Podcasts about sleepio

Thank you to The Better Menopause for sponsoring this episode. Can't fall asleep? Waking up in the middle of the night? Can cancer treatment-induced menopause cause you sleep issues? Do you have insomnia?Dr. Zoe Schaedel, a sleep and menopause expert, discusses the impact of cancer and menopause on sleep and offers insights into managing sleep problems. Sleep disturbances are common among cancer survivors and menopausal women, with up to 70% experiencing sleep problems. While sleep hygiene practices can be helpful for improving sleep, they may not be enough to treat sleep disorders like insomnia. Dr. Schaedel highlights the importance of diagnosing insomnia and exploring psychological treatments like cognitive behavioural therapy for insomnia (CBTI). She also discusses the role of medication, such as sedating antidepressants and newer treatments like Daridorexant, in managing sleep problems. Additionally, she addresses the impact of melatonin, magnesium, food, caffeine, alcohol, and other supplements on sleep.You can see Dr Schaedel here in her menopause clinic https://www.mylahealth.co.uk/dr-zoe-schaedel or here in her sleep clinic https://goodsleep.clinic/ The resource Dr. Schaedel mentions is here: https://www.petermac.org/component/edocman/pm-0002-design-v22-web/viewdocument/562?Itemid=0Here is the Sleepio resource https://www.oxfordhealth.nhs.uk/healthyminds/wp-content/uploads/sites/17/2019/10/Sleepio-info-for-clients.pdf Thank you to our sponsors for this episode, The Better Menopause. Their new Good Sleep multi-vitamin supplement isn't just any multivitamin—it's a thoughtfully crafted blend of Vitamin D, B12, Ashwagandha, and Magnesium, all designed to help you relax and unwind. Created by a company that truly cares about our community, this supplement is the perfect addition to your nightly routine. Go here for more info https://thebettermenopause.com/Episode Highlights:00:00 Intro.06:43 Insomnia diagnosis leads to evidence-based treatment.15:40 Therapy for insomnia examines and challenges thoughts.22:54 Short-term medication can help but isn't ideal.24:24 New medication for chronic insomnia, less drowsiness.30:04 Certain foods may potentially help improve sleep.33:51 Potential vitamin deficiencies could impact health, including sleep.Connect with us:For more information and resources visit our website: www.menopauseandcancer.org Or follow us on Instagram @menopause_and_cancerJoin our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

Our world revolves around constant hustle and achieving more, often at the expense of rest. But if we only knew how immeasurable the rewards of quality sleep are, we wouldn't take rest for granted. In this HAPPINESS SQUAD Podcast episode, Ashish Kothari and Sleep Neuroscientist Dr. Els van der Helm discusses how better sleep management can boost our overall productivity.Dr. Els van der Helm is a distinguished sleep neuroscientist, adjunct professor at IE Business School, and lecturer at St. Gallen and IMD Business Schools. Named one of the top five sleep experts by Thrive Global, she consults globally on sleep, performance, and well-being, helping leaders and organizations enhance productivity and health.The conversation covers the detrimental effects of sleep deprivation, the common myths about sleep (like catching up on sleep over the weekend or using substances like alcohol or sleeping pills to improve sleep), and practical advice for improving sleep habits. Things you will learn from this episode:• The importance of sleep• Emotional and physical damages of sleep deprivation• The ripple effects of sleep deprivation on workplace dynamics• How sleep management boost productivity and well-beingQuality sleep shouldn't be optional. Tune into our full episode now!Resources:• Dr. Els van der Helm newsletter: https://mailchi.mp/elsvanderhelm/newsletter • Shleep by Dr. Els van der Helm: https://www.youtube.com/@shleep2872 • Healing your workforce thrive by sleeping better: https://www.elsvanderhelm.com/ • Alum Els van der Helm changes attitudes to sleep: https://www.mckinsey.com/alumni/news-and-events/global-news/alumni-news/success-with-a-capital-zzzz-alum-els-van-der-helm-changes-attitudes-to-sleep • Sleepio: https://www.sleepio.com/sleepio/welcomeus/401#1/1 Books• Hardwired for Happiness: 9 Proven Practices to Overcome Stress and Live Your Best Life.https://www.amazon.com/Hardwired-Happiness-Proven-Practices-Overcome/dp/1544534655

EPISODE 10: Mastering Sleep for High-Stakes EnvironmentsIn this episode, Martin and Jonpaul talk to Professor Colin Espie, a world-leading expert on sleep and treating sleep disorders, particularly using cognitive behavioural therapeutics (CBTI) to treat insomnia disorder. They discuss how sleep contributes to physical and mental health, the five principles of sleep health and the treatment options for insomnia. They debunk myths such as a 'sleepless elite' & explore the intricate relationship between sleep, memory consolidation and trauma recovery.Guest, Cast & CrewColin Espie is a professor of sleep medicine in the Nuffield Department of Clinical Neurosciences at the University of Oxford, where he founded the Experimental and Clinical Sleep Medicine Research Program at the Sir Jules Thorne Sleep and Circadian Research Institute. He is also the Clinical Director of the Oxford Online Programme in Sleep Medicine and has published over 300 scientific papers and several important books on the subject of sleep. Colin is also the co-founder of Big Health, which created Sleepio, a digital treatment for insomnia. Hosted by Martin Jones & Jonpaul Nevin https://www.ophp.co.uk Edited by Bess ManleyProduced by Wavell Room https://wavellroom.com/ResourcesColin's profile & contact info https://www.ndcn.ox.ac.uk/team/colin-espie Oxford Online Programme in Sleep Medicine https://www.scni.ox.ac.uk/study-with-us Sleepio – a digital treatment for insomnia https://www.bighealth.com/sleepio Colin's books https://colinespie.com/author/ The 5 Principles of Sleep Health https://colinespie.com/sleep-resources/ If you enjoy this content, please like and subscribe so we can keep improving. Remember to visit Wavell Room for their latest articles, podcasts, and newsletters. Chapters00:42 Introducing Professor Colin Espie01:39 The Importance of Sleep in Mental Health04:15 Why Sleep is Crucial: Physiological and Cognitive Perspectives06:07 Sleep Deprivation and Its Consequences14:34 The Concept of the Sleepless Elite19:52 The Five Principles of Sleep Health27:16 The Importance of Sleep in Peak Performance28:14 Understanding Insomnia31:12 Treatment Options for Insomnia34:03 The Role of Alcohol in Sleep36:11 Sleep Banking and Deprivation Training43:15 Cognitive Behavioral Therapy for Insomnia49:51 Final Thoughts on Sleep HealthUp NextNext week, we're taking a second deep dive into the science of sleep, this time with Professor Russell Foster, a world-leading expert on the mysterious phenomenon of circadian rhythms, which play a crucial role in optimal human performance. Hosted on Acast. See acast.com/privacy for more information.

Could sleeping more be the key to improving your physical and mental health? How much sleep do we really need? Is ‘hustle culture' destroying our health?In this episode of Vision of Health, renowned Sleep Expert and Evangelist, Dr Sophie Bostock shares how unlocking the power of sleep can transform your health, making you feel and function at your best.Dr Sophie is the go to sleep expert in the UK who believes sleep is the unsung hero of mental and physical resilience. With a Medical Degree and a Masters from Nottingham University and a PhD from University College London, Sophie worked on the award-winning sleep improvement programme Sleepio, and went on to launch The Sleep Scientist, specialising in understanding the power of sleep for shielding stress, improving health and performance. Dr Sophie is a renowned sleep consultant for clients in business, the media, the military and olympic athletes. She is well known globally for her Tedx and Google Talks. In this episode Dr Sophie delves into the science of sleep and shares the scientifically proven secrets to improving mental and physical health through a good nights sleep. This episode coversWhat actually is sleep and what is happening in our body Whether sleep is a neglected pillar of our healthWhat happens to our body and health if we don't get enough sleepHow much sleep do we actually need? Does this change in throughout our life? Can we sleep too much?Is hours of sleep the most important thing, or does quality trump quantity?What determines a ‘good nights sleep'?What happens if we don't get enough sleep? What about if this is unavoidable e.g. for new mums or shift workers?How to tackle insomniaTakeaway tips for unlocking your best nights sleep in 2024.Watch the full episode on YouTube here: If you want to hear more from Dr Sophie Bostock head to her social media page @drsophiebostock or her website https://www.thesleepscientist.com/about and listen to Dr Sophie's TEDx talk here https://www.youtube.com/watch?v=itpyzkahff8This podcast is sponsored by Femfresh™, leaders in feminine hygiene products, who are also committed to opening up conversations on taboo subjects and busting myths on women's health. You can explore our educational articles on their website https://www.femfresh.co.uk/expert-advice/ or on socials @femfresh_ukPlease do follow/subscribe, share with your friends and family and leave me a review! Hosted on Acast. See acast.com/privacy for more information.

Recently I'd suffered the effects of many months of ongoing frequent and severe migraines and believed it was a result of chronic sinusitis. Yet, through persistence and research I discovered this was a common misunderstanding. It was at this time I came across the work of Professor Anne MacGregor. She has over 35 years clinical experience across headache and women's health, which means she is well equipped to help women who experience migraine and suspect hormones are playing a part in that. This was an area of medicine that had a huge impact on people's lives but was rarely taken seriously and very under researched. She became particularly interested in how women's hormones affected headaches and took up additional posts in menopause and contraception to complement her work in headache. Anne and I discuss such an interesting topic and chat about: The difference between headache and migraine. Chemical reactions, circadian rhythms, and how they contribute to migraine attacks. Migraine misdiagnosis and confusing factors, especially in midlife. HRT and hormonal contributions to migraine. Contributing factors such as genetics, brain awareness, hypervigilance, balance, glucose, and sleep. Myths when it comes to migraines and the importance for women to trust and listen to their bodies. Migraine thresholds and education to manage and acknowledge to lessen the impact of stress in our daily lives. How the role of oestrogen, progesterone, hot flushes, and cycles in perimenopause can be specific to your individual makeup. This episode is jam packed with information and I have no doubt it will help all who listen. There are several resources mentioned in this episode including the link to Anne's headache diary.  CBT programmes for insomnia including Sleepio: https://www.bighealth.com/sleepio/ which is the app based programme CBT-I: https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia and others which are usually done with a therapist but there are apps available https://mobile.va.gov/app/cbt-i-coach The book mentioned for self-guided CBT for menopause management include: Managing Hot Flushes and Night Sweats: A Cognitive Behavioural Self-help Guide to the Menopause  By Dr Myra Hunter and Melanie Smith Published by Routledge 2020 Available from Amazon Australia  The presentation which inspired me to lead to this podcast can be found at: https://www.jeanhailes.org.au/health-professionals/webinars/migraine-menopause-and-mht You can also find me on Instagram - https://www.instagram.com/joclarkcoaching/ and Private Facebook Group - https://www.facebook.com/groups/womenswellnesscollective1. Here's to redefining midlife and making our next half of life even better than the first.

*Note - This episode originally dropped on February 24, 2021* Menopause and midlife can send dueling wrecking balls straight into your sleep architecture, leaving you tossing and turning unable to get to sleep, waking up with racing thoughts at 3 a.m., and generally depriving you of the rest and regeneration you need. This week's guest, Dr. Sophie Bostock, the sleep scientist—and self-proclaimed sleep evangelist—is here to help you pick up the pieces of your broken sleep and get a good night's rest.Dr. Bostock has recently spent 5 years working on Sleepio, an award-winning digital sleep improvement program. She also has published sleep research in collaboration with the Sleep and Circadian Neuroscience Institute in Oxford and other international researchers showing the impacts of better sleep on mental health and performance. She has developed a systematic approach to improving sleep hygiene and getting your circadian rhythms back in sync so you can enjoy sound, uninterrupted sleep. You can learn more about her work at:https://www.thesleepscientist.com/Follow Us on Instagram:Feisty Menopause: @feistymenopause Feisty Media: @feisty_media Selene: @fitchick3 Subscribe to the weekly Feisty Menopause blog: https://www.feistymenopause.com/feistyinbox Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Join Level Up - Our Community for Active Women Navigating the Menopause TransitionJoin: https://www.feistymenopause.com/monthly-membership-1 Leave your questions for Selene:https://www.speakpipe.com/hitplay Get the Free Feisty Women's Guide to Lifting Heavy Sh*t:https://www.feistymenopause.com/liftheavy Fueled Course:Fueled: A Comprehensive Nutrition Course for Active Women - fueledcourse.com Support our Partners:The Amino Co: Shop Feisty's Favorite 100% Science-Backed Amino Acid Supplements. Enter code HITPLAY at Aminoco.com/HITPLAY to Save 30% + receive a FREE gift for new purchasers! Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Bonafide: 20% off your first purchase when you subscribe to any product with code HITPLAY at hellobonafide.com/hitplay

