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Journal articles on the topic 'Sleep policy'
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Wylie, C. Dennis. "Sleep, Science, and Policy Change." New England Journal of Medicine 352, no. 2 (2005): 196–97. http://dx.doi.org/10.1056/nejme048324.
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Solet, Jo M. "Translating Sleep Science Into Policy." Sleep Health 2, no. 4 (2016): 264–65. http://dx.doi.org/10.1016/j.sleh.2016.09.005.
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Merit C K, Deena, and Haridass M. "Analysis of multiple sleeps and N-policy on a M/G/1/K user request queue in 5g networks base station." Scientific Temper 14, no. 02 (2023): 375–82. http://dx.doi.org/10.58414/scientifictemper.2023.14.2.21.
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The primary purpose of green communication is to reduce energy use. The base station (BS) is a radio receiver/transmitter that acts as the wireless network’s hub. It serves as a link between a wired and wireless network. To receive and transmit messages, BS uses a lot of energy. The use of effective sleep and wake-up/setup activities with an acceptable delay helps reduce base station power consumption. In this paper, the BS’s service process is modelled as a finite buffer queue with close down, sleep, and setup. After a certain number of user requests (URs) have accumulated in the system, to awaken the BS from multiple sleeps (MS) the -Policy is implemented. To produce probability generating functions, the supplementary variable approach is applied. The UR’s mean delay and the BS’s mean power consumption are calculated using simulation. According to computational studies, multiple sleeps with -policy consume less power than multiple sleeps without -policy.
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Mitler, Merrill M., Mary A. Carskadon, Charles A. Czeisier, William C. Dement, David F. Dinges, and R. Curtis Graeber. "Catastrophes, Sleep, and Public Policy: Consensus Report." Sleep 11, no. 1 (1988): 100–109. http://dx.doi.org/10.1093/sleep/11.1.100.
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Prather, Aric A. "Waking Up to the Importance of Sleep: Opportunities for Policy Makers." Policy Insights from the Behavioral and Brain Sciences 10, no. 1 (2023): 25–32. http://dx.doi.org/10.1177/23727322221144651.
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Insufficient sleep is associated with an increased risk for a range of negative physical and mental health outcomes. Causes of insufficient sleep involve many factors, and the consequences are not evenly distributed across populations. Indeed, stark sleep disparities disadvantage racial and ethnic minorities and those low in socioeconomic status, who are more readily affected by poor sleep than their White and high socioeconomic status comparators. Sleep is situated in the context of a socioecological model that recognizes societal, community, and individual factors that shape poor sleep and drive sleep-related outcomes. Policy opportunities address each level of the presented model and addressing these barriers should promote better sleep for those affected and potentially reduce sleep disparities.
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Rao, Gautam, Susan Redline, Frank Schilbach, Heather Schofield, and Mattie Toma. "Informing sleep policy through field experiments." Science 374, no. 6567 (2021): 530–33. http://dx.doi.org/10.1126/science.abk2594.
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Wardrop, Pell Ann, Ofer Jacobowitz, Edward M. Weaver, and Jonathan R. Skirko. "Sleep Surgery Treatment Outcomes and Policy." Otolaryngology–Head and Neck Surgery 147, no. 2_suppl (2012): P35. http://dx.doi.org/10.1177/0194599812449008a90.
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Dr.A.Shaji, George. "Envisioning a Sleep-Friendly India: Tackling the Drivers and Repercussions of a National Sleep Deficit Crisis." Partners Universal Multidisciplinary Research Journal (PUMRJ) 02, no. 02 (2025): 50–58. https://doi.org/10.5281/zenodo.15067142.
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Sleep is a fundamental human need, yet many people struggle to get adequate, good quality sleep. This article examines the sleep landscape in India, where studies show a majority of adults fail to get the recommended 7-9 hours of sleep per night. It delves into the reasons behind India's sleep deficit, including frequent nighttime awakenings, irregular sleep schedules, and external disturbances. The consequences of chronic sleep loss are explored, from impaired cognitive functioning to increased risk of medical conditions like heart disease and diabetes. The article discusses why sleep remains elusive for so many, despite a booming sleep industry worth billions. It suggests shifting the focus from trying to achieve an unrealistic "ideal" amount of sleep to understanding personal sleep needs and addressing the root lifestyle factors disrupting sleep. If sleep is not approached as a high-pressure challenge but accepted as a vital need, people may worry less about sleep and, ironically, sleep better.
