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[{"key": "dc.contributor.advisor", "value": "Kaasalainen, Karoliina", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Mattsson, Maija", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-05-07T05:32:09Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-05-07T05:32:09Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2024", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/94719", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The purpose of this study was to examine the associations between sleep duration, difficulties falling asleep and daytime tiredness at the baseline, and changes in these variables during the lifestyle intervention for the participants in an online-based lifestyle intervention utilising acceptance and commitment therapy. A sufficiently long and good-quality sleep is essential for health. A healthy lifestyle reinforces a regular circadian rhythm and the conditions for good sleep. Sleep plays an important role in weight management. Insufficient sleep affects, among other things, the hormones that regulate hunger and feeling full. Sleep deprivation is also often reflected at a behavioural level, for example in reduced physical activity and changes in eating habits. \n\nThe research material used is partial data from the online Muutosmatka lifestyle intervention implemented by the University of Jyv\u00e4skyl\u00e4 and the Hospital District of Central Finland in 2015\u20132018. Participants in the intervention were overweight adults aged 23\u201376. The two-year intervention was divided into a supported (0\u201312 months) and a self-regulated phase (12\u201324 months). In the supported phase, experts by experience were involved as online support persons. Data collection was carried out through a self-assessment questionnaire on healthy habits. The partial data used consisted of participants (n = 98) who had answered questions related to sleep duration, difficulties falling asleep and daytime tiredness at all measurement points (0, 12 and 24 months). Links between the variables at the baseline were examined using Spearman\u2019s rank correlation coefficient, one-way analysis of variance (ANOVA) and the Kruskal-Wallis test. Changes in the main variables were examined using repeated measures ANOVA and the Friedman test. For pairwise comparisons of change, the Wilcoxon test was used. Differences in background variables between measurement points were also analysed using the Mann-Whitney U test and the Kruskal-Wallis test.\n\nAt the baseline, participants slept an average of 7 h 22 min per night. More than half of the participants experienced difficulties falling asleep less than weekly. For most, daytime tiredness was a weekly occurrence. At the baseline, shorter sleep duration was associated with greater difficulty falling asleep. There was a significant change in daytime tiredness during the intervention. Reduced daytime tiredness was associated with increased psychological flexibility and reduced difficulty falling asleep. In addition, a reduction in difficulties falling asleep was associated with an increase in the duration of sleep.\n\nThe results provided new information on sleep, difficulties falling asleep and daytime tiredness in this target group. The results confirm the findings of previous studies on the suitability of ACT for lifestyle change interventions, and also highlight the need to consider sleep and fatigue issues in such interventions.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4m\u00e4n tutkimuksen tarkoituksena oli tutkia verkkopohjaiseen hyv\u00e4ksymis- ja omistautumisterapiaan pohjautuvaan el\u00e4m\u00e4ntapainterventioon osallistuneiden y\u00f6unen pituuden, nukahtamisvaikeuden ja p\u00e4iv\u00e4v\u00e4symyksen v\u00e4lisi\u00e4 yhteyksi\u00e4 l\u00e4ht\u00f6tilanteessa sek\u00e4 n\u00e4iden muuttujien muutoksia el\u00e4m\u00e4ntapaintervention aikana. Riitt\u00e4v\u00e4n pitk\u00e4 ja hyv\u00e4nlaatuinen y\u00f6uni on terveydelle v\u00e4ltt\u00e4m\u00e4t\u00f6nt\u00e4. Terveelliset el\u00e4m\u00e4ntavat vahvistavat s\u00e4\u00e4nn\u00f6llist\u00e4 vuorokausirytmi\u00e4 sek\u00e4 hyv\u00e4n unen edellytyksi\u00e4. Unen merkitys korostuu painonhallinnassa. Riitt\u00e4m\u00e4t\u00f6n uni vaikuttaa muun muassa n\u00e4lk\u00e4\u00e4 ja kyll\u00e4isyytt\u00e4 s\u00e4\u00e4televien hormonien toimintaan. Unen puutteet n\u00e4kyv\u00e4t