In this episode, we hear from Jenna Carl PhD, Chief Medical Officer at Big Health. Big Health believes in mental health care for all and that their digital therapeutics are safe and effective non-drug options for mental health. In this episode, we cover: Consumer Experience with Sleepio vs Daylight: Gain insights into the end consumer experience and how these solutions are designed to improve sleep and mental well-being. Go-to-Market Strategy: Explore Big Health's go-to-market strategy, and activating employers to reach upstream employees and achieve high engagement rates. Deep Dive into the Relationship with CVS: Gain a deeper understanding of Big Health's relationship with CVS, specifically regarding medication targeting. Abandoning Direct-to-Consumer (DTC): Uncover the reasons behind Big Health's decision to shift away from a direct-to-consumer approach and explore the implications of this strategic shift. Clinical Evidence and Decision-making Processes: Learn about Big Health's extensive clinical study basis and the rationale behind this approach. Future Product Pipeline: Gain insights into Big Health's future plans for additional products and the exciting developments in their pipeline. Big Health and Pear's Differing Go-To-Market Strategies: Explore the differing go-to-market routes between Big Health and Pear Therapeutics Stand-alone DTx vs. Disease Management 2.0: Understand the merits and challenges of stand-alone digital therapeutics versus disease management 2.0 Guest Links and Resources: Connect with Jenna Carl on LinkedIn Visit BigHealth.com Episode PDF Host Links: Connect with Eugene Borukhovich: Twitter | LinkedIn Connect with Chandana Fitzgerald, MD: Twitter | LinkedIn Connect with YourCoach.health: Website | Twitter Check out Shot of Digital Health with Eugene and Jim Joyce: Website | Podcast App HealthXL: Website | Twitter | Join an Event Digital Therapeutics Podcast would not be possible without the support of leading DTx organizations. Thank you to: > Presenting Partner: Amalgam Rx > Contributing Partners and Sponsors: Akili | Bayer G4A | Lindus Health Follow Digital Health Today: Browse Episodes | Twitter | LinkedIn | Facebook | Instagram Follow Health Podcast Network: Browse Shows | LinkedIn | Twitter | Facebook | Instagram

Join me this time as we chat to Dr Zoe Schaedel: Zoe is a GP and an accredited British Menopause Society Menopause Specialist.  She is currently a member of the British Menopause Society's Medical Advisory Council, the Primary Care Women Health Foundation's Education Committee and NHS England's Menopause Improvement Programme Clinical Reference Group. She has developed a special interest in sleep and sits on the British Sleep Society Education Committee, is the co-founder of The Good Sleep Clinic, and has published articles on Menopause in The Lancet and Post Reproductive Health.   What a great, informative episode this is: did you know that sleep disturbances are one of the most common symptoms of the perimenopause? 40-60% of women report difficulties staying asleep, and waking more during the night!    We'll cover: How our bodies need to stay at a low and stable temperature to stay asleep The impact of our symptoms (such as anxiety, needing to wee more, and hot/cold flushes and night sweats) on sleep and getting back to sleep between our 90 minute sleep cycles Sleep hygiene tips (including light, temperature, and bedtime routines - bath, book and bed isn't just for the kids!) Why alcohol (yet again) is not our friend and leads to less REM sleep and more ‘micro-wakings' What is sleep drive and why is it important?  The role of adenosine in sleep drive, how to increase it, and how caffeine acts on adenosine levels How ‘putting the day to rest' can help stop our busy brains keeping us awake and running through the mental load list at 4am! How HRT can help with sleep in perimenopause How CBTi works even on chronic insomnia   You can find Zoe at https://goodsleep.clinic/ and www.mylahealth.co.uk and on Instagram at https://www.instagram.com/zoemenopausedr/    The CBTi based sleep apps we discuss in this episode are Sleepio and Sleep Station. You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com     It would mean so much if you'd subscribe, rate, and review us to share the love and help others find the podcast too!  You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-2-1 coaching and workplace training. Free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources   

My sleep hasn't been great for years. I never have trouble falling asleep, but I wake after about 5 hours and then have trouble getting back to sleep.  I average about 7 hours of sleep a night, sometimes more, sometimes less. A few years back, after hearing author Matt Walker talk about his book, Why We Sleep on a podcast (watch his TED Talk), I went down the rabbit hole (not for the first time) on ways to improve my sleep. I'm happy to report, that it many ways, it has gotten better and my relationship to sleep has as well.  I write this as a preface for why the topic of this episode is so important to me. Sleep is important for mental and physical health, and for the quality of our work product, our relationships, and the broader work environment as we'll here from my guest, Professor Christopher Barnes. Christopher Barnes is a Professor of Management and the Michael G. Foster Endowed Professor of Management at the Foster School of Business. His recent research over the past few years focuses on sleep and its impact on work, ethics, decision making and work place engagement. His research has been featured in the Foster Business Magazine, Harvard Business Review, and a TEDx Talk I've long wanted to have Professor Barnes on the podcast, somewhat selfishly, because of my own interest in -- and challenges with sleep. In April of 2022, I invited him to present to faculty and staff as part of my work on the Health, Wellness and Professional Development Committee at Foster, and after that, I knew I what he had to say would be important to my listeners. We discussed how sleep hygiene can improve sleep: Stick to a schedule for wake time and bed time. Avoid alcohol, caffein and nicotine too close to be time, up to 12 hours prior for caffein. Use your bed for just two things, sleep and sex.  Don't stare into your smart device screen before bedtime, We briefly touch on his research on Blue-light filtering glasses, and we discussed one reputable supplier, Swanwick Sleep. I'll add: keep your bedroom dark and cool. Consider lowering the lighting in your house in the hour or two before bed Get bright  (preferably natural) light upon waking. For those of us in the PNW, you might want to get a "happy light" for these dark winter months, and use it for 20 minutes upon waking. (I have one from Verilux.) Some other important resources: If you suffer from insomnia or sleeplessness, the best experts now recommend avoiding sleeping pills. From my reading, the jury is out on Melatonin except at low doses for short periods of time (like around dealing with a time change). One reason why sedatives and melatonin aren't great is that while they will bring on sleep, they disrupt the best kind of sleep for your brain, deep wave sleep. I learned about this from Matt Walker, so if you want to learn more, follow the links in the first paragraph, or check out this three-part podcast.  The gold standard is now Cognitive Behavioral Therapy for Insomnia, or CBT-I. You can even get apps and online programs to that deliver CBT-I therapy, some are actually FDA Approved. Chris mentioned Sleepio.  There is also a free email based program from Insomnia Coach that I found helpful.  There are some supplements that can help with sleep, but you should talk to your doctor about taking anything regularly for help with sleep, whether it is over the counter, or prescription. Chris also mentioned Arrianna Huffington's book, The Sleep Revolution (you can watch a talk she gave for Talks At Google, or read an interview with her), Dr. Nathaniel Watson (also at UW) and the American Academy of Sleep Medicine. There is also a great recorded talk from the Whole U Speaker Series with Dr. Michael Vitiello on Getting a Good Night's Sleep.

Find out why sleep is important and how Sleepio can help.

Are you ready to sleep better at night and do it naturally?   One of the top-rated podcast episodes on my podcast was episode 3, which all about sleep, and I know it's one of the most helpful topics that you want to learn more about.   In this episode, I speak with Professor Colin Espie, Co-Founder and Chief Scientist of Big Health and Professor of Sleep Medicine in the Nuffield Department of Clinical Neurosciences at the University of Oxford.    A world renowned sleep expert, Professor Espie is focused on improving the clinical assessment and treatment of sleep disorders, particularly using Cognitive Behavioural Therapeutics (CBTx), and studying sleep's relationship to mental health. He has published more than 300 scientific papers in his career and has been elected as a  Fellow of the British Psychological Society, the Royal Society of Medicine, and the American Academy of Sleep Medicine.   Prior to founding the University of Oxford's Experimental & Clinical Sleep Medicine research programme in the Sleep & Circadian Research Institute in 2013, Professor Espie was the founding Director of the University of Glasgow Sleep Centre. In 2015, he was appointed an Honorary Fellow of the British Association for Behavioural & Cognitive Psychotherapies, and was awarded the Mary A. Carskadon Outstanding Educator Award by the Sleep Research Society in 2017. A highly sought after public speaker, Professor Espie regularly shares his latest research on sleep and sleep disorders, and serves as scientific expert in television and documentary interviews.    Listen in as we talk about: [2:10] Why so many people struggle with sleep [4:00] Do people struggle more with sleep today vs. 30-40 years ago? [5:45] The biggest culprits that affect our sleep [8:00] What cognitive behavioural therapy is and how it can help you with sleep [15:20] The impact of sleep medications, lights, technology, and alcohol are not conducive to proper sleep [25:10] Why it's important to follow what feels good to you when it comes to sleep Notes from Natalie: Sign Up for Natalie's Newsletter  Get Canva Pro free for 45 days here Collaborate here!   Resources Mentioned in This Episode: Overcoming Insomnia: A Self-Help Guide Using Cognitive Behavioral Therapy Techniques" by Dr. Colin Espie Episode 3: Must-Have Tips for Better and Restful Sleep with Suzy Cohen Sleepio App   Connect with Dr. Colin Espie   Twitter LinkedIn www.bighealth.com    Connect with Natalie Tysdal On Instagram On YouTube On Facebook Website

In May 2022, NICE published medical technologies guidance on Sleepio to treat insomnia. It is the first digital therapeutic for treating insomnia recommended by NICE. In this episode we'll learn more about the technology and the process NICE went through to evaluate it. Our guests are Anastasia Chalkidou, associate director of the Medical technologies evaluation programme at NICE. And Professor Colin Epsie, founder and chief scientist at Big Health, the company behind Sleepio.

A Ryanair steward who allegedly knocked back booze during a flight was arrested and subsequently sacked. This is the moment two brazen scammers attempt to con an unsuspecting car owner into selling his BMW on the cheap by sneakily tinkering with its engine. Video shows the pair pouring engine oil into the coolant of Bikramjit Kooner's in order to make its engine smoke. A disgraced doctor who molested a student nurse on a hospital ward and then tried to blame the incident on 'cultural norms' has been passed fit to treat patients again. Outraged residents of Cornwall have trashed claims that the county 'needs' second home owners to survive. The response follows rising tensions surrounding second home owners and the notion that they leave towns 'soulless' and 'empty' in the winter months. Around 800,000 people in England struggling to sleep, who would usually be offered pills such as zolpidem and zopiclone, are set to be recommended Sleepio. Boris Johnson's father is keeping ties to the EU - despite having ditched his Remainer views - by taking up French citizenship. The UK's privacy watchdog has fined facial recognition company Clearview AI for collecting people's images online and saving them for use in their facial recognition systems. A mother who left her phone unlocked and with her 2-year-old got an expensive lesson when he ordered 31 cheeseburgers online and for delivery.

In this episode, investor, journalist, philanthropist, and amateur cosmonaut Esther Dyson joins us to talk about the importance of moving from short-term self interest to long-term shared interest. Esther is the executive founding soul behind Wellville. She talks about this ten-year project and the five US communities participating to improve their own health and wellbeing while inspiring other communities to do the same. We converse about the importance of shifting from a “we” centered way of thinking to one that invests in the success of the whole and we talk about the problem of addiction, how it relates to short term thinking, how it creates competition as opposed to collaboration within a community and how it affects both personal life as well as business growth. Furthermore, we dive into how to build something sustainable and the story behind ICANN. SUPPORT US ON PATREON: https://www.patreon.com/rhyslindmark JOIN OUR DISCORD: https://discord.gg/PDAPkhNxrC Who is Esther Dyson? Esther is the chairman of EDventure Holdings and is the executive founder of Wellville, a 10 - year nonprofit project dedicated to demonstrating the value of long-term investment in health and equity. Esther is an active angel investor, best-selling author, board member and advisor concentrating on emerging markets and technologies, new space and health. She sits on the boards of 23andMe and is an investor in Crohnology, Eligible API, Keas, Omada Health, Sleepio, and StartUp Health, among others. For 6 months, Esther lived outside Moscow, Russia, training as a backup cosmonaut. She has a BA in economics from Harvard University, and a completion certificate in space medicine and space plumbing from Yuri Gagarin Cosmonaut Training Center. Topics: Welcome Esther Dyson to The Rhys Show!: (00:00:00) About this century being the turning point & the governance system: (01:49) The problem of having a “WE” centered world: (04:19) About the metaphor of addiction & how it shows up in different fields: (08:14) Short term aspiration versus long term aspiration: (12:57) About Wellville helping five communities to build their own fishing school: (18:05) The approach of collaborating & complementing one another: (21:38) Sustainability within nonprofits: (31:43) The ICANN story: (34:20) Words of advice to the audience: (38:13) Mentioned resources: ICANN: https://www.icann.org/ “The Gardener and the Carpenter: What the New Science of Child Development Tells Us About the Relationship Between Parents and Children” book by Alison Gopnik: https://www.amzn.com/B01ARRWPUS Connect with Esther Dyson: Linkedin: https://www.linkedin.com/in/estherdyson/ Wellville Web: https://wellville.net/about/ Twitter: https://twitter.com/edyson?lang=en Facebook: https://www.facebook.com/esther.dyson Instagram: https://www.instagram.com/estherdyson/

This week Nik is joined by Dr Ian Wood and Dr Dimitri Gavriloff. Ian is a GP in Windsor, clinical director at EMIS and UK clinical lead at Big Health. Dimitri is a senior clinical psychologist and sleep medicine specialist, he works at the Sleep and Circadian Neuroscience Institute at the University of Oxford, and he runs a non-respiratory sleep disorders service at Oxford University Hospitals NHS Foundation Trust. They discuss the recent BBC documentary 'How To Sleep Well With Michael Mosley' and consider if we're in the middle of a sleep crisis and what treatments are available for our patients. There's also the usual look at the medical news headlines and the week in daytime TV.Twitter:       @BoggledDocsInstagram: @BoggledDocsEmail:            boggleddocs@gmail.comIan song choice:Under Pressure - David Bowie and Queen https://open.spotify.com/track/5oidljiMjeJTWUGZ4TfFea?si=RxzcKYo0QqaOwLf5T94CoA&context=spotify%3Asearch%3Aunder%2520pressureDimitri song choice:Rome wasn't built in a day - Morcheeba https://open.spotify.com/track/6lsumzVFKP9SnfKcuGwqVp?si=_y7Kt5LJTBqmO2UXbYSE2A&context=spotify%3Asearch%3Arome%2520Horizon: How to Sleep Well with Michael Mosleyhttps://www.bbc.co.uk/iplayer/episode/m0015y9l/horizon-2022-how-to-sleep-well-with-michael-mosleyNICE CKS Insomniahttps://cks.nice.org.uk/topics/insomnia/Sleep censushttps://www.bbc.co.uk/programmes/articles/10wh9mPTwTT740bz74MnY33/the-uk-sleep-censusThe Big Health NHS page with details of where Sleepio is available https://www.bighealth.com/nhs/ Sleepio https://www.bighealth.com/sleepio/ Oxford Online Programme in Sleep Medicine (CPD modules available) Oxford Two-Day Masterclass in CBT for Insomnia (Runs three times per year) Dimitri also regularly offers training for clinicians (e.g. GP trainees, clinical psychology trainees, nurse practitioners etc) that he does through his private practice (www.sleepwelloxford.com). National Sleep Foundation website has some good advice tooBoggled Docs song of the weekDover Beach by Baby Queenhttps://open.spotify.com/track/5BCYtpbTyUQSMRwDVPb5wk?si=kpiyknDzTci2jfDnEMJ3oAFull show notes are in the Buzzsprout transcript tab.DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.  