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Irhamni, Irhamni, Muflihatul Muniroh, Neni Susilaningsih, and Tanjung Ayu Sumekar. "The Sleep Quality Cost of Work-Related Social Restriction Policy Amidst Covid-19 Pandemic." Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) 14, no. 2 (2024): 67–75. https://doi.org/10.14710/dmj.v14i2.47701.
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Background: The COVID-19 pandemic-related social restriction policy has a spillover effect on sleep quality. Sleep quality worsened after the social restriction policy was implemented, followed by an improved sleep quality longitudinal trajectory. Previous studies have focused on the pre-pandemic and post-implementation impacts of social restrictions on sleep quality, but not after social restrictions were lifted. Objective: Evaluate the sleep quality after the ease of the COVID-19 pandemic-related social restriction policy. Methods: We recruited voluntary academic staff who lived in Indonesia, had no leave during the work from home (WFH) period, and were non-shift workers to participate in the study. We administered the Pittsburgh Sleep Quality Index (PSQI), Sleep Hygiene Index, Connor-Davidson Resilience Scale, Reduced Morning-Eveningness, and micro-Munich Chronotype Questionnaires. We additionally attempted to get the subject to recall their sleep quality one year after the pandemic. The repeated measure of sleep quality was analyzed using a linear mixed-effect model, and the determinant factors of sleep quality in the WFO period were analyzed using a linear model. Results: A total of 52 academic staff participated in this study. We found non-significant overall PSQI score increments between the two periods (β = 0.20, p-value > 0.05). In addition, we found heterogeneity in sleep quality trajectories among subjects. On the other hand, sleep hygiene, individual resilience, and marital status significantly impact sleep quality among academic staff in the WFO period. Conclusion: There was no difference in sleep quality between the two time periods. The study highlighted the significant influence of sleep hygiene, resilience, and marital status on sleep quality among academic staff during the WFO period.
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Bao, Zhongyuan. "The Impacts of Delaying School Start Time on Sleep and Academic Performance in the Adolescent Population." Lecture Notes in Education Psychology and Public Media 6, no. 1 (2023): 351–55. http://dx.doi.org/10.54254/2753-7048/6/20220362.
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Sleep has a significant impact on the physical and mental health of adolescents. However, most adolescents face sleep deprivation and a range of adverse consequences. The policy of delaying the start of school has gained the attention of many researchers in the last two decades in response to the problem of improving sleep quality and increasing the total number of hours of sleep among adolescents. This paper assesses the influences of delayed school start times on adolescent sleep and related outcomes, identifies the limitations and shortcomings of this policy implementation, and the available research data, provides a comprehensive analysis of the impacts of delayed school start times, and offers suggestions for the future direction and prospects of this policy implementation.
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Sanjay Kalra, Madhur Verma, Viny Kantroo, and Nitin Kapoor. "Sleep Stewardship." Journal of the Pakistan Medical Association 75, no. 1 (2024): 134–35. https://doi.org/10.47391/jpma.25-03.
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Sleep stewardship is a systematic effort to ensure relaxedand restorative sleep, by optimizing pre-sleep, intra-sleepand post-sleep environment and ambience, in a rationalmanner. It includes not only sleep hygiene andprevention of sleeping pill abuse, but also macro- andmeso-level interventions to improve sleep quality. Theperson living with sleep disorder, their family, members ofsociety, health care professionals, and policy makers: allhave a role to play in sleep stewardship. Sleepstewardship is necessary to improve and maintain humanhealthKeywords: Lemborexant, obstructive sleep apnea,sedatives, sleep, sleep hygiene, tranquilizers, zolpidem.
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Bainton, Josie, and Ben Hayes. "Sleep in an At Risk Adolescent Group: A Qualitative Exploration of the Perspectives, Experiences and Needs of Youth Who Have Been Excluded From Mainstream Education." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (January 2022): 004695802110624. http://dx.doi.org/10.1177/00469580211062410.
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The sleep needs, experiences and viewpoints were explored for UK adolescents who have been excluded from mainstream education. Qualitative data was gathered through interviews with 9 participants, aged 11–15 years, who also completed questionnaires. The participants had symptoms of inadequate sleep, poor sleep hygiene behaviours and were not getting the recommended amount of sleep on school nights. Participants described sleep patterns involving often staying up late and having different sleep timing on weekends than weekdays and having difficulties with their sleep. Use of technology and the relevance of family were identified as important and associated with facilitating and hindering factors for sleep. Participants communicated that they lack control over aspects of their sleep and their lives. The experiences and views of the participants can inform professionals’ understanding of how to collaborate with adolescents to improve their sleep and highlight that continued development of sleep education programmes is timely.
