants, results showed that higher LE8 scores correlated with improved global cognitive performance, working memory, and attention.
  • While LS7 was better for overall cognitive performance, LE8 had stronger links to working memory, indicating differing impacts of cardiovascular health measures on cognitive domains.
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Introduction: Prior studies have examined the cross-sectional relationship between adolescent sleep and substance use; however, fewer have explored the long-term connections between childhood sleep and adolescent substance use.

Methods: This study investigated both cross-sectional associations during adolescence and prospective associations between childhood weeknight sleep and later alcohol and marijuana use in the Future of Families and Child Wellbeing Study, a diverse national birth cohort of urban children from 20 cities with populations greater than 200,000. Parents reported their child's bedtime at ages 3, 5, and 9 and their child's sleep duration at ages 5 and 9.

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  • The study investigates cognitive complaints associated with endocrine therapy (ET) for breast cancer treatment and the factors behind them, implementing a comprehensive assessment protocol using wearable devices and surveys.
  • Twenty-seven newly diagnosed female breast cancer patients participated in the study, completing five measurement bursts over several months, but the consent rate was low at 36%, with most withdrawals occurring before the midpoint.
  • The findings suggest that while many women feel overwhelmed by their diagnosis, there were no notable demographic or clinical differences between those who completed the study and those who withdrew, highlighting the need for more effective support and monitoring during cancer treatment.
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Sleep is crucial for health and development. Evidence indicates that sleep changes over time and distinct subgroups may experience different longitudinal patterns. This study systematically reviewed the studies that used latent trajectory modeling to investigate sleep trajectories of children and adolescents aged 0-18 years, and summarized the associated determinants and health-related outcomes.

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  • The study investigates how different sleep dimensions, measured using actigraphs, impact the academic performance of adolescents, revealing mixed findings about sleep duration.
  • Research involving nearly 800 diverse teens found that later sleep times and greater variability in sleep patterns are linked to poorer academic outcomes, including lower GPAs and increased likelihood of disciplinary actions at school.
  • The results suggest that maintaining consistent and adequate sleep schedules could enhance academic success for adolescents.
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Objective: To identify distinct sleep health phenotypes in adults, examine transitions in sleep health phenotypes over time, and subsequently relate these to the risk of chronic conditions.

Methods: A national sample of adults from the Midlife in the United States study ( N = 3683) provided longitudinal data with two time points (T1: 2004-2006, T2: 2013-2017). Participants self-reported on sleep health (regularity, satisfaction, alertness, efficiency, duration) and the number and type of chronic conditions.

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Purpose: To determine the micro-longitudinal effects of duration and timing of screen-based activities on sleep within and between adolescents.

Methods: Daily survey and actigraphy data from the age 15 wave of the Future of Families and Child Wellbeing Study were analyzed using multilevel modeling. Four hundred seventy five adolescents provided three or more days of valid daily survey and nighttime sleep data.

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Introduction: A greater fear of falling predicts disability, falls, and mortality among older adults. Although poor sleep has been identified as a relevant risk factor for fear of falling among older adults, evidence is primarily shown in cross-sectional studies using isolated sleep characteristics. Less is known about whether prior fall experiences change the sleep health-fear of falling link among older adults.

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Average sleep duration in the United States declined in recent years, and the decline may be linked with many biopsychosocial factors. We examine how a set of biopsychosocial factors have differentially contributed to the temporal trends in self-reported sleep duration across racial groups between 2004-2005 and 2017-2018. Using repeated nationally representative cross-sections from the National Health Interview Survey, we decompose the influence of biopsychosocial factors on sleep duration trends into two components.

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Aims: The role of lay health workers in data collection for clinical and translational research studies is not well described. We explored lay health workers as data collectors in clinical and translational research studies. We also present several methods for examining their work, i.

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Objectives: The present study investigated the roles birthplace and acculturation play in sleep estimates among Hispanic/Latino population at the US-Mexico border.