Shelby Harris, PsyD, DBSM: “We have this idea that you should have perfect sleep every single night, but a bad night here and there means that you're human.” Harris, a licensed psychologist and behavioral sleep doctor, joins mbg co-CEO, Jason Wachob, to discuss everything you need to know about getting a good night's sleep, plus: - How to fall back asleep after waking up in the middle of the night (~12:17) - Why you should exercise 4 to 6 hours before bed (~25:56) - The link between hydration and sleep (~27:47) - How to get back on track after night of poor sleep (~29:19) - How your sleep position can affect your quality of rest (~42:09) Referenced in the episode: - Harris' book, The Women's Guide to Overcoming Insomnia. - Learn more about the Sleep-Wake Disorders Center at Montefiore Medical Center. - Read more about the American College of Physicians (ACP) recommendation for cognitive-behavioral therapy as first-line therapy for insomnia. - CBT-i Coach app - Sleepio - mbg Podcast episode #245, with James Nestor & his book Breath. - Harris' grounding exercises on Instagram. Enjoy this episode! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com.

Sophie is a self proclaimed 'Sleep Evangelist' She has always been intrigued by what makes us feel good and function well. After originally studying medicine she went on to complete a PhD in Health Psychology, investigating why happiness protects against heart disease and how to improve well being at work. This research pointed to sleep as the unsung hero of mental and physical resilience. She spent the next 5 years working on 'Sleepio'- Big Health's award winning digital sleep programme. Sophie was awarded an NHS Innovation Accelerator Fellowship in 2016 and helped make Sleepio available on the NHS to a fifth of the UK population. Sophie has been invited to deliver talks for Tedx and Google and regularly features as a sleep expert in national media. She really lives the practice of health and well being in her own life and has just completed a row around Britain in 2021. https://www.thesleepscientist.com/about https://www.instagram.com/drsophiebostock/ https://twitter.com/DrSophieBostock

Host David Harlow speaks with clinical psychologist Jenna Carl, CMO of Big Health, creators of digital therapeutics @daylight_app for anxiety and @Sleepio for insomnia. After a study among the staff of the Scottish NHS, these DTx apps are now available to 5m Scots through the NHS. Treatment through the apps closes care gaps, and avoids stigma and unease associated with in-person mental health services. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Carmen Paputa-Dutu, the Digital Health and Care National Lead for the ALLIANCE, speaks to Professor Colin Espie, founder of Big Health and Professor of Sleep Medicine at the University of Oxford, about Sleepio and Daylight. Sleepio (designed to support those suffering with insomnia) and Daylight (created to support those facing anxiety) are two apps that NHS Scotland will be offering free of charge for people in Scotland, making it the first country in the world to offer digital therapeutics for anxiety and insomnia available nationally. Professor Espie is one of the world's leading experts on sleep and mental health, and he's currently shedding an urgent light on the connection between lack of sleep/ insomnia issues and the mental health problems the UK currently faces.

Peter Hames is the co-founder and CEO of Big Health. Peter is also an NHS Innovation fellow, and holds a Masters in Experimental Psychology from Oxford.  As a former insomniac, Peter was frustrated by the limited treatments available for sleep difficulties. And so, inspired by his own success with cognitive behavioral therapy, he founded Big Health in order to deliver CBT-based insomnia treatment and mental health care to patients all around the world.   Today, Big Health delivers fully virtual therapeutics for those struggling with their mental health. It's a 24-hour solution, with the digital therapeutic “Sleepio” addressing sleep difficulties, and “Daylight” addressing daytime worry and anxiety.  In this episode, we discuss pandemic-era mental health, the far-reaching effects of insomnia, and how Big Health can offer a solution.   Do you have any thoughts? Please email us at hello@rosenmaninstitute.org. We post new episodes every Monday. “The Health Technology Podcast” is produced by Herminio Neto, hosted by Christine Winoto, and engineered by Andrew John Rojek. 

In this episode of Science of Change, our host Kristen Berman talks to one of the sharpest applied behavioral scientists out there and the Chief Product Officer at Big Health, Kelvin Kwong. The popular sleep app Sleepio and the anxiety therapeutic app Daylight are some of Big Health's products in the rising market of health apps. How have they managed to join behavioral science and clinical psychology methods into an online service? Kelvin and Kristen go deep on the science, the methods, and the effects that constitute Big Health's success; from getting people to learn new strategies to assessing their improvement and establishing commitment. Join this conversation and learn about the science behind your anxiety or sleep assistance mobile app.  Jump straight into: 01:12 - Cognitive Behavioral Therapy and some of its counterintuitive but very efficient techniques: How sleep restriction works as a therapy for insomnia.  08:13 - Precommitment and dealing with failure: How Sleepio knows about your readiness to change and makes an assessment of your level of commitment.  11:51 - The Hurricane Effect and the optimism bias: What is the perfect moment to introduce people to useful techniques? Before or after a crisis? 16:00 - Big Health's focus on getting you better: Retention, follow-through, and getting users successfully to remission.   21:20 - What are the metrics that assess well-being?: How Big Health tailors your program and assesses your outcomes through a highly precise clinical survey.  24:27 - Behavioral science rapid-fire questions: On failing experiments, the use of scores, and why we often rationalize symptoms of mental illness.  28:31 - Combining clinical experience with behavioral science expertise: Is it possible to build a real “therapeutic alliance” through an app? 30:33 - The importance of uniqueness in psychology and the Barnum Effect: How Big Health understands your drivers and personalizes your experience using technology. 33:46 - On the future of digital mental health: Making the apps more efficient and intelligent based on people's digital behavior.  Episode resources Connect with Kelvin through https://www.linkedin.com/in/kelvinskwong/ (LinkedIn) https://www.bighealth.com/ (Big Health) Thank you for listening to Science of Change. Reach out to Kristen through https://www.linkedin.com/in/kristenberman/ (LinkedIn) and visit The Irrational Labs https://irrationallabs.com/ (website) for more information on behavioral science.  This show is presented by https://www.setsail.co/ (SetSail) and produced by Kristen Berman and https://www.studiopodsf.com/ (Studio Pod Media). The executive producer is Rachael Roberts. All episodes are written by Jack Bueher. Music and editing provided by https://nodalab.com/ (nodalab).