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Siegel-Itzkovich, J. "Israel: Government endorses back to sleep policy." BMJ 310, no. 6971 (1995): 10. http://dx.doi.org/10.1136/bmj.310.6971.10a.
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Piryani, Rano Mal, Suneel Piryani, and Milesh Jung Sijapati. "Awareness of community about sound sleep, sleep disorders and its implications: a step towards sleep health." Nepalese Respiratory Journal 1, no. 1 (2022): 43–44. http://dx.doi.org/10.3126/nrj.v1i1.45304.
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Sleep is a naturally cyclical state of the mind and body. It plays an indispensable role in sustaining the good health of an individual. Inadequate and poor-quality sleep upsets the people of all ages leading to widespread impact on the body and mind. Insufficient sleep can be due either to medical conditions or mental health disorders or sleep disorders. Worldwide, 30%-35% of adults are suffering from insomnia, and about 10% of the population fits in diagnostic criteria for sleep disorders. From 8 countries across Asia and Africa, 17% people reported trouble with their sleep. People have poor knowledge and awareness about the sleep disorders. There is scarcity of trained healthcare professionals and workers in sleep medicine in South Asia; trained and experienced health professionals need to enhance the services of sleep medicine to meet the needs of their population. Creating awareness among the public about sleep and sleep disorders is one of the step towards Sleep Health. It is recommended to the policy makers of countries of South Asia to develop National Sleep Health Policy to address the issue of Sleep Health as lack of sleep or inadequate sleep both in quantity and quality will have impacts on health of the people and consequently economy of the country.
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Kaur, Jasleen, Arlene Oetomo, Vivek Chauhan, and Plinio Morita. "1133 IoT and Sleep Health Dynamics: Evaluating Policy Impacts in the COVID-19 Era." SLEEP 47, Supplement_1 (2024): A486. http://dx.doi.org/10.1093/sleep/zsae067.01133.
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Abstract Introduction The political determination to prioritize public health can significantly influence disease outcomes. In the United States of America, the partisan divide has notably affected the enactment and adherence to public health policies, particularly during the COVID-19 pandemic. This study examines the impact of politically driven public health initiatives on sleep duration in the US population during the COVID-19 pandemic. Leveraging zero-effort technology and IoT device data, the research identifies variations in sleep patterns associated with political climates, providing the intricate relationship between politics and health outcomes during a global health crisis. Methods Data from 4,405 households in politically distinct cities within California and Texas are sourced from the ecobee ‘Donate Your Data’ (DYD) initiative. The dataset was preprocessed for clarity and consistency and stratified into two periods: pre-pandemic (March 2019 to February 2020) and during the pandemic (March 2020 to February 2021). Sleep duration is quantified using motion sensor inactivity as an indicator of rest periods. A Gaussian mixture model is used to identify the sleep cycle clusters, and inferential statistical methods are applied to evaluate the impact of public health policies on sleep duration across different political affiliations. Results A significant decrease in average sleep duration was observed post-pandemic onset, from 8.0±3.71 hours to 7.75±3.87 hours. Different sleep patterns were observed between political affiliations, with Democratic regions showing a consistent decline in sleep duration while Republican regions experienced varied changes. Conclusion This study highlights how political leanings and consequent health policies significantly impacted sleep health during the COVID-19 pandemic. The integration of IoT data and advanced analytics offers a novel approach to continuously monitor and enhance population health behaviours. The methodologies applied in this approach could inform public health strategies in future emergencies, with political leanings considered as a key factor in sleep health. The findings set a framework for future studies to explore the relationship between political climates and sleep health and to develop demographic- and politics-sensitive predictive tools for sleep health risks. This research supports more robust public health systems capable of sustaining sleep health despite political and societal shifts. Support (if any)
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Ma, Jing-Yu, Quan-Lin Li, and Li Xia. "Optimal Asynchronous Dynamic Policies in Energy-Efficient Data Centers." Systems 10, no. 2 (2022): 27. http://dx.doi.org/10.3390/systems10020027.