Measures: Data were collected in 2016, from  = 100 adults of Mexican descent from the city of Nogales, AZ, at the US-Mexico border. Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index categorized as none, mild, moderate, and severe, and Multivariable Apnea Prediction Index (MAP) categorized as never, infrequently, and frequently.

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Background: Having multiple sleep problems is common in adulthood. Yet, most studies have assessed single sleep variables at one timepoint, potentially misinterpreting health consequences of co-occurring sleep problems that may change over time. We investigated the relationship between multidimensional sleep health across adulthood and mortality.

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Background And Objectives: Sleep disorders often predict or co-occur with cognitive decline. Yet, little is known about how the relationship unfolds among older adults at risk for cognitive decline. To examine the associations of sleep disorders with cognitive decline in older adults with unimpaired cognition or impaired cognition (mild cognitive impairment and dementia).

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To examine whether workplace interventions to increase workplace flexibility and supervisor support and decrease work-family conflict can reduce cardiometabolic risk. We randomly assigned employees from information technology (n = 555) and long-term care (n = 973) industries in the United States to the Work, Family and Health Network intervention or usual practice (we collected the data 2009-2013). We calculated a validated cardiometabolic risk score (CRS) based on resting blood pressure, HbA (glycated hemoglobin), HDL (high-density lipoprotein) and total cholesterol, height and weight (body mass index), and tobacco consumption.

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  • This study looked at whether the time of day affects how people feel nauseous during different eating times.
  • They checked nausea levels in 115 participants using a special scale while eating at unusual times.
  • Results showed people felt more nausea during the night and suggested that shift workers should plan their meals carefully to avoid feeling sick.
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Background: Refugees have high levels of psychological distress that hamper lifestyle change efforts. We previously reported that community health educator (CHE) diabetes prevention interventions decreased HbA1c and depressive symptoms among Cambodian-American refugees with depression; this paper reports health behavior outcomes of those interventions.

Methods: Participants were aged 35-75, Khmer speaking, at risk for diabetes, and met study criteria for likely depression by either a) antidepressant medication and/or b) prolonged elevated depressive symptoms.

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Objective: Research investigating cannabis use and sleep health is limited, and results are mixed. Few studies were nationally representative with racially-ethnically diverse samples or assessed potential modifiers. Our objective was to investigate cross-sectional associations between reported cannabis use and sleep disturbances by potential modifiers among non-Hispanic White, non-Hispanic Black, and Hispanic/Latino men and women in the United States.

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  • Researchers developed a sleep/wake classifier using actigraphy data from ActiWatch Spectrum devices, which effectively operates without needing to know the specific in-bed timing during free-living scenarios.
  • The classifier, based on a temporal convolutional network (a type of deep learning model), performed as well or better than existing algorithms like the Oakley classifier when evaluated over 24-hour periods and within specific in-bed intervals.
  • However, when tested on a separate dataset (Multi-Ethnic Study of Atherosclerosis), the classifier's performance dropped significantly, particularly when focused only on in-bed times.
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Purpose: Poor sleep health is associated with lower positive mood in adolescents, and more variable sleep is associated with more negative mood. There is a lack of research on the associations between sleep variability and positive mood in adolescents. We investigated whether several types of sleep variability, measured with actigraphy, were associated with positive mood reported on a daily diary in adolescents.

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  • Aging adults are at higher risk for sleep problems like insomnia, which are linked to serious health conditions like Alzheimer's disease, and traditional insomnia medications pose risks such as increased falls.
  • Cognitive behavioral therapy for insomnia (CBTi) is the preferred treatment method, but access is often limited, making telehealth a potential solution; however, it currently relies mostly on basic videoconferencing.
  • This study plans to test a new telehealth approach using a clinician-patient dashboard with interactive features to see if it can enhance CBTi effectiveness among older adults compared to standard CBTi and sleep hygiene education over six weeks.
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