Pharmacy companies are an important part for Spencer Health Solutions, and pharmacists are an integral part of fulfilling our mission to serve patients in their homes. Hi, I'm Tom Rhodes, CEO, Spencer Health Solutions. We have had the opportunity to bring patient pharmaceutical and digital health thought leaders to previous podcasts. However, today we're speaking with our first pharmacist, digital health advocate and analyst, Timothy Aungst, also known as the digital apothecary. He joins our host Janet Kennedy for an insightful conversation and a call to action to the pharmacy industry on the People Always, Patients Sometimes podcast.   Janet Kennedy: (00:45) Welcome to People Always, Patients Sometimes. I'm very excited that today's guest is Timothy Aungst, the digital apothecary. He is an associate professor of pharmacy practice and also a clinical pharmacist. Timothy, welcome to the podcast.   Timothy Aungst: (01:03) Thank you, Janet, I'm really excited to be here today to talk about, you know, all this stuff that's been going on.   Janet Kennedy: (01:08) It's been a crazy couple of years and that's one of the things that I wanted to talk to you about. I found you because I read your primer, "Digital Health Primer for Pharmacists." You published it in February of 2019. At that time you wrote, "after being involved in the digital health space for almost a decade, I can say with complete sincerity, that the topic is still relatively out of the realm of the general pharmacy profession grasp." Okay. You put a challenge out there. 10 years you've been involved in digital health and you're saying pharmacy is still not up to speed. Would you say that that's true two years later?   Timothy Aungst: (01:52) Yes. I still would stand by that. I would argue that we have seen entrepreneurship within the pharmacy profession gravitate towards digital health at large, but I would also conversely say that as a profession for pharmacists, we have not really actually actively engaged in this area. We still lack a large number of educational roles and trying to get people aware of the space. There is a lack of discussion around it. Most of our public organizations that provide guidance on what our next steps for the profession don't really think about it in, I think it's for that reason, I still would say the gap is there. Now that is changing. I would say that there has been a semi call to action amongst several pharmacy organizations, whether it's say PHA, ACP and several others who are now trying to get the profession up to speed on what digital health is.   Timothy Aungst: (02:44) And that's been a big focus of mine serving as so-called subject matter expert or key opinion leader to help get information out there regarding the topic. But very, at this time it's quite topical just because we are not actively highly engaged with it. I would probably say we're maybe like two or three years behind other healthcare professions, such as the medical community. The American medical association has an active digital health component that they've been pushing, I would say probably for about two or three years at this point, have reports coming out, organizations associated with it. And I think pharmacists have to play catch up to that. And depending on key stakeholders at this current time that may or may not go fast or may go slow. And that's one thing I'm actively keeping my eye on.   Janet Kennedy: (03:27) Well, I'm curious about whether pharmacists or the pharmacy is even included in some of this digital health development.   Timothy Aungst: (03:36) I'm always a person who would've actually separate the two. The pharmacist and the pharmacy, I think are no longer synonymous organizations. You don't need a pharmacy to have a pharmacist. I think it's going to be what we see in the 2020s or 2030s at this point. I think those two things will actually diverge and that will just come down to logistics and also some legal parameters I think people are pushing right now. Technicians will be empowered to take on most of the stuff on site and pharmacists will probably feel remote. That being the case then to accomplish that, and also to get pharmacies up to speed where healthcare is going, I think the pharmacy businesses will engage in digital health activities. For good or for bad. The big news right now, right, is that Elizabeth Holmes is in court with Theranos. And if we look at Thernos, who was one of the biggest backers? That was Walgreens. And I always looked at what happened with Walgreens being burned there is a reason why they actually had a huge number of digital health initiatives back in the 2010s. And I think they pulled back because they got burned so heavily.   Timothy Aungst: (04:31) In the meantime, we see, let's say a business like CVS Health going down a whole vertical pipeline. Now we got Aetna involved, we got long-term care stuff, we got them pushing to go into kidney disease with dialysis treatments. They are partnering up with digital health companies all over the place. One of the biggest ones, for example, was Sleepio for a digital therapeutic that they've been piloting out there, which has actually initial positive results I'm actually reading through right now. So some of these companies are more involved than others. And I think it's going to come down to, you know, what assets they have to really push that. Whether they see the market going a certain way and they want to meet consumer demands because they are also aware of that, with the changing dynamics within healthcare, pharma is going down the digital health path. Payers are looking at this. Employers are looking at this and even the big tech companies are pushing this stuff out there. So are they going to let other people dictate to them the incumbents of what to do, or are they going to be the drivers themselves? And I think that's going to be something that's going to be interesting to watch.   Janet Kennedy: (05:34) Well, so you mentioned the need to separate the pharmacist from pharmacy. So speaking from the individual's perspective, do you hear pharmacists talking about wanting more and better tools to be able to help their patients or are they just basically the Amazon employee at the warehouse where they're just cranking out the work?   Timothy Aungst: (05:57) See, I used to think we're still on the razor's edge between two possibilities: one was pharmacists finding some kind of clinical services they pay for under some, say, value-based care agreements. And by providing clinical services would receive renumeration that would allow them to be so-called clinicians in health care. Or the other one was being fully remote and being consigned to these activities, to these virtual workshops where they basically just review medications that have been turned out by Amazon or other companies like true pill, et cetera. There might be a third path, which is a mix between the two. And that's kind of where I'm more leaning towards right now from a pharmacist perspective. Yes, there is a huge interest in digital pathway as a means to basically call back clinical services and kind of like be able to provide services that could then actually have objective feedback in terms of what they did, that they could then bill for services and, you know, make money from it.   Timothy Aungst: (06:51) But I don't know if that's going to be enough at this current point to actually say, "oh, well, you're now a remote clinical pharmacist that overviews these data's on people's adherence or their information on disease states, and you get this much," because one of the issues is actually even though they're like remote patient monitoring services that we're seeing CPT codes being pushed up by CMS and such, they're in the physician still. So the pharmacist almost has to still be partnered with someone else in order to receive the renumeration. And then at that point in time, you know, it was kind of like, what slice of the pie are you going to get? And I think that's really what concerns me is that from a healthcare perspective, the pharmacist is still really trapped in their other engagements, which has traditionally held us back. And I think this is because we again have very little stakes in digital health and we were coming to the table kind of late. The other people have already kind of figured this out and have already been making inroads. Making propositions to other organizations to get themselves ahead. And we're kind of almost, I don't want to say asking for crumbs, but we're going to have to really do our best claw back some of this stuff for ourselves. And that's going to delay, I think those aspects.   Janet Kennedy: (07:56) And do you see the trade associations being the ones that should be leading this charge?   Timothy Aungst: (08:01) I think the trade associations unfortunately all have different stances out why they would want to engage in this stuff. The trade associations value pharmacists to different extents. And within a pharmacy community, we know with the alphabet soup of different pharmacy organizations, they don't all have one central voice. They don't all have one central take on what is the role of pharmacists. I've heard some people say we have a pharmacist practice at the top of their license. I don't know what that means. To be quite honest, whenever I hear that I kind of have to roll my eyes, because what is the top of their license? I think in their eyes probably is just, you know, sending off for prescriptions. So that's great. That's what they see as the business that they have to focus on. I could see definitely some trade associations making an argument to empower technicians, to move back at scale back the role of the pharmacist as a, you know, as a rate limiting step in terms of evaluating prescriptions and getting them out the door.   Timothy Aungst: (08:53) And also because there are high cost margin right there, and that would reduce the overhead versus some other trade associations are definitely more clinically focused and would push that down too. So within pharmacy, the unfortunate thing right now is there are some tenuous arguments going on about, you know, who has the right step for the profession or which to be used, how to utilize them. And I think those are the conversations, the hard conversations to have to occur now versus later, because this whole approach of them to let's say digital health and such could become very fragmented. You could see some people that operate large corporations would probably want to use digital health for alternative means versus maybe some smaller companies. And I think that's going to really, for me, I have to bemoan them is that's gonna really muddy the waters and I guess, slow down the process of any adoption by the profession. So yes, I think the trade professions will probably be key here, but I would also, or you, because historically they don't always get along or had the same thought processes that this is going to be another area. That's going to be a sticking point where argue about how to do this.   Janet Kennedy: (09:57) You know, I find that health care was still slow to come to digital tools and platforms. I'm curious to know whether, with your ear to the ground, do you find that patients are pushing their desire for digital health into the healthcare system? And do you find that that's being impacted or felt on the pharmacy side?   Timothy Aungst: (10:21) And this is a good question because you know, who's the drivers for change. I think it's one of the things that always comes up. Patients are often said to be one of the major drivers, and I do believe that to a certain points payers are probably one of the biggest drivers I would argue though, overall, because they ultimately are paying the money. Patients themselves are vocal population that can dictate those favorable or unfavorable role, lots of different programs and services at the end of the day. So from that perspective, I think with the ongoing pandemic, we saw this huge push for, you know, delivery of services for the ability to have a so-called digital front door. And you know, what was in the news the other day was that Walgreens got in trouble apparently because they're whole vaccine signup and testing site wasn't secure. And the data is now - someone's getting into it. And this, I think is going to give some feedback to people like, you know, if we have to do remote practice, sign up and go through an app or make an account and et cetera, but you can't even keep my data secure - Is that good or bad?   Timothy Aungst: (11:17) You know, is that a company I'm going to trust? And those are the things that they're hitting people now it's not so much like, oh, you know, I have a brick and mortar business. People come and buy things and they leave. I just had to worry about the credit cards now I have to worry about their online accounts. I have to worry about health history that's been uploaded or shared. This is definitely a new area I think people are considering. Hospitals and health systems have been dealing with this for years. They've been getting hit by malware attacks for a long time. Now people will ask you for cryptocurrency just to unlock their systems, for goodness sake. And because of this, the population does expect a digital front door, digital services. And I think ultimately businesses have had to pivot to address an answer to that.   Timothy Aungst: (11:57) But I don't think they traditionally had that as a, you know, as something that is a high concern for them in the pandemic was a force multiplier that really had to make them rush into, this for good or for bad. I mean, the pandemic is going to go on for awhile. We're going to see this go up in waves, in different parts of the United States. So these companies are going to have a long time to pilot certain programs, but I think many of them have recognized, no matter what, post pandemic, this is going to be a status quo. So whatever works now has to work in the future as well.   Janet Kennedy: (12:27) Well, certainly the pandemic has made a lot of things happen faster; that we have seen an acceleration of the interest in some kinds of digital health, particularly tele-health, which sounds new to a lot of people, but it's been around for 20 years. And I know you've been around in the digital health space for over a decade. So let's step back for a second. Could you tell me a little bit about the digital apothecary and why did you start it?   Timothy Aungst: (12:54) Sure. So the digital apothecary was kind of like just a little passion product, a little thing that I spread out based on my interests. So I started off as a resident during my PGY1. I got an iPad in 2011. So keep in mind the iPad came out 2010. So one of the things that I did was I actually started processing orders in the hospital using my iPad through Citrix. And this is funny because this is a period where we had so-called COWs, or computers on wheels, or WOWs, workstation on wheels, as they're often called now, and people would argue over these things to process orders in the hospital, et cetera. And I just basically started using my iPad to do all this stuff. And people started catching attention, like why is he doing this stuff faster? He's looking for information faster in there and blah, blah, blah.   Timothy Aungst: (13:36) And I was like, yeah, cause I had this device that can do this. I start thinking of something, what is a good app? What is a good thing? And so I started reviewing and looking at stuff and then I joined another group called iMedicalApps and we start reviewing mobile apps. We actually wrote a bunch of papers about how to quantify what is and what is not a good app and to use clinically for patients in patient care. And we gave presentations all over place on this topic. And that was a huge thing for me. And this was when it was mobile health that was my focus. And then circa 2014-15, I moved on to just the bigger digital health space and started writing for different organizations and serving as a speaker advisor consultant for different companies actually were asking a lot of these questions. The years I started thinking with remote patient monitoring, questions about tele-health, pharmacy, how to adopt medication adherence is a big one for me as well.   Timothy Aungst: (14:20) And it kind of really changed my thought process in terms of like, you know, this stuff's just kind of adjunctive to care versus, okay, this is going to be actually part in driving care. Eventually digital health, I kinda thought to myself, is just a interim term. I think digital health eventually turns into just health. It's kind of the same period we went through with like digital banking. We don't call it digital banking anymore, we just call it banking. When you go onto your app cash or check or use Venmo, like no one calls it really digital banking. I think that's where healthcare is at. So I noticed there wasn't that many people around the space. There is one person I look up to is Kevin Clawson, who's now into blockchain for healthcare down at Lipscomb. He was a great mentor for me early on. And it was a few other people I've talked to them such as Brent Fox about this too.   Timothy Aungst: (15:01) And, but the reality is in the academia circles, that generally there was not a lot of pharmacists, I think, into digital health or into this technology thing. So I kind of got into it, talking about it. I had a lot of people say this was like a waste of time. And I really had to take a thought for myself academically - do I really want to dedicate all my time towards investigating and research in this space. Or should I start moving towards something else as an academic? And I chose to keep on it. And I'm actually pleased because now with the, you know, things are really changing the payment like that, people really want to talk more about it. People aren't real into telehealth. And they were like, who even knows about this in pharmacy? Then my name comes up because that's been something I've been talking about for so long.   Timothy Aungst: (15:39) People are looking at different digital health technologies and like, okay, who's in digital talking about, oh, Timothy's talking about it. Timothy's been talking about it for so long now. So it's kind of just in many ways for me, unfortunately, the pandemic has been a driving force around trying to actually get my message out more than it was in the past. I think if the pandemic had not happened digital health would not have seen the rampant advancements that it has, and probably would have been towards the tail end of 2020s that I foresee that would have taken off in versus the early 2020s at this time.   Janet Kennedy: (16:09) One of the things you mentioned in your primer was that digital health definitely isn't informatics. Can you tell me what you mean by that?   Timothy Aungst: (16:20) Oh, this is, this is, this is a good one. Okay. So this is unbearably one of the hardest questions I had to deal with in terms of talking within my community. So there's always been a push in pharmacy, informatics, you know informational management information, using different data streams and such, EHR management, et cetera, et cetera. And that's been a group that's been around for decades. I would probably say early two thousands, 1990s. We saw them out there and there's always been pharmacy informatics people. And it's the, you know, the American informatics Association and such, or AMIA. But you know, when, when I started talking about digital health, one thing that I actually got in trouble with early on was people like, isn't it just informatics. I was like, what do you mean? Like this is technology. I was like, "technology is not synonymous with informatics." Informatics definitely plays a role in digital health and managing all the data streams that come down.   Timothy Aungst: (17:04) But I would argue that the traditional informatics thought processes around management of health. It does not mean lik,e this whole digital health kind of ecosystem. And that's actually where I would have conversations with people like, oh, they'll get all this person, their informatics person, we have the conversation and people will talk about, you know, KPIs, C-Colon and different things in programming. And they'll be like, "Yeah, I don't do any of this stuff. That's not my business. I'm more interested in the clinical workflow design associated with this stuff and how to actually evaluate one technology versus another and blah, blah, blah." And so that does overlap. Yes, it does. But I think some people have assumed that, especially in pharmacy and for pharmacists, that informatics would subsume and take over digital health. And that's one area I'm not too sure on. I think some people may want that. And some people don't. I for one don't. I think informatics works within digital health space in that it's definitely a conversation and there's been other publications around this that kind of delved into a little bit more different therapeutic areas like oncology. But early on, It was very, very difficult actually to separate the two. I think at this time, most of it is separated, but I, that was a early conversation I had had with people.   Janet Kennedy: (18:13) Okay. I'm interested in the amount of data that could be available through digital health apps and how a pharmacist might actually interact with that. So I'm really getting around to a conversation about adherence. Right now, when we think of adherence, it's the next fill - did you get the next prescription filled? But there's 30 or even 90 days in between those fills. If you had that data and it was daily, would a pharmacist be able to actually manage that information, and would they want to?   Timothy Aungst: (18:48) So here is a loaded question. And I mean this, cause this is an area that I'm fully invested - I love this topic. It is too many stakeholders, I think we can go over in detail about maybe some, the big ones like, you know, who cares about adherence at the end of the day? You know, is it, the patient, is it the clinician, is the payer? I would argue payers recognize there's enough research out there saying that on average, a patient takes for medications, hopefully their diseases won't progress and they'll get better. Same with the clinicians and same with the patients who probably think that to a certain extent. But when we look at adherence data, if we look at HEOR and stuff like that, like what do they use as their metrics? Half the time it's like medication possession ratio, right? And I am not convinced that thing is actually really, really useful.   Timothy Aungst: (19:29) I think globally? Yes. I think scalable factor for most organizations, that is the go-to way to doing this. And yet I think about all the patients that I visit in their homes that have boxes of medications still stacked away. And it's like, why are they getting it? Well, you know, I just buy it because I'm told I have to buy it. So you buy your medication and then you store it away, but you're not taking it? And you know, I can't help it go walk away and thinking back my head, like, you know, what? If they show up in a report, people are going to say they're adherent. I just walked into their house and they had like 12 Advair discuses sitting there, and their COPD is still not doing good. Why? No, they're not probably taking and using it correctly, right? But anyone else would probably see that and not make that tie together.   Timothy Aungst: (20:10) So I think the biggest problem we've focused and seen in adherence is there's been no way to actually really assess if people have been taking their medications. So we argue about a topic that is potentially anywhere between $300 and $500 billion, which is really, I think, around medication optimization - which adherence is one of those things. But we've had very little quantitative data to back up our arguments. We've had qualitative data; but from a quantitative side, we've never really been able to scale. Even pharma has struggled with this in their clinical trials. You know, we've seen things like MEMSCAP and everything else out there for years trying to make a market here, and they've never really blown up. And then the 2010s, we had a flood in the market of all these different digital health devices because they recognize that stuff, but not all of them have been successful.   Timothy Aungst: (20:54) And the question is why? And I think it's because we've come to realize that adherence is very, very, very challenging. Human behavior is very challenging. I think humans are very chaotic in terms of adherence and such. So it comes back to the key stakeholders, you know? Why does the pharmacy care about, you know, adherence? To me, if pharmacy cares about adherence, instead of talking about value for the pharmacy, is the more prescriptions that are dispensed equal more profits. So if a patient's taking their medication on time, theoretically and filling on time, then that profit margin, at least is correct - 12 refills a year for a monthly supply versus if they're not, then they're not refilling and then you're not billing and you're not making money from it. So as a pharmacy, clinicians I think also have kind of a mixed feeling around adherence. To be honest, I think this might be actually one of the biggest conversations that should occur is there are therapeutic areas where we want a hundred percent adherence or at least above 90%.   Timothy Aungst: (21:47) There are therapeutic areas where I think we could be fine if people were not truly adherent. If you miss your Metformin a few days a month, am I going to care? Probably not? Your statin, and probably not? You know, and this comes down to, you know, how maybe severe a patient is, you know, how high their co-morbidity is. But there's certain diseases where, you know, what if I miss getting a biologic therapy by a day or two? Is I can really ruin me? Some day, we'll say yes. Some day we'll say no. But there's other therapeutic areas. Like let's say schizophrenia; you know, if they miss your medication, will it be problematic? Yeah. Probably. And the payers are going to be concerned about that. Cause that increases ER visits and hospitalizations, right? So often when we talk about adherence I feel like it's such a global issue that people focus on when it's very granular and it's really around different sensitivities associated with therapeutic areas that I don't really see a lot of people talk about, at large, associate with that technology.   Timothy Aungst: (22:40) That technology always seems focused just on trying to solve adherence from a very global perspective. While I think clinically we've had a lot of research talking about adherence from a very small perspective in terms of what diseases and such does it really impact. And so there isn't this mismatch behind there. So there's a financial aspect, there is the clinical aspects I think. And then there's some design aspects, you know, solving adherence, you know? What does it take to do that? And is actually the money invested really worth it? I think it's one thing that's often not discussed like, you know, just because we can solve adherence; should we? And again, they come back to the fact that we blocked a lot of objective information in many ways. If this goes to your question, would we want to actually have this data?   Timothy Aungst: (23:21) We are opening Pandora's box. We now know more about people's habits than we have in the past. So to gives some examples would be, let's go with inhalers. Propeller both have this interesting study where they evaluated people's utilization of inhalers and found them, I think they found 60, 80% of people were using their inhaler or Saba rescue inhaler incorrectly. Okay. That's actually really, really concerning, right? Because that's higher than what we probably have historically noted in research. Secondly, if these are patients that we've been signing off saying that they've been adherent or a technique is good, this really calls into question what and how well we've actually been approaching this area for decades. And I think that's actually one of the big things I'm actually concerned about. And I think many companies are kind of thinking about is, you know, we're getting a more objective information about people's habits than we ever had a past.   Timothy Aungst: (24:09) And in many ways this could be good, or it could be downright terrible if we're not prepared for the ramifications that everything we thought we knew may be wrong. And I think that's actually an area that most of us may be concerned about because that calls in attention like; okay, we find out that we've been wrong and we've not doing things perfectly. That's great. Well now we've got to fix it. No fix is going to come out overnight. So solving adherence also probably means finding out this data and understanding it while also trying to solve the underlying questions about how do we address some of these issues? Thinking about it clinically, thinking about our workflow. So when pharmacists want to see adherence on a daily basis, I don't think that'd be a problem, but I would throw back then this, what is the value of it? What is the value knowing if someone took their medication on a daily basis? Do they skip through the center pro clinically, is that meaningful? Maybe, maybe not depending on how bad their hypertension is, right? Or maybe heart failure or some other condition? From a peer perspective then maybe yes. And then along with that though, could also be focused on the money that you get for people not refilling on time. So these are the things I think that need to really be questioned.   Janet Kennedy: (25:17) Well, it's also the question of the firehose or the very specific stream of data that's relevant. So yes, any digital solution is going to gather all the information, but you wouldn't need all the information. What you would need is the alert that says based on the parameters for this patient, with these meds, now we need to worry about adherence and it could be on day four or five for a lesser impactful drug. It could be on day two for something that is of imperative nature that they take it. So that's the benefit of course, of being overwhelmed by analytics and informatics is that you can also then design the algorithm that sets the actions.   Timothy Aungst: (26:02) And that is the biggest issue then at this time, because who decides what the algorithm looks like? And this is a question that I throw most companies. And when I actually hear back, is well do it. But do you actually have the clinical staff and know how to do it? That's the issue. So I'm actually very curious if a company will come along, and actually would build this in their backend. You know, like we already have drug information databases out there, right? You know, is someone going to make something like this that they could then sell out to other companies to then utilize? Are they going to build it in-house, or would these alerts be optionable for a clinical site or a business? That would be nice. But you know, if you gave me a package deal and say, "you know, we could default this or you can change it, whatever you want."   Timothy Aungst: (26:46) Then I think that might change the conversation because it's just, you know, how many medications are out there? It's like, you know, NDC codes sitting on the shelf in pharmacies, enormous. So from a theoretical perspective, yes, this could be very possible. For practical perspective, who's going to build it and the timeframe it's going to take to build that is going to be enormous because the fact of matter is we can't build it because we don't know the data around some of this stuff, these questions. And that's the, that's a factor with Pandora's box. It opened up this huge conversation because we have the objective data to back it up now, compared in the past. But we don't know really, you know, what is the right answer? We don't know. If you go through like the literature and start like, you know, going into like pubmed and other things, how many days can you go without skipping his medication? It's not like there's gonna be a publication saying, oh, you can do this, this, this. That stuff doesn't exist, because we've never known.   Janet Kennedy: (27:34) All right. Well that sounds like the call to action to the industry, is we've got to start talking about, you know, when you have this data from digital health, how are you going to apply it and make it be not just an endless stream of numbers, but something that is actionable that supports the patient's health journey?   Timothy Aungst: (27:53) Actionable data is key. The when to have an action is the unknown. And this is where I think companies could freak out users; because it's easy enough for a patient to call me and say, you know, I've missed my medication past three days, and be like, okay, well you should take your medication or titrate back up, or let's have you in the off spot. And having the patients take that on. All right. Cause they self activated and they chose to do this. I didn't know that until they told me, right? So my liability or whatever we want to call it is limited on a patient discretion, because they own what happened to them. The minute you start putting this subjective information out there, that means the ownership and responsibility shifted to some group that never was responsible in the past. So to expect that people like selling them, want this data and use it, you may hear people say, no, not really.   Timothy Aungst: (28:43) And if you peel back the layers, you'll probably eventually find out it's this trepidation around, "I don't know what to do with this data." And I don't really trust the company to tell me what to do with this data, because I don't know where they're pulling that from. So there's gotta be some kind of evidence-based approach around there, but where is the evidence? And then this is where the ground falls out from all of us is, that Aetna says it exists. And that to me, I think is the overwhelming issue around truly objectifying medication here is the fact that we don't know what to do with it this time. And it's very troubling. So for me personally, I think this is great. This is what we should do. Are we there yet? I don't think so. And I think one of the biggest problems has been, it's not the technology. It's not even like the process of logistics; I think it's the overloading clinical scenarios that we never really hadn't think about in the past, and who's going to be responsible for what?   Janet Kennedy: (29:37) Okay. You have now laid some pretty big questions that could take us down another rabbit hole for at least an hour. So I'm going to hold those thoughts for our next conversation. And Timothy, just thank you very much for joining us on People Always, Patients Sometimes. Would you mind sharing how they can find you online?   Timothy Aungst: (29:58) You can find me on LinkedIn, you can find me on Twitter. Usually just my name. If you look it up, you'll find it. My website, thedigitalapothecary.com is also out there where I write about a lot of stuff. A lot of it is theory crafting, a lot of it is focused on next steps and such or issues I see in the industry. So you're welcome to come and contact me and reach out.   Janet Kennedy: (30:17) Excellent. Well, I think we're going to have a part two of this conversation. So I look forward to seeing you on the podcast again soon.   Timothy Aungst: (30:24) Thank you very much for having me.