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In this paper, we apply a Markov decision process to find the optimal asynchronous dynamic policy of an energy-efficient data center with two server groups. Servers in Group 1 always work, while servers in Group 2 may either work or sleep, and a fast setup process occurs when the server’s states are changed from sleep to work. The servers in Group 1 are faster and cheaper than those of Group 2 so that Group 1 has a higher service priority. Putting each server in Group 2 to sleep can reduce system costs and energy consumption, but it must bear setup costs and transfer costs. For such a data center, an asynchronous dynamic policy is designed as two sub-policies: The setup policy and the sleep policy, both of which determine the switch rule between the work and sleep states for each server in Group 2. To find the optimal asynchronous dynamic policy, we apply the sensitivity-based optimization to establish a block-structured policy-based Markov process and use a block-structured policy-based Poisson equation to compute the unique solution of the performance potential by means of the RG-factorization. Based on this, we can characterize the monotonicity and optimality of the long-run average profit of the data center with respect to the asynchronous dynamic policy under different service prices. Furthermore, we prove that a bang–bang control is always optimal for this optimization problem. We hope that the methodology and results developed in this paper can shed light on the study of more general energy-efficient data centers.
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Meng, Wenjia, Tianlin Gao, Yang Zhong, and Ling Ge. "Association Between Sleep and Cognition of Older Adults in Rural Areas: A Cross-Sectional Study." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (January 2023): 004695802311718. http://dx.doi.org/10.1177/00469580231171820.
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Sleep is an essential physiological function for everyone. Limited evidence existed on the associations between multi-factor sleep patterns and cognition among older adults in rural areas. Aimed to assess that, We conducted a cross-sectional study on the living habits and cognitive status in rural areas of Qingdao and 1167 participants aged 65 to 96 years answered the questionnaire. The result showed that poor sleep quality, high sleep disturbance, daytime dysfunction, and hypnotic drug-dominated sleep patterns were related to the cognitive function, and there was no obviously associations between good sleep duration and cognition. In order to solve the sleep problems and preserve cognitive function, support and protection of physical and mental health should be the priority of government policies in helping older adults’ group in rural areas.
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Toyong, Paul Junrey A. "Sleeping Habits, Classroom Behaviour and Academic Performance of Senior High School Students." International Journal of Multidisciplinary: Applied Business and Education Research 1, no. 1 (2020): 54–63. http://dx.doi.org/10.11594/ijmaber.01.01.10.
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Being sleepy in class can have a vital impact on the academic performance of a student. Lack of sufficient and adequate sleep can be harmful and even deadly. It is a basic necessity of life and important part of learning. This study utilized descriptive and correlational design to examine 119 senior high Electrical Installation and Maintenance (EIM) students who were selected through simple random sampling. Findings revealed that 88 percent of the students were sleep deprived and they usually sleep for lessthan 6 hours only. Two of the reasons of sleeping late were using of Facebook and Messenger account and playing mobile games. The third reason was making assignments and homework. The most prevalent classroom behaviours were: students were sleepy during class discussions and they slept in class during vacant periods and the third prevalent behavior was they felt tired during classes. Sixty-one percent of the students have a general average of 75-79 which is only fairly satisfactory and 29 percent have 80-84 grade which is only satisfactory in the K-12 grading system. There was a significant negative relationship (cc= -0.420 and p=0.000) between number of hours of night sleep and sleepiness classroom behavior. This suggested that the less number of hours of night sleep is correlated to high occurrence of sleepiness classroom behavior. There was a significant positive relationship (cc=0.627 and p=0.000) between number of hours of night sleep and academic per-formance. This suggested that the high number of hours of night sleep is associated to high academic performance. On the other hand, students with less sleep had low academic performance. There was a significant negative relationship (cc= -0.544 and p=0.000) between sleepiness classroom behavior and the academic performance. This implied that high occurrence of sleepiness classroom behavior is associated to low academic performance. The implications may serve as basis for policy makers, school administrators and teachers to educate students including the parents on the proper use of mobile phones and other gadgets. The parents need to set sleeping time or lights-off rules and regulate the use of mobile phones. Sleeping time or routine shall be imposed. School administrators and teachers need to craft a well-planned and well-designed policy on giving assignments and homework to attain high scholastic achievement.
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Dirani, Maya, Wassim Nasreddine, Jawad Melhem, Maher Arabi, and Ahmad Beydoun. "Efficacy of the Sequential Administration of Melatonin, Hydroxyzine, and Chloral Hydrate for Recording Sleep EEGs in Children." Clinical EEG and Neuroscience 48, no. 1 (2016): 41–47. http://dx.doi.org/10.1177/1550059415621830.
