Validation Study of Sleep Tracking Devices
Validation Study of an Artificial Intelligence-based Sleep Stage Classification for a Home Sleep Tracking Device
3 other identifiers
observational
305
1 country
1
Brief Summary
In this study, a two-part recursive convolutional neural networks model was developed, extracting features for each epoch window independently from before and after sleep onset (epoch encoder), and then trained in the context of long-term relationships in the sleep process (sequence encoder), using an approach similar to human expert classification based on information from single-channel forehead EEG and PPG (IR, Green, Red). The classification is based on guidelines from the American Academy of Sleep Medicine and calculated six parameters: total sleep duration (TST), wake (W), N1, N2, N3, and REM. The validation study of the developed model and the device was conducted at the Sleep Disorders Centre of the Istanbul Medical Faculty using concurrent polysomnographic data from 305 male and female patients aged 18 to 65 years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2023
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 17, 2023
CompletedFirst Submitted
Initial submission to the registry
February 22, 2024
CompletedFirst Posted
Study publicly available on registry
April 10, 2024
CompletedApril 25, 2024
April 1, 2024
2 months
February 22, 2024
April 23, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Sleep Stages Classification Accuracy
The collected EEG data were classified according to Cohen's kappa (\>85), which is considered successful in the literature. Initially the open source codes YASA, tinysleepnet and attentionsleep have been implemented. These codes yielded kappa 0.64, accuracy 0.80, kappa 0.69, accuracy 0.79 and kappa 0.65, accuracy 0.78 respectively. The values obtained do not correspond to those reported in the classification articles. Subsequently, 29 participants from our own dataset were tested in these classifications as a preliminary test, with poor results. On an individual basis, the highest cappa score was 0.51. Development of our own classification system is in progress.
4-5 months
Interoception analysis from PPG data collected from facial skin
According to our preliminary analyses, we found that the intermediary rhythm (0.12-0.18 Hz) associated with interoception is also present in sleep patients. In one participant, for example, a value of 0.19 was obtained as a ratio of total sleep time. In addition, an intermediary rhythm is observed in all stages of sleep, including wakefulness, light sleep, deep sleep and REM.
4-5 months
Study Arms (2)
Female
Participants aged 18-65 who identify as female for biological
Male
Participants aged 18-65 who identify as male for biological
Interventions
In addition to polysomnography, a device containing EEG+PPG sensors for sleep classification was placed on the forehead, and another device containing PPG and accelerometer sensors was placed on the wrist. The wrist to which the device is attached is randomly assigned.
Eligibility Criteria
The study population includes individuals aged between 18 and 65 who have voluntarily agreed to undergo sleep measurements specifically individuals suffering from sleep disorders such as sleep apnea. Participants in the study have been referred for polysomnography (PSG) testing by neurologists, pulmonologists, psychiatrists, and otolaryngologists.
You may qualify if:
- Participants suffering from sleep disorders
- Participants sent to PSG test by neurologists, pulmonologists, psychiatrists, and otolaryngologists
You may not qualify if:
- Anyone who has been diagnosed as having a contagious skin disease
- Participants who do not have consent to have an additional device in their forehead area
- Incomplete of sleep measurement
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Pnaps Health Informatics and Space Technologies Inc
Istanbul, Başıbüyük, Maltepe, 34854, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Asuman Çevik, Master's
PNAPS Health Informatics & Space Technologies Inc.
- STUDY DIRECTOR
Hasan Birol Çotuk, PhD
Marmara University
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 22, 2024
First Posted
April 10, 2024
Study Start
March 21, 2023
Primary Completion
May 31, 2023
Study Completion
July 17, 2023
Last Updated
April 25, 2024
Record last verified: 2024-04