For a long time, the standard of care in mental and behavioral health has been some combination of pharmaceuticals and talk therapy. But with FDA-cleared, rigorously vetted digital health apps, there's a new piece of the puzzle, and it has the potential to combine the advantages of therapy with the scalability of drugs.In this episode of HIMSSCast, Big Health CEO Peter Hames joins host Jonah Comstock to talk about his view of the future of mental health and the lessons learned so far.Talking points:What Big Health is all aboutScalable mental health therapiesTreating algorithms and therapies like drugsEfficacy data and safety of digital therapeutics vs drugsHow pharma companies are responding to digital therapeuticsPredicting the future of mental health care Big Health's partner relationshipsMental health stigma and digital therapeuticsDigital therapeutics have arrivedWhat's next for Big Health?More about this episode:Sleep, stress app maker Big Health locks in $39M Series B raiseBig Health follows up Sleepio with Daylight, an app for anxietyCVS Health kicks off digital health-friendly service for PBM clients with Big Health's SleepioSimulation model: Big Health's Sleepio drives greater cost savings than group CBT or drug therapyFrom Big Health:Sleepio randomized controlled trial showing 76% of patients achieved remission from insomnia. Daylight randomized controlled trial showing that 71% of patients achieved remission from clinical anxiety. Economic evaluation of a Fortune 500 employer showing $1,677 lower annualized healthcare costs per employee. JAMA study showing that Sleepio improves broad health outcomes including: functional health, psychological well-being, and sleep-related qualities. 

In this episode, we interviewed Colin Espie, one of the world's leading authorities on sleep and insomnia. Colin is Professor in Sleep Medicine at the University of Oxford, and  Clinical Director of the Experimental & Clinical Sleep Medicine Programme, Sleep & Circadian Neurosciences Institute, again at the University of Oxford.  Professor Espie talks about sleep problems, explains why actively focusing on getting more sleep is not the best way to combat these issues.  He also argues that behavioural approaches are much more effective even though clinicians tend to prescribe medicine by default. He has solid plans for changing the treatment of insomnia in the future and has already made a flying start eleven years ago by launching Sleepio, the online sleep clinic.  Find out more about how Sleepio works and how can you register today by listening to this episode.If you would like to have a look at the Sleepio website, you can do it by clicking here. You can also click here to find out more about Prof. Espie and read through recent publications mentioned in this podcast.A new edition of Prof. Espie's book Overcoming Insomnia: A self-help guide using cognitive behavioural techniques, published by Little Brown Book Group will be released in late September.This recording is property of the sleep science podcast and not for resale.Glossary ·       Hypermetabolised (brain) = having an elevated energy expenditure ·       Hyperarousal = abnormal state of increased responsiveness to stimuli·       Chronotype = one's natural inclination to sleep and be active at certain times of the day·       CBT (Cognitive Behavioural Therapy) = form of therapy aimed to improve mental health mainly through emotional regulation and developing coping mechanisms·       Sleep Restriction Therapy = a CBT therapy that works to decrease variability in the timing of sleep while increasing the depth of sleep - Episode produced by Bianca Strete & Sophie Smith 

Living with narcolepsy - a rare condition that can cause you to fall asleep wherever you are, or whatever you're doing - required Antonia Gentile to surrender her driving license, and step back from performing, cooking and even reading.As she explains to Olly in this insightful interview, narcolepsy and cataplexy are isolating and debilitating ‘hidden disabilities'. But they can be treated, somewhat, with increased awareness and good ‘sleep hygiene'.If you're struggling with sleep issues, Antonia recommends sleep improvement app Sleepio, and the charity Narcolepsy UK.————————————Meanwhile, in the Zeitgeist, Ollie Peart - fresh from uncovering rude place names in his new podcast for the BBC - gets down and dirty in his recycling bin. Can he rise to the challenge of living a waste-free life?After experimenting with the advice from blog Trash is for Tossers, and registering for the Too Good To Go app, the culmination of his efforts is… steaming an old T-shirt in banana skins, broad beans, and sweet potato scraps. Greta Thunberg will be DEAD impressed.The Zeitgeist is sponsored by Manscaped, the only men's brand dedicated to below the waist grooming. Get 20% Off + Free Shipping, with the code ‘Mann' at Manscaped.com————————————Elsewhere, in the Foxhole, Alix Fox helps out an anonymous listener who enjoys occasional anal sex with his wife - but is now worried he's pressured her into it...Is it fair to ask for anal sex when your partner isn't finding it satisfying? If it's not traumatising or upsetting her, and she's consenting to it, should it be abandoned because it doesn't give her physical pleasure?It's all about being ‘GGG' (Dan Savage's mantra: ‘good, giving, and game'), advises Alix, in this fascinating conversation.The Foxhole is sponsored by Handy - a WiFi-enabled sex toy for men, designed and developed in Norway. For free express shipping, use our code ‘Foxhole' at TheHandy.com.————————————Finally, our record of the month is the new one from Hampshire trio Drug Store Romeos - it's called Secret Plan, and it's from their forthcoming debut album, ‘The world within our bedrooms'.————————————If YOU have a challenge for Ollie, a sex question for Alix, or would like to suggest a middle-feature for the show - reach out via the Feedback form on our website, MODERNMANN.CO.UKAnd remember, this podcast is only possible thanks to the generosity of listeners LIKE YOU.If you can afford to, please buy us a beer using the secure, customisable form on our website. Thanks!————————————We'll see you again on August 10.In the meantime, DO check out Olly and Producer Matt's BRAND NEW, DAILY PODCAST The Retrospectors: http://podfollow.com/RetrospectorsHost: Olly Mann. Producer: Matt Hill. Contributors: Antonia Gentile, Ollie Peart, Alix Fox, Drug Store Romeos. Theme Music: Django Django. Graphic Design: Terry Saunders. Copyright: Rethink Audio / Olly Mann 2021. See acast.com/privacy for privacy and opt-out information.