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Sedation of children for electroencephalography (EEG) recordings is often required. Chloral hydrate (CH) requires medical clearance and continuous monitoring. To try to reduce personnel and time resources associated with CH administration, a new sedation policy was formulated. This study included all children who underwent an EEG during a consecutive 3-month period following the implementation of the new sedation policy, which consists of the sequential administration of melatonin, hydroxyzine (if needed), and CH (if needed). The comparator group included all children with a recorded EEG during a consecutive 3-month period when the sedation policy consisted of the sole administration of CH. A total of 803 children with a mean age of 7.9 years (SD = 5.1, range = 0.5-17.7 years) were included. Sleep EEG recordings were obtained in 364 of 385 children (94.6%) using the old sedation policy and in 409 of 418 children (97.9%) using the new one. With the new sedation policy, the percentage of children requiring CH dropped from 37.1% to 6.7% ( P < .001). Time to sleep onset and duration of sleep were not significantly different between the 2 policies. The new sedation policy was very well tolerated. The new sedation policy is very safe, is highly efficacious in obtaining sleep EEG recordings, and will result in substantial saving of time and personnel resources.
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Niekamp, Paul. "Economic conditions and sleep." Health Economics 28, no. 3 (2018): 437–42. http://dx.doi.org/10.1002/hec.3849.
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Akhtar, Nasreen, and Hrudananda Mallick. "Recommendations for a National Sleep Policy in India." National Medical Journal of India 32, no. 1 (2019): 59. http://dx.doi.org/10.4103/0970-258x.272131.
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Giuntella, Osea, Jakub Lonsky, Fabrizio Mazzonna, and Luca Stella. "Immigration policy and immigrants’ sleep. Evidence from DACA." Journal of Economic Behavior & Organization 182 (February 2021): 1–12. http://dx.doi.org/10.1016/j.jebo.2020.11.037.
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Baddock, S., A. Campbell, R. Love, and S. Paine. "P092 Māori Sleep Health across the Lifespan: A scoping review of the literature." Sleep Advances 5, Supplement_1 (2024): A61. https://doi.org/10.1093/sleepadvances/zpae070.174.
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Abstract Introduction In Aotearoa New Zealand, Māori experience poorer health outcomes than non-Māori and these inequities extend into sleep health. Our aim was to summarise the peer reviewed literature on Māori sleep health to understand the equity gaps to inform policy and future research. Methods A broad systematic search of widely used literature databases was conducted using the keywords: “sleep”, “insomnia” “sleep initiation and maintenance disorders” combined with “Māori”; “New Zealand” or “Oceanic Ancestry Group”. Studies providing information on Māori sleep health were reviewed for Māori versus non-Māori results. Sleep outcomes were tabulated against Buysee’s five sleep health dimensions along with variables such as socioeconomic deprivation. Sleep data summaries were presented for each life stage. Results Eighty seven articles published between 1982 and 2021 met the inclusion criteria. Data collection measures were mostly self or parental-report utilising rating scales or validated questionnaires. Inequities in sleep health between Māori and non-Māori were identified across all life stages. Adult studies demonstrated inequities over all five sleep health dimensions of sleep duration, efficiency, timing, alertness, and sleep quality. Socio-economic deprivation and unemployment were associated with poorer sleep health outcomes. Conclusion Evidence from Aotearoa New Zealand clearly shows that Māori children and adults experience significant inequities in sleep health over all sleep health dimensions with strong links to socioeconomic deprivation. We conclude that a public health policy for sleep that prioritises Māori and targets long-term, sustainable achievement of sleep health equity goals is required. Future sleep health research should involve Māori at all stages.
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Owens, Heather. "Sleep—an Essential Component of Obesity Screening and Counseling: A Policy Analysis of the Affordable Care Act." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 56 (January 2019): 004695801984200. http://dx.doi.org/10.1177/0046958019842001.
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The Patient Protection and Affordable Care Act (PPACA) has provided access to health care for millions of people in the United States. One of the most beneficial aspects of the PPACA is the obesity screening and counseling provision. Currently, it is estimated that over 39% of US adults are obese. Research has linked sleep disturbances to obesity and obesity-related behaviors. The purpose of this article is to advocate for evidence-based care through the inclusion of sleep disturbance screening and management under the PPACA obesity screening and counseling provision. An in-depth policy analysis of the PPACA was conducted to examine the feasibility of adding sleep screenings to the obesity screening and counseling provision available under current law. Findings suggest that the adoption of this policy would require stakeholder advocacy and educational reform. Implementation of the policy would require additional economic investments, but the long-term savings could be significant. A campaign to raise awareness regarding the association between sleep disturbance and obesity among the public and health care professionals would be essential. Policy implementation would require interprofessional collaboration when performing sleep disordered screening and management. Preventative health care for individuals who have not previously accessed the health care system has the potential to socially and economically benefit society if policies provide for evidence-based care. Sleep screening and counseling is essential under the PPACA to adequately address the US obesity crisis.