usein my\u00f6s k\u00e4ytt\u00e4ytymisen tasolla esimerkiksi fyysisen aktiivisuuden v\u00e4henemisen\u00e4 ja muutoksina ravintotottumuksissa. \n\nTutkimusaineistona oli osa-aineisto Jyv\u00e4skyl\u00e4n yliopiston ja Keski-Suomen sairaanhoitopiirin vuosina 2015\u20132018 toteuttamasta Muutosmatka-verkkoel\u00e4m\u00e4ntapainterventiosta. Intervention osallistujat olivat 23\u201376-vuotiaita ylipainoisia aikuisia. Kaksivuotinen interventio jakaantui tuettuun (0\u201312 kk) ja itseohjautuvaan vaiheeseen (12\u201324 kk). Tuetussa vaiheessa oli mukana kokemusasiantuntijoita verkkotukihenkil\u00f6in\u00e4. Aineistonkeruu suoritettiin itsearviointiin perustuvalla terveystottumuskyselyll\u00e4. Osa-aineisto muodostui osallistujista (n = 98), jotka olivat vastanneet kysymyksiin y\u00f6unen pituudesta, nukahtamisvaikeudesta ja p\u00e4iv\u00e4v\u00e4symyksest\u00e4 kaikissa mittauspisteiss\u00e4 (0, 12 ja 24 kk). Muuttujien v\u00e4lisi\u00e4 yhteyksi\u00e4 l\u00e4ht\u00f6tilanteessa tutkittiin Spearmanin j\u00e4rjestyskorrelaatiolla, yksisuuntaisella varianssianalyysill\u00e4 (ANOVA) ja Kruskalin\u2013Wallisin testill\u00e4. P\u00e4\u00e4muuttujien muutosta tutkittiin toistomittausten varianssianalyysill\u00e4 (repeated measures ANOVA) ja Friedmanin testill\u00e4. Muutoksen parittaisvertailuissa k\u00e4ytettiin Wilcoxonin testi\u00e4. Mittauspisteitt\u00e4isi\u00e4 eroja taustamuuttujien suhteen analysoitiin lis\u00e4ksi Mannin\u2013Whitneyn U-testill\u00e4 ja Kruskalin\u2013Wallisin testill\u00e4.\n\nL\u00e4ht\u00f6tilanteessa osallistujat nukkuivat keskim\u00e4\u00e4rin 7 tuntia 22 minuuttia y\u00f6ss\u00e4. Nukahtamisvaikeutta koettiin tyypillisimmin harvemmin kuin viikoittain. P\u00e4iv\u00e4v\u00e4symys oli suurimmalla osalla osallistujista viikoittaista. L\u00e4ht\u00f6tilanteessa lyhyempi y\u00f6uni oli yhteydess\u00e4 suurempaan nukahtamisvaikeuteen. P\u00e4iv\u00e4v\u00e4symys v\u00e4heni merkitsev\u00e4sti intervention aikana. P\u00e4iv\u00e4v\u00e4symyksen v\u00e4heneminen oli yhteydess\u00e4 psykologisen joustavuuden lis\u00e4\u00e4ntymiseen ja nukahtamisvaikeuden v\u00e4henemiseen. Lis\u00e4ksi nukahtamisvaikeuden v\u00e4heneminen oli yhteydess\u00e4 y\u00f6unen pituuden kasvuun.\n\nTutkimus tuotti uutta tietoa y\u00f6unesta, nukahtamisvaikeudesta ja p\u00e4iv\u00e4v\u00e4symyksest\u00e4 t\u00e4ss\u00e4 kohderyhm\u00e4ss\u00e4. Tulokset vahvistavat aikaisempien tutkimusten tuloksia HOT:n soveltuvuudesta el\u00e4m\u00e4ntapamuutosinterventioihin sek\u00e4 tuovat esiin tarpeen huomioida uneen ja v\u00e4symykseen liittyv\u00e4t kysymykset n\u00e4iss\u00e4 interventioissa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2024-05-07T05:32:09Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-05-07T05:32:09Z (GMT). No. of bitstreams: 0\n Previous issue date: 2024", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "80", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "y\u00f6uni", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "nukahtamisvaikeus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "p\u00e4iv\u00e4v\u00e4symys", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "psykologinen joustavuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "verkkointerventio", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Y\u00f6unen pituuden, nukahtamisvaikeuden ja p\u00e4iv\u00e4v\u00e4symyksen muutos kaksivuotisessa verkkoel\u00e4m\u00e4ntapainterventiossa : tuloksia Muutosmatka-interventiosta", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202405073485", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Health Education", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "restrictedAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50411", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "uni (lepotila)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "interventio", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveyden edist\u00e4minen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hyv\u00e4ksymis- ja omistautumisterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "el\u00e4m\u00e4ntapa", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/en/workspaces/facilities/facilities#autotoc-item-autotoc-2).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat#autotoc-item-autotoc-2.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}]
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