Colin Espie is Professor of Sleep Medicine at Oxford University as well as Co-Founder and Chief Medical Officer of Big Health. With insomnia, there are two mainstays of treatment. The first is medication or drugs, and the second is Cognitive Behavioural Therapy (or CBT). CBT has traditionally required face-to-face treatment from a psychologist, and can be difficult to access for patients in a constrained health service. Far easier, the criticism goes, to just give someone a pill. Fundamentally, the problem is that prescription drugs are very scalable and relatively cheap. Face-to-face CBT on the other hand, is expensive and doesn't scale well. But new approaches package CBT into a digital platform or app — making it infinitely more scalable — and opening it up to many more patients. Big Health are creators of a digital CBT program called Sleepio. Sleepio boasts the largest evidence base in digital mental health with 13 randomised controlled trials. Its parent company: Big Health has raised over $50M in funding. We talk about digital therapy for sleep, as well as some debate about whether digital therapeutics require the same evidence as traditional medications. You can find me on Twitter @MustafaSultan and subscribe to my newsletter on www.musty.io

Joining me on the show this week is Dr. Greg Potter, Co-Founder and Chief Science Officer of Resilient Nutrition, a nutrition and supplement company that uses nutrition to help people be more resilient. ⁠Since he did his PhD on sleep, circadian rhythms, nutrition, and metabolism, Greg spends much of his time helping individuals sleep, eat, feel, and perform better. Highlights of Greg's career include coaching a sprinter to four gold medals at the European Championships; having his research featured in dozens of international news outlets, including the BBC, Reuters, and The Washington Post; working with the US Naval Special Warfare Command; helping to prepare two men to break the Atlantic rowing World Record; and being the sleep expert in a Channel 4 documentary on sleep and weight loss.  We dive into the episode discussing why sleep matters, particularly when it comes to your everyday housekeeping and brain functions and understanding how to navigate within both. Dr. Greg Potter unpacks the importance of sleep and its effect on athletic performance including its connection to injury risk factors, motor skill learning, immune function, testosterone levels, and recovery. When thinking about sleep health, you should always consider the amount of sleep, the quality of sleep, the time you sleep, and the regularity of sleep to find a good sleep rhythm that works for you.  Listen in as we share a list of action steps to balance sleep in a healthy way: setting an alarm clock for yourself as a reminder to go to bed to increase sleep regularity, having time to unwind before going to bed (e.g., reducing your exposure to light, taking a hot shower one hour before bed, and listening to music), keeping your room cool and dark, going to bed only when you feel tired, and finding a relaxation strategy to practice. With sleep probably being the most powerful performance cocktail around and has the ability to drastically improve your performance faster than any other intervention, we should all be prioritizing and understanding the why behind it. What you'll learn in this episode:  [07:08] Why sleep matters [11:11] Aspects of sleep relevant to evolution [13:51] Understanding sleep maintenance [15:25] Sleep and its effect on athletic performance [25:34] Sleep and the 90% rule [27:59] The importance of sleep regularity [28:53] Action steps to regulate sleep [34:29] Relaxation strategies to consider [39:49] Caffeine intake recommendations [41:18] Alcohol intake and its effect on sleep [45:30] How much sleep you should be getting [51:45] Tools to track sleep quality Links: Explore Resilient Nutrition here: https://resilientnutrition.com/ (https://resilientnutrition.com/) Follow Resilient Nutrition here: https://www.instagram.com/resilientnuts/ (https://www.instagram.com/resilientnuts/) Follow Dr. Greg Potter on Instagram here: https://www.instagram.com/gregpotterphd/ (https://www.instagram.com/gregpotterphd/) Check out Sleepio here: https://www.sleepio.com/ (https://www.sleepio.com/) Download the episode transcript here: https://bit.ly/3fUs8ml (https://bit.ly/3fUs8ml) Download Sleep Diary Instructions here: https://bit.ly/3prNlax (https://bit.ly/3prNlax) Discover more about sleep apnea here: http://stopbang.ca/ (http://stopbang.ca/) Check out “In Defense of Caffeine” here: https://bit.ly/3fWDw1a (https://bit.ly/3fWDw1a) Find a pair of blue light blockers here: https://amzn.to/3fUljkH (https://amzn.to/3fUljkH) https://trk.chilisleep.com/SH7a (Get your chiliPAD sleep system here) (get 20% off your order with code Chilipad20) Rebel Performance: Text REBELRADIO to 81493 to get 10% off your first program Text RPCOACHING to 81493 to join our next case study training group https://jamescerbie.typeform.com/to/hECiC0hX (Take the Rebel Performance Training Quiz to find the right program for you)...

In the seventeenth episode of season three of the Her Spirit podcast BBC Breakfast Louise Minchin and BBC Triathlon presenter Annie Emmerson talk to The Sleep Scientist, Dr Sophie Bostock.The Sleep Scientist was launched by Dr Sophie Bostock with the aim of helping more people to sleep well, and thrive. Sophie is a scientist and speaker with a bias for action. Sophie has always been intrigued by why what makes us feel good and function well. She studied medicine at Nottingham University, followed by an MSc in Entrepreneurship. After several years in consulting, she completed a PhD in Health Psychology at University College London (UCL), investigating why happiness protects against heart disease, and how to improve wellbeing at work.Sophie's research pointed to sleep an unsung hero of mental and physical resilience. She spent the next 5 years working on Sleepio, Big Health's award-winning digital sleep improvement programme, first as a research scientist, then UK Innovation Lead. She has published research in collaboration with the Sleep and Circadian Neuroscience Institute in Oxford, and international researchers, demonstrating the impacts of better sleep on mental health and performance.  Sophie became a passionate advocate for the importance of sleep, and evidence-based therapy. Sophie was awarded an NHS Innovation Accelerator Fellowship in 2016, and helped to make Sleepio available on the NHS to a fifth of the UK population. Sophie has been invited to deliver talks for Tedx and Talks@Google, and regularly features as a sleep expert in national media.When not sleeping, eating, rowing, climbing, swimming or windsurfing, she provides keynote conference talks, consultancy and coaching for teams and individuals interested in improving their sleep patterns to boost wellbeing and performance.On 13th June, Sophie will be setting off with 11 other intrepid rowers on board Roxy, a brand new ocean rowing vessel, which almost has... well.. almost enough room for all of them to sleep on. Sophie will be tracking her sleep, or lack of, during the trip.  Many of the crew will switch over each week, but 4 of them will be on board for all 1650 nautical miles. We imagine they will all know a lot about sleep, and lack of it, by the end of it.If you would like to done just go to https://www.justgiving.com/fundraising/SophieRows she is raising money for The British Heart Foundation as her Dad had a triple heart bypass operation a few years ago. It's a great conversation about the importance of sleep and attitude to life and understanding what is important. Her Spirit believes in inspiring EVERY woman to become fitter, stronger and healthier. We believe your Mind, Body and Fuel are intrinsically linked and taking small achievable steps will lead to big changes.Her Spirit http://www.herspirit.co.uk supports women of all shapes to sizes to achieve goals you never thought possible and have your #BestYearYet. This podcast is part of Mental Health Awareness Week and the Her Spirit 21 day walking challenge.These podcasts have been made possible through the support of Boots. Boots believes everyone has the right to feel good it which is why they offer a huge wellness range to help you look after yourself, from the inside out.So from brands like FitBit, Aromatherapy Associates and Vital Proteins to LoveHoney, The Gut Stuff and Headspace, Boots has something to help you stay on top of your health, all year round.Shop Boots’ wellness range in selected stores, at boots.com or via the Boots app.

Learn about which sleep trackers are actually accurate; how important closure is for a life transition; and why mirrors flip horizontally, but not vertically. Study of 9 sleep trackers finds that all but 2 are inaccurate by Kelsey Donk You snooze, you lose - with some sleep trackers. (2021). EurekAlert! https://www.eurekalert.org/pub_releases/2021-02/wvu-ysy021721.php  Stone, J. D., Rentz, L. E., Forsey, J., Ramadan, J., Markwald, R. R., Finomore, V. S., Galster, S. M., Rezai, A., & Hagen, J. A. (2020). Evaluations of Commercial Sleep Technologies for Objective Monitoring During Routine Sleeping Conditions. Nature and Science of Sleep, Volume 12, 821–842. https://doi.org/10.2147/nss.s270705  Espie, C. (2020) How Do You Measure Sleep? Sleepio. https://www.sleepio.com/articles/sleep-science/how-do-you-measure-sleep/  That Sleep Tracker Could Make Your Insomnia Worse (Published 2019). (2021). The New York Times. https://www.nytimes.com/2019/06/13/health/sleep-tracker-insomnia-orthosomnia.html  Here's How Important Closure Is for a Life Transition by Sonja Hodgen Devitt-NYU, J. (2019, February 25). Better endings help us feel good about what’s next - Futurity. Futurity. https://www.futurity.org/life-transitions-endings-1991932/  ‌Schwörer, B., Krott, N. R., & Oettingen, G. (2020). Saying goodbye and saying it well: Consequences of a (not) well-rounded ending. Motivation Science, 6(1), 21–33. https://doi.org/10.1037/mot0000126  Why mirrors flip horizontally but not vertically by Ashley Hamer (Listener question from Maria in Ontario, Canada) Physics Girl. (2015). Why do mirrors flip horizontally (but not vertically)? [YouTube Video]. In YouTube. https://www.youtube.com/watch?v=vBpxhfBlVLU  ‌Kaplan, S. (2017, January 23). Dear Science: Why is everything backward in a mirror? The Washington Post. https://www.washingtonpost.com/news/speaking-of-science/wp/2017/01/23/dear-science-why-is-everything-backwards-in-a-mirror/  Subscribe to Curiosity Daily to learn something new every day with Cody Gough and Ashley Hamer. You can also listen to our podcast as part of your Alexa Flash Briefing; Amazon smart speakers users, click/tap “enable” here: https://www.amazon.com/Curiosity-com-Curiosity-Daily-from/dp/B07CP17DJY  See omnystudio.com/listener for privacy information.

On the season finale, Dr Hazel discusses all things sleep with Dr Sophie Bostock - a Sleep Evangelist who is on a mission to help millions of people to improve their lives by unlocking the science of sleep. Sophie studied Medicine and Entrepreneurship before completing a PhD in Health Psychology at UCL. Following several years with award-winning digital medicine company, Sleepio, Sophie launched TheSleepScientist.com to provide education and coaching for clients in business, the military, healthcare and elite sport.Topics include* Why do we sleep? And why is it so important? * The 8 hour rule and can you sleep too much? * Can you make up for sleep debt on the weekend?* Tips on how to achieve a good nights sleep. * Sleep tracking devices - help or hinder sleep? * Listener Question: “If I'm a light sleeper - does that mean I'm not achieving deep sleep?”* Listener Question: “Is melatonin effective for sleep problems? Or just jet lag?”* Listener Question: “CBD is widely marketed as a sleep aid - what does the evidence say?”* Listener Question: “Relationship between food and sleep - foods we should avoid/include”* Listener Q “why do some people remember their dreams and others don't? Is it down to sleep quality?”If you loved this episode make sure to give it a review, rating (hopefully 5 stars) and share it with your friends and family. @thefoodmedic/www.thefoodmedic.co.uk

Menopause and midlife can send dueling wrecking balls straight into your sleep architecture, leaving you tossing and turning unable to get to sleep, waking up with racing thoughts at 3 a.m., and generally depriving you of the rest and regeneration you need. This week’s guest, Dr. Sophie Bostock, the sleep scientist—and self-proclaimed sleep evangelist—is here to help you pick up the pieces of your broken sleep and get a good night’s rest. Dr. Bostock has recently spent 5 years working on Sleepio, an award-winning digital sleep improvement program. She also has published sleep research in collaboration with the Sleep and Circadian Neuroscience Institute in Oxford and other international researchers showing the impacts of better sleep on mental health and performance. She has developed a systematic approach to improving sleep hygiene and getting your circadian rhythms back in sync so you can enjoy sound, uninterrupted sleep. You can learn more about her work at: https://www.thesleepscientist.com/about