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Johnson, Karin G., and Beth A. Malow. "Implications of Sleep Health Policy: Daylight Saving and School Start Times." CONTINUUM: Lifelong Learning in Neurology 29, no. 4 (2023): 1253–66. http://dx.doi.org/10.1212/con.0000000000001331.
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ABSTRACT Two proposed public policies, ending seasonal clock change with a transition to permanent Standard Time and moving middle school and high school start times later, are population-based initiatives to improve sleep health. Daylight Saving Time and early school start times are associated with reduced sleep duration and increased circadian misalignment, the effects of which impact not only long-term health outcomes including obesity, cerebrovascular and cardiovascular disease, and cancer, but also mental health, academics, workforce productivity, and safety outcomes. This article highlights studies that led to the endorsement of these public policies by multiple scientific and medical organizations. Neurologists should advocate at the state and federal levels and educate the population about the importance of sleep health.
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Taylor, Kayla, Catherine Campos, Daniella Estevez, et al. "0881 The Clinical and Policy Impact of Increasing Awareness about Sleep and CVD Health through Public health Programs for Women." SLEEP 46, Supplement_1 (2023): A388. http://dx.doi.org/10.1093/sleep/zsad077.0881.
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Abstract Introduction Sleep is important for cardiometabolic health (CVH) and cardiovascular disease (CVD) prevention, especially for women. Relative to men, women have less awareness of CVD risk factors. Particularly, minority women have disproportionately higher prevalence of short sleep and CVD risk awareness. The primary objective of this review is to investigate the clinical, public health, and policy implications of three major public health programs: the Go Red for Women campaign, the Heart Centers for Women initiative, and the HEART for Women Act, on increasing CVD and sleep health awareness among women in the United States. The secondary objective is to create public health action plan to increase awareness of sleep health and CVD risk. The third objective is to describe barriers and facilitators of implementing the public health action plan for minority women. Methods To assess the impact of these interventions, a systematic review was conducted. Studies that directly examined the impact of the 3 CVD awareness programs on the prevalence of CVD in the U.S. Next, studies that evaluated the level of awareness of CVD risk factors and sleep were identified. The current literature was synthesized and described qualitatively to elucidate individual, provider, community and policy knowledge gaps in CVD and sleep health programs for women. Results Prevalence of CVD deaths among women decreased from 459,000/ year in 2004 to 339,500/year in 2015. Majority of these interventions include diet, exercise, and smoking cessation and exclude sleep and. Of the three programs, the Go Red for Women campaign proved to have the greatest public health and policy impact. From the results of systematic review, we created a public health action plan to increase awareness of sleep health and CVD risk. Third, we found patient, provider, and policy barriers and facilitators of implementing the public health action plan for minority women. Conclusion Public health action plans that focus on sleep health should be culturally sensitive to all women and accessible to those that live in both rural and urban areas addressing the importance of sufficient sleep and its benefits to CVH. Support (if any) K01HL135452, K07AG052685, R01AG072644, R01HL152453, R01MD007716, R01HL142066, R01AG067523, R01AG056031, and R01AG075007
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Cannon, Laura, Dina Ali, Sara E. Parli, Craig Martin, and Aaron M. Cook. "Sleep quality during an overnight on-call program." American Journal of Health-System Pharmacy 77, no. 13 (2020): 1060–65. http://dx.doi.org/10.1093/ajhp/zxaa113.
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Abstract Purpose Many institutions deploy pharmacy residents to expand clinical pharmacy services, often in the form of overnight, in-house on-call programs. There is little published evidence regarding pharmacy resident sleep and sleepiness after a night of overnight, in-house on-call activity. A prospective observational cohort study was conducted to determine the relationship between overnight, in-house on-call programs and pharmacy resident sleep and sleep quality. Methods The cohort study included both postgraduate year 1 and postgraduate year 2 pharmacy residents. Each resident participated in 10 to 15 overnight on-call shifts. Sleep and sleep quality were assessed using devices worn on residents’ wrists on the nights prior to, during, and after on-call shifts. Resident sleepiness was assessed via the Epworth Sleepiness Scale (ESS) during specified baseline and postcall periods. Univariate and multivariate analysis were used to assess the relationship between measurements of sleep, sleep quality, and sleepiness. Results We enrolled a total of 23 residents in the study and recorded data on 269 on-call shifts. Frequently (42.6% of shifts) residents had no time to sleep during overnight on-call shifts. Among those who did have sleep time, the mean sleep time during an overnight, in-house on-call shift was 1.22 (SD, 1.56) hours. Additionally, ESS scores indicated a 2.4-fold increase in sleepiness on the morning after vs the morning before on-call shifts. Conclusion Residents often did not sleep while on call. Sleep periods overnight were short and of poor quality. Predictably, residents reported increased sleepiness after an overnight on-call shift. Residents received an average of approximately 10 clinical consultation calls per overnight shift.