Deep Dive happens every week. Normally Fridays at 2pm Pacific but occasionally shifted to Thursday at 2pm. Typically goes for two hours or more. Questions are welcome. I’m sponsored by Adafruit to work on CircuitPython. Support them, and by extension me, by purchasing hardware from https://adafruit.com Chat with me and lot of others on the Adafruit Discord at https://adafru.it/discord. Next week’s stream is on Friday. 0:00 Getting everything going 2:00 Housekeeping 8:05 Plan 9:17 6.0.0-rc.0 is out! Please help us test. https://github.com/adafruit/circuitpython/releases 17:45 UF2 on ESP32-S2 18:00 LED filter purple / yellow / green states of the RGB LED Red light indicates UF2-Boot 20:00 Free RTOS 21:00 Partition Layout - Purple - Stage 2 boot loader… (decides between ota_0 and ota_1) 24:00 - download latest CP from s3 ( absolute latest ) 27:00 new product idea - feather sized LED acrylic 4 versions of boot loaders 29:00 Uf2-esp32s branch /generalize-bootloader 31:00 PIN_NEOPIXEL in board_led_state 35:29 RTS, CTS in UART 41:07 Arduino libraries in CircuitPython https://wiki.seeedstudio.com/ArduPy/ 42:43 More release talk 45:20 https://medium.com/bhdynamics/dynossat-edu-newspace-at-your-reach-9c2f88ca52e6 49:45 - getting the cp 6.0 release onto circuitpython-org 51:20 - ( but first - check the release notes and the green CI ) 1:05:00 - checking on release 1:06:40 - blog and forum posts announce release ( use convert*releasenotes*md tool ) 1:12:05 blog post ( blog.adafruit.com ) ( copy html and URL ) 1:15:00 tweet - https://twitter.com/adafruit/status/1317226793473085440 1:31:52 Suggestion for starting point/tutorials to learn how to start translating over from arduino sensors to python, so I can pitch in to the circuitpython effort? I am an enterprise dev using C#, js, etc https://learn.adafruit.com/creating-and-sharing-a-circuitpython-library https://learn.adafruit.com/circuitpython-essentials/ https://www.youtube.com/watch?v=DdB3QS4_QQU https://www.adafruit.com/product/4777 52:55 RTOS - https://zephyrproject.org/ 1:01:57 - super-loop in circuitpython See CP main.c for (;;) { } 1:18:50 https://jaycarlson.net/embedded-linux/ 1:26:13 Go Runtime on bare metal ? 1:27:20 Recently close pull requests ( see above in the plan ) 1:32:34 - getting started topics Read the docs - latest drivers ( all adafruit products ) Circuitpython community bundle ( non adafruit supported stuff ) Creating and sharing a circuit python library Transition from arduino Circuit python essentials guide Youtube pybay 2019 circuitpython ( may be in recent newsletter ) Accelerating driver development with circuitpython - Bryan Siepert Adafruit register Join discord #help with circuitpython, #circuitpython ( more development ) revistaSG on twitter https://twitter.com/mesheryio/status/1317116337123098624 1:39:23 More sleepio API work 1:42:49 hibernate / sleep #2796 Light sleep - everything is still on, but cpu is not clocked 1:48:19 - sleep until alarm ( till someone presses a button ) #2795 Deep sleep / hibernate - turn power off to parts of the chip ( loose ram and cpu state ) 1:44:52 sleep until alarm 1:45:54 - out of stack space ( c-stack vs. python stack - maximum recursion limit ) 1:54:01 Deep Diving into shared bindings alarm/__init__.h Compare between microdev1 and tannewt’s further work https://github.com/microDev1/circuitpython/compare/sleepCPY...tannewt:sleepio 1:56:55 IMXRT1011 - what do the buttons do? ( pet peeve ) Start by thinking about how you are going to use it! Google docs spreadsheet MCU Sleep Alarms - deep sleep research E.g. can USB wake uProc from deep sleep 2:04:34 - SAM D5x/E5X Family Data Sheet Sleep Mode entry and exit table 2:10:01 Continued discussion of API design approaches 2:11:01 discussion of line 42 - flashing the error LED, and impact on power 2:12:45 gui library question - displayio - the core of the display work in CP FoamyGuy display layouts / json - https://github.com/FoamyGuy/circuitpython_display_layouts 2:15:09 Wrap up Visit the Adafruit shop online - http://www.adafruit.com ----------------------------------------- LIVE CHAT IS HERE! http://adafru.it/discord Adafruit on Instagram: https://www.instagram.com/adafruit Subscribe to Adafruit on YouTube: http://adafru.it/subscribe New tutorials on the Adafruit Learning System: http://learn.adafruit.com/ -----------------------------------------

Today on Health in 2 Point 00, Jess and Matthew cover more deals! DispatchHealth gets $136 million, providing in-home health care by sending a tech to your house, BrightInsight gets $40 million to help biopharma and medtech companies leverage connected devices and develop digital health tools, Cedar raises $102 million for their medical billing software, Big Health raises $39 million for digital mental health tools Sleepio and Daylight, Redox lays off a quarter of their staff, and Plume raises a $2.9 million seed round, providing telehealth for trans individuals.

What's management consulting really like (all expensed trips to Vegas)!? How do you get your digital health solution into the NHS? And why do so many world-class performers have a performance/executive coach? This week's episode was a lot of fun, and you're going to love it if you want to hear advice from a super accomplished doctorpreneur. Dr Charlotte Lee is the UK director at Big Health, who generate $10M in revenue and are helping millions achieve good mental health — digitally. They have 12 RCTs under their belt, and are most famous for Sleepio, which digitally delivers CBT for insomnia. In a former life, Charlotte was a medical doctor, Darzi Fellow and management consultant at KPMG. —————— Find Charlotte LinkedIn: https://www.linkedin.com/in/charlottelee/ Twitter: https://twitter.com/DrChar_Lee Big Health: https://www.bighealth.com You can find me on Twitter @MustafaSultan and subscribe to my newsletter on www.musty.io

Hit this amazing milestone this week! Thanks to everyone that listens around the world

Do you find yourself so stressed during the day that your thoughts won't stop racing and let you sleep at night? In this episode, we talk about techniques you can use to both reduce your stress and optimize your sleep to enhance your life! Resources:https://www.precisionnutrition.com/power-of-sleep-infographic, www.Sleepio.com/articles, Michael Gervais - Finding Mastery Podcast, Headspace (app),

Back on the podcast with me this week is sleep expert, Greg Potter, PhD. Through his articles, podcasts and live talks, Greg is helping an international audience understand the critical role sleep plays in health and wellbeing. Most recently, Greg has been studying the impact of circadian rhythm disruption, including sleep duration and meal timing, on the development of common cancers. In this interview, Greg and I discuss Alexey Guzey’s scathing critique of Matthew Walker’s book, Why We Sleep. We also talk about some of the biological processes affected by sleep restriction, including cognition, immune health, athletic performance, and appetite. Greg shares some of the ways poor sleep is associated with cancer formation, including the damaging effects of sleep restriction on DNA and metabolism. Here’s the outline of this interview with Greg Potter: [00:00:09] Greg's 4-part series of articles on sleep: 1. Having trouble sleeping? A primer on insomnia and how to sleep better; 2. Sleep-maintenance insomnia: how to sleep through the night; 3. Sleep-onset insomnia: how to get to sleep fast; 4. Sleep for athletes: are athletes a different breed? [00:00:28] Greg's previous podcasts: How to Entrain Your Circadian Rhythm for Perfect Sleep and Metabolic Health; Morning Larks and Night Owls: the Biology of Chronotypes; What to Do When You Can’t Sleep; Better Sleep for Athletes. [00:01:11] 2020 Metagenics International Congress on Natural Medicine. [00:03:36] Book: Why We Sleep, by Matthew Walker, PhD. [00:03:38] Article: Matthew Walker's "Why We Sleep" Is Riddled with Scientific and Factual Errors, by Alexey Guzey. [00:04:12] Book: Thinking, Fast and Slow by Daniel Kahneman. [00:10:23] Dimensions of sleep; Article: Buysse, Daniel J. "Sleep health: can we define it? Does it matter?." Sleep 37.1 (2014): 9-17. [00:12:34] The transtheoretical model of behavior change. [00:16:34] Stephan Guyenet’s Red Pen Reviews. [00:18:40] Chronotypes and the Sentinel Hypothesis. [00:19:39] Are people not sleeping enough? [00:21:56] Sleep duration in the US might be increasing; Study: Basner, Mathias, and David F. Dinges. "Sleep duration in the United States 2003–2016: first signs of success in the fight against sleep deficiency?." Sleep 41.4 (2018): zsy012. [00:26:12] People overestimate their sleep duration; Study: Lauderdale, Diane S., et al. "Self-reported and measured sleep duration: how similar are they?." Epidemiology (2008): 838-845. [00:28:29] Insulin sensitivity and testosterone higher after extended sleep; Killick, Roo, et al. "Metabolic and hormonal effects of ‘catch‐up’sleep in men with chronic, repetitive, lifestyle‐driven sleep restriction." Clinical endocrinology 83.4 (2015): 498-507. [00:29:00] Plasma IL-6 higher after sleep restriction; Study: Pejovic, Slobodanka, et al. "Effects of recovery sleep after one work week of mild sleep restriction on interleukin-6 and cortisol secretion and daytime sleepiness and performance." American Journal of Physiology-Endocrinology and Metabolism 305.7 (2013): E890-E896. [00:29:25] Better cognitive function with more sleep; Study: Kazem, Yusr MI, et al. "Sleep deficiency is a modifiable risk factor for obesity and cognitive impairment and associated with elevated visfatin." Open access Macedonian journal of medical sciences 3.2 (2015): 315. [00:29:37] Effects of sleep on appetite; Study: Al Khatib, H. K., et al. "The effects of partial sleep deprivation on energy balance: a systematic review and meta-analysis." European journal of clinical nutrition 71.5 (2017): 614-624. [00:30:02] Sleep extension and exercise performance; Study: Mah, Cheri D., et al. "The effects of sleep extension on the athletic performance of collegiate basketball players." Sleep 34.7 (2011): 943-950. [00:32:45] Assessing current sleep status. [00:33:11] Podcast with Ashley Mason: How to Use Cognitive Behavioral Therapy for Insomnia. [00:36:14] WHO (five) Well-Being Index; Short Form 12; Short Form 36. [00:38:55] NBT’s Health Assessment Questionnaire. [00:39:57] Sleep and all-cause mortality. [00:46:56] Sleep restriction leads to worse performance; Van Dongen, Hans, et al. "The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation." Sleep 26.2 (2003): 117-126. [00:47:31] Josh Turknett's 4-Quadrant Model; Podcast: How to Win at Angry Birds: The Ancestral Paradigm for a Therapeutic Revolution. [00:48:30] Sleep duration and cancer. [00:49:20] Short sleep duration associated with cancer among asians; long sleep duration associated with colorectal cancer; Study: Chen, Yuheng, et al. "Sleep duration and the risk of cancer: a systematic review and meta-analysis including dose–response relationship." BMC cancer 18.1 (2018): 1149. [00:51:02] Sleep deprivation and DNA damage: Study: Cheung, V., et al. "The effect of sleep deprivation and disruption on DNA damage and health of doctors." Anaesthesia 74.4 (2019): 434-440; and Carroll, Judith E., et al. "Partial sleep deprivation activates the DNA damage response (DDR) and the senescence-associated secretory phenotype (SASP) in aged adult humans." Brain, behavior, and immunity 51 (2016): 223-229. [00:51:16] Article: Seyfried, Thomas N., et al. "Cancer as a metabolic disease: implications for novel therapeutics." Carcinogenesis 35.3 (2014): 515-527. [00:56:22] Matthew Walker's website. [00:59:47] Greg’s website; Instagram, Twitter, LinkedIn. [01:02:55] Sleepio. (SHUTi no longer available).

Sleep is essential for all of us and a good sleep cycle is key part of health. Regular poor sleep puts you at risk of serious medical conditions, including obesity, heart disease and diabetes as well as a shortened life expectancy. A poor sleep pattern is very common in shift-workers like healthcare professionals.Joining me this week to talk about how crucial sleep is to our physical and mental health and how shift-work can impact junior doctors as well as some sound advice for healthcare professionals who undertake night shifts is Dr Mike Farquhar, a consultant in children's sleep medicine at London's Evelina Children's Hospital. His work in educating healthcare professionals on the importance of sleep and the impact of fatigue in healthcare has led to the introduction of the “HALT: Take A Break” Campaign and he was awarded the Association Award by the AAGBI for his contribution to the #FightFatigue campaign. Useful links:GSTT Medical Education webpage:https://www.guysandstthomaseducation.com/projectsleep-looking-after-your-wellbeing/AAGBI resources on fatiguehttps://anaesthetists.org/FatigueBMA fatigue and facilities charterhttps://www.bma.org.uk/advice/employment/working-hours/fatigue-and-facilities-charterIf you think you have problems sleeping check out sleepio, a great online resource:Sleepio - https://www.sleepio.com/

Long Now board member Esther Dyson shares her ongoing work to move communities away from short-term thinking and into health. In conversation with previous Interval speaker Kara Platoni, she discusses how short-term desire is addiction, affecting not just individuals but institutions and culture. Dyson’s founded the 10-year Wellville project, now underway in five communities across the US, to tap into people’s natural resilience and build long-term desire: purpose. Esther Dyson is a Long Now Board member, founder of Wellville, and chairman of EDventure Holdings. She is an active angel investor, best-selling author, board member and advisor concentrating on emerging markets and technologies, new space and health. She sits on the boards of 23andMe and is an investor in Crohnology, Eligible API, Keas, Omada Health, Sleepio, and StartUp Health, among others. For 6 months in 02008-02009, Esther lived outside Moscow, Russia, training as a backup cosmonaut. Kara Platoni is a science reporter who has traveled around the world interviewing scientists and biohackers. She is lecturer and assistant dean for students at UC Berkeley's Graduate School of Journalism. She has spoken twice at The Interval: once about her book We Have the Technology and also as part of our Scurvy Salon event.