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May, Anna, Lu Wang, and Mendel Singer. "453 Cost-Effectiveness of Requalifying for Positive Airway Pressure Treatment After Initial Nonadherence." Sleep 44, Supplement_2 (2021): A179. http://dx.doi.org/10.1093/sleep/zsab072.452.
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Abstract Introduction Obstructive sleep apnea (OSA) is effectively treated with continuous positive airway pressure (CPAP). However, many people are not able to become adherent in the initial 90-day trial window for this therapy. Medicare requires a polysomnography and repeat trial documenting adherence before continuing payment for these services. Oral appliance therapy (OAT) is also an OSA first-line therapy but is less effective than CPAP. Methods We created a decision tree to model 4 strategies over a 5-year time horizon: (1) current policy, (2) direct referral for CPAP equipment, (3) OAT followed by CPAP under current policy, and (4) OAT followed by direct CPAP referral in a the Medicare population with mild-moderate OSA and nonadherence to a first attempt at CPAP therapy. Medicare fee schedules in 2020 defined costs. Incremental cost-effectiveness (ICER) was used to identify the supreme strategy Results The current policy was the most expensive. Both the current policy and direct DME referral were dominated by starting with OAT. OAT followed by titration was the most cost-effective strategy with an ICER of $42,586.47. The ICER was sensitive to adherence in the direct CPAP strategy and probability of getting CPAP equipment (vs. lost to follow-up). Conclusion Starting with OAT therapy in those that were CPAP nonadherent on first attempt is cost-effective. Despite decreased effectiveness, the increase adherence to OAT make it an attractive option for retrial of OSA therapy. If OAT therapy fails, the current policy is more cost-effective than direct CPAP referral. Support (if any) This study was supported Career Development Award IK2CX001882 from the United States (U.S.) Department of Veterans Affairs Clinical Sciences Research and Development Service. The contents of this work do not represent the views of the Department of Veterans Affairs or the United States government.
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Kendall–tackett, Kathleen, Zhen Cong, and Thomas W. Hale. "Mother–Infant Sleep Locations and Nighttime Feeding Behavior: U.S. Data from the Survey of Mothers’ Sleep and Fatigue." Clinical Lactation 1, no. 1 (2010): 27–31. http://dx.doi.org/10.1891/215805310807011837.
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The controversy around mother–infant bedsharing continues to grow. In order to make sound policy recommendations, policy makers need current data on where infants sleep and how families handle nighttime feedings. The present study is a survey of 4,789 mothers of infants 0–12 months of age in the U.S. The findings indicate that almost 60% of mothers bedshare and that this occurs throughout the first year. These findings also indicate that 25% of mothers are falling asleep with their infants in dangerous sleep locations, such as chairs, sofas or recliners. Recommendations for promoting safe infant sleep are made.
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Alexopoulou, Christina, Maria Fountoulaki, Antigone Papavasileiou, and Eumorfia Kondili. "Sleep Habits, Academic Performance and Health Behaviors of Adolescents in Southern Greece." Healthcare 12, no. 7 (2024): 775. http://dx.doi.org/10.3390/healthcare12070775.
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Adolescents often experience insufficient sleep and have unhealthy sleep habits. Our aim was to investigate the sleep patterns of secondary education students in Heraklion, Crete, Greece and their association with school performance and health habits. We conducted a community-based cross-sectional study with 831 students aged 13–19 years who completed an online self-reported questionnaire related to sleep and health habits. The data are mostly numerical or categorical, and an analysis was performed using t-tests, chi-square tests and multiple logistic regression. During weekdays, the students slept for an average of 7 ± 1.1 h, which is significantly lower than the 7.8 ± 1.5 h average on weekends (p < 0.001). Nearly 79% reported difficulty waking up and having insufficient sleep time, while 73.8% felt sleepy at school at least once a week. Having sufficient sleep time ≥ 8 h) was positively correlated with better academic performance (OR: 1.48, CI: 1.06–2.07, p = 0.022) and frequent physical exercise (never/rarely: 13.5%, sometimes: 21.2%, often: 65.3%; p = 0.002). Conversely, there was a negative correlation between adequate sleep and both smoking (OR: 0.29, CI: 0.13–0.63) and alcohol consumption (OR: 0.51, CI: 0.36–0.71, p = 0.001). In conclusion, this study shows that students in Heraklion, Crete frequently experience sleep deprivation, which is associated with compromised academic performance, reduced physical activity and an increased likelihood of engaging in unhealthy behaviors like smoking and alcohol consumption.