Sleep researcher, writer and international speaker Greg Potter, PhD is with us once again to continue our conversation about improving your sleep. In my last interview with Greg, we discussed practical steps to take when sleep eludes you, as well as preventing sleep problems in the first place. We’ve circled back around today to take a closer look at some of the most promising interventions for insomnia as well as special considerations for athletes with regard to sleep. In this interview, Greg describes Sleep Restriction Therapy and Intensive Sleep Retraining in detail, two approaches to fixing insomnia that sound counterintuitive at first but which can pay off quickly with more restful sleep. Greg talks about mindfulness and meditation, sharing tips for using these practices to reduce insomnia and overall stress. We also discuss sleep considerations specific to athletes, including sleep timing, training load, and travel. Here’s the outline of this interview with Greg Potter: [00:03:35] Documentary: Who Killed the Neanderthals? [00:04:35] Greg’s last podcast with us: What to Do When You Can’t Sleep (11/22/19); Previous podcasts: How to Entrain Your Circadian Rhythm for Perfect Sleep and Metabolic Health (7/4/18); Morning Larks and Night Owls: the Biology of Chronotypes (1/27/19); Sleep To Win: How Navy SEALs and Other High Performers Stay on Top (as interviewer, 10/25/19). [00:05:11] Greg's articles on optimising sleep: 1. Having trouble sleeping? A primer on insomnia and how to sleep better 2. Sleep-maintenance insomnia: how to sleep through the night 3. Sleep-onset insomnia: how to get to sleep fast.  [00:05:44] Sleep restriction therapy. [00:10:18] Sleepio. [00:10:42] Intensive Sleep Retraining (ISR). [00:12:18] ISR Study: ISR Study: Harris, Jodie, et al. "Intensive sleep retraining treatment for chronic primary insomnia: a preliminary investigation." Journal of sleep research 16.3 (2007): 276-284. [00:13:18] Thim smart ring device. [00:16:52] Coursera. [00:17:24] Josh Turknett, MD on Patreon for ukelele lessons. [00:18:23] Mindfulness and meditation. [00:23:26] Book: Mindfulness: An Eight-Week Plan for Finding Peace in a Frantic World, by Mark Williams and Danny Penman. [00:23:25] Book: Wherever You Go There You Are, by Jon Kabat-Zinn. [00:23:41] Insight timer. [00:23:56] Sam Harris' Waking Up app. [00:26:28] Marko Lepik; Website: EQversity. [00:27:17] Books by Russ Harris: The Happiness Trap and The Confidence Gap.  [00:27:42] Podcast: How to Think Yourself Younger, Healthier, and Faster, with Ellen Langer. [00:29:27] Try the bull’s eye (page 3) and/or the Life Compass (page 5) exercise(s) in this resource by Russ Harris. [00:29:54] Matthew Walker. [00:32:12] Sleep considerations for athletes. [00:34:33] Shifting sleep timing. [00:36:10] Phase-response curve for exercise; Study: Youngstedt, Shawn D., Jeffrey A. Elliott, and Daniel F. Kripke. "Human circadian phase–response curves for exercise." The Journal of physiology 597.8 (2019): 2253-2268.  [00:38:47] Training load. [00:39:00] Overreaching in athletes and worsened sleep; Study: Hausswirth, Christophe, et al. "Evidence of disturbed sleep and increased illness in overreached endurance athletes." Medicine and science in sports and exercise (2014). [00:40:47] Relative Energy Deficiency in Sport (REDS); podcast with Nicky Keay: How to Identify and Treat Relative Energy Deficiency in Sport (RED-S). [00:44:31] Intensity of training and its effect on circadian rhythm. [00:48:33] Obstructive sleep apnea. [00:49:42] Concussion. [00:50:34] The effect of travel on sleep. [00:51:33] Jet lag strategies: diet, light exposure, melatonin supplementation; Jet Lag Rooster.  [01:00:24] Find Greg on Instagram, Twitter and LinkedIn. [01:01:33] Greg’s recent speaking events: Greg’s recent speaking events: 2019 Health Optimization Summit (London), Biohacking Conference Moskow, Wellness & Biohacking Conference 2019 in Guadalajara, Biohacker Summit (Helsinki).

Ashley Mason, PhD., Licensed Clinical Psychologist and Assistant Professor of Psychiatry at UCSF, is back on the podcast this week. Ashley is an expert in Cognitive Behavioral Therapy for Insomnia (CBT-I), a structured program that helps people overcome the underlying causes of sleep problems. She’s passionate about her clinical work with small groups, and there’s clearly a demand for her services - her schedule is booked for the next 8 months. In this interview, Ashley shares her step-by-step formula for helping her patients fix their sleep. She describes some lesser-known strategies that help re-establish restful sleep patterns, including sleep restriction, scheduled worry time, and identifying cognitive distortions. She also talks about the pitfalls people encounter when recovering from insomnia, and how to avoid them. Please consider supporting Ashley’s work. Here’s the outline of this interview with Ashley Mason: [00:00:13] Book: Why We Sleep: Unlocking the Power of Sleep and Dreams, by Matthew Walker, PhD. [00:02:15] Dr. Kirk Parsley; Podcasts: How to Get Perfect Sleep with Dr. Kirk Parsley, MD (2016), and Sleep To Win: How Navy SEALs and Other High Performers Stay on Top. [00:03:22] Book: Quiet Your Mind and Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety or Chronic Pain, by Colleen Carney, PhD. and Rachel Manber, PhD. [00:03:35] Dick Bootzin. [00:05:03] Cognitive Behavior Therapy for Insomnia (CBT-I). [00:06:43] Treatment process. [00:09:05] 5 weekly group sessions, sleep diary. [00:12:26] Bed is for sleep and sex only. [00:17:17] Sleep restriction. [00:19:03] Cognitive tools for dealing with anxiety and worry. [00:19:32] Scheduling worry time. [00:20:15] Book: Mind Over Mood, Second Edition: Change How You Feel by Changing the Way You Think, by Dennis Greenberger, PhD., and Christine A Padesky, PhD. [00:20:32] How to worry effectively. [00:22:10] Behavioral activation. [00:23:20] Identifying disempowering thoughts. [00:24:52] Acceptance and Commitment Therapy (ACT); Russ Harris books: The Happiness Trap and The Confidence Gap. [00:25:44] Cognitive distortions and troublesome thoughts. [00:38:30] Bob Newhart’s “Stop It” video. [00:38:40] New York Times article on how to use sunglasses when traveling: Yes, Your Sleep Schedule is Making You Sick. [00:38:45] Jet Lag Rooster; Podcast: Sleep To Win: How Navy SEALs and Other High Performers Stay on Top. [00:40:00] Stimulus control. [00:48:12] Cal Newport; podcast: How to Live Well in a High Tech World. [00:50:42] Bill Lagakos on Patreon. [00:52:00] Pitfalls people encounter when recovering from insomnia. [00:54:33] Variations in Melatonin bottle contents; Study: Erland, Lauren AE, and Praveen K. Saxena. "Melatonin natural health products and supplements: presence of serotonin and significant variability of melatonin content." Journal of Clinical Sleep Medicine 13.02 (2017): 275-281. [01:00:39] Wall Street Journal Article: Is It Healthy to Sleep in a Hammock?; Study: Kompotis, Konstantinos, et al. "Rocking promotes sleep in mice through rhythmic stimulation of the vestibular system." Current Biology 29.3 (2019): 392-401. [01:02:11] Article: [The American College of Physicians] Recommends CBTI as Initial Treatment for Chronic Insomnia. [01:02:40] Dr. Josh Turknett’s 4-quadrant model (Go to minute 21:20 for a visual of the 4-quadrant model.); Podcast: How to Win at Angry Birds: The Ancestral Paradigm for a Therapeutic Revolution.  [01:06:20] Sleepio app. [01:07:41] UCSF Sea Lab. Ashley’s sleep clinic and her current research.  [01:08:16] Contact Ashley to support her work. Listen to Ashley’s previous NBT podcasts: Paleo Psychology with Ashley Mason PhD (2014) and Mindfulness and Cognitive Behavioral Strategies for Diabetes and Sleep Problems (2019).

Dr. Sophie Bostock is a Sleep Evangelist at Sleepio, whose research interests include the links between sleep, well-being, health and performance. She has been awarded an NHS Innovation Accelerator Fellowship, collaborates with colleagues at the Sleep and Circadian Neuroscience Institute at the University of Oxford, and has featured as a sleep expert for the BBC, The Times, ITV, and TEDx. Sleep is a cornerstone of mental health and well-being. Yet as the case for sleep grows, so do the temptations not to! Why do so many of us find it so hard to stick to the recommended 7+ hours of slumber? What can we do when the mind won't stop racing? This talk delves into the social, environmental, psychological and biological barriers to good sleep, and suggests strategies to optimize your sleep time, no matter how much you get. Visit http://g.co/TalksAtGoogle/SleepDeprived to watch the video.

This week, James is joined by Peter Hames, cofounder and CEO of Big Health, a healthtech company that creates digital programmes to help those with mental health conditions. Not wanting to enter into the potentially vicious cycle of taking medications to help him sleep, Peter, a psychologist by background, was inspired and motivated to start the company when he saw the market lacked any evidence-based, non-drug solutions for his insomnia. Big Health's first product is, therefore, Sleepio, which is a digital sleep improvement program delivered online or via their app. It gives users techniques from a treatment method called Cognitive Behavioural Therapy (CBT), which means that patients like Peter, who don't want to take sedative medications, can receive an alternative, proven, evidence-based therapy. James and Peter talk about Peter's background as an insomnia sufferer, his awesome founder story and how an innovative business model has led to Sleepio being available to 12 million people globally. Read Peter's Forbes interview - https://bit.ly/2Zxgnbv www.sleepio.com For more information and content, check out our website www.hs.ventures. You can follow us on Twitter @HSVenture, on Instagram @hs.ventures, on Linkedin at HS. and you can email us at info@hs.live You can get our host, Dr. James Somauroo, at www.jamessomauroo.com and you can follow him on Twitter @jamessomauroo, on Instagram @j_soms and on Linkedin at james-somauroo

Dr Jan Orman, BlackDog Institute, talks with the GoodGP on managing anxiety, depression and insomnia using eHealth resources. Dr Orman is Sydney based GP with a special interest in mental health and GP Services. **Podcast update – 6 December 2018: The SHUTi program mentioned by Dr Sean Stevens is no longer available due to a clinical study. The GoodGP recommends Sleepio as an alternative.

A new app is tied to a reduction in insomnia and depression in adults, Also today, migraines take a toll on intimate relationships, two different approaches lowered opioid use after cesarean deliveries, and the AHA warns that Chagas disease and its heart effects have come to America. Subscribe to the MDedge Daily News wherever you get your podcasts.

SHOW NOTES:Introductions and declaration of interestsDr Andrew Foster:GP Partner NottinghamDirector NCGPA – Nottingham GP FederationCreator of SignpostingHealthRCGP Vale of Trent Faculty Honorary SecretaryBlog – www.avoidingpuddles.comTwitter – @DrAWFosterDr Hussain Gandhi:GP Partner NottinghamFormer Chair RCGP Vale of Trent FacultyTreasurer GP SurvivalOwner SystmOne Facebook User GroupOwner www.eGPLearning.co.ukTwitter – @DrGandalf52NICE HEALTH APP BRIEFINGS:Sleepio WebsiteNICE Sleepio Health App BriefingGDm App WebsiteNICE GDm Health App BriefingNEWS SUMMARYGPatHand- Welcome improvement to access or cherry-picking healthy patients and destabilising General Practice?Links:http://www.pulsetoday.co.uk/home/finance-and-practice-life-news/online-gp-provider-makes-push-for-patients-to-switch-from-their-practices/20035609.articlehttp://www.pulsetoday.co.uk/your-practice/practice-topics/it/we-have-a-number-of-serious-concerns-about-the-gp-at-hand-service/20035632.articleCancelled North West London CCG trial of Babylon AI symptom CheckerLinks:http://www.pulsetoday.co.uk/your-practice/practice-topics/it/babylon-gp-appointment-app-ditched-over-fears-of-patients-manipulating-system/20035712.articlehttp://www.pulsetoday.co.uk/your-practice/practice-topics/it/babylon-gp-appointment-app-raises-fears-of-patients-gaming-system/20035712.articlehttp://avoidingpuddles.com/2017/11/30/chatbot-vs-nhs111-trial-cancelled-as-patients-game-the-system/INTERVIEW: DR ANDY FOSTER @DRAWFOSTERGP Partner with interests in general practice operating at scale and technology.Leadership and other courses often available free of charge to GPs in East Midlands can be found at East Midlands Leadership Academy: http://www.leadershipeastmidlands.nhs.ukBlog: www.avoidingpuddles.comInnovative RCGP Vale of Trent Transitions 2017 day conference incorporating speed dating, showcase website, 360 video, presentation video and “Why GP, Why Vale of Trent” promotional video.Event website –www.valeoftrent.org.ukBlog post re. Speed Job Dating –http://avoidingpuddles.com/2016/07/03/the-worlds-of-speed-dating-and-gp-recruitme

This podcast shows you how to use a technique called progressive relaxation for better sleep. It is narrated by Professor Colin Espie. The podcast was produced with Sleepio for Mental Health Awareness Week 2011.