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Yu, Junjie, Yang Liu, Liping Liao, Jie Yan, and Hong Wang. "Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (January 2023): 004695802311532. http://dx.doi.org/10.1177/00469580231153272.
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Adolescents are prone to multiple health risk behaviors. These might lead to insufficient sleep, which is inconducive to adolescent growth. Therefore, this study explored the impact of a cluster of adolescent health risk behaviors on sleep time, providing a reference for designing relevant intervention measures. From November to December 2019, a stratified cluster sampling method was used to sample middle and high schools in 4 functional districts of Chongqing, China. A total of 8546 participants were selected for a questionnaire survey. Two-step clustering helped identify the health risk behavior clusters. Multivariate logistic regression models helped examine the association between the different clusters and sleep time. The rate of insufficient sleep was 65.8%. Three types of clusters were identified, namely (1) high-risk (poor) cluster (17.3%), (2) low physical activity (medium) cluster (55.1%), and (3) low-risk (good) cluster (27.6%). The high-risk and low physical activity clusters showed that the adjusted OR values of 1.471 (1.266-1.710) and 1.174 (1.052-1.310) were significantly associated with insufficient sleep ( P < .001). Adolescent health risk behaviors were clustered, and different clusters had different sleep time. Schools authorities and healthcare practitioners should formulate effective intervention measures according to the characteristics of different clusters to promote healthy growth among adolescents.
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Weaver, M. D., J. P. Sullivan, C. S. O’Brien, et al. "1045 Effects of Policy Prohibiting Extended Shifts on Patient and Resident Physician Safety." Sleep 41, suppl_1 (2018): A389. http://dx.doi.org/10.1093/sleep/zsy061.1044.
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Morris, Simon, Rhodri Jones, Paramesh Mankunda Puttasiddaiah, Michael Eales, and Heikki Whittet. "Rationalising requests for preoperative sleep studies and postoperative HDU beds: a quality improvement project in paediatric ENT patients undergoing elective surgery." BMJ Open Quality 10, no. 4 (2021): e001378. http://dx.doi.org/10.1136/bmjoq-2021-001378.
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BackgroundSleep disordered breathing represents a spectrum of upper airway obstruction including snoring, increased respiratory effort and obstructive sleep apnoea. An increasing demand for paediatric preoperative sleep studies and postoperative high dependency unit (HDU) beds was having a significant impact on service delivery at this ear, nose and throat (ENT) unit.MethodsRetrospective and prospective review of all paediatric sleep study requests over a 30-month period in a single tertiary ENT department. Data were collected on indication for and result of sleep study, patient outcome, operative details and HDU bed occupancy. During the study period, a ‘Sleep Study’ proforma was introduced which incorporated the ‘I’m Sleepy Score’ (ISS) and ENT-UK national guidelines.ResultsRetrospective review included 198 sleep studies, of which 62% (n=118) showed no evidence of obstructive sleep apnoea (OSA). There was little consistency in patients’ sleep study results and need for monitoring on HDU following adenotonsillectomy. Prospective review following intervention included 60 patients, of which 62% (n=37) showed evidence of OSA. The mean ISS in this cohort was 4.7. Only those with moderate-to-severe OSA or with relevant risk factors underwent overnight HDU observation. The number of sleep study requests fell by >50%; from 11 per month to 5 per month. The total HDU bed occupancy was reduced by 50% following intervention (from n=18 to n=9).ConclusionThe use of the ISS and incorporation of ENTUK’s recommendations has reduced the number of negative sleep studies being requested and has rationalised the number of paediatric HDU bed requests being made. This has helped provide a prudent elective paediatric ENT service in this unit with corresponding cost benefits.
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Heitmann, Rachel. "0051 Engaging hospitals to reduce sleep-related infant deaths: tennessee hospital safe sleep policy project." Injury Prevention 21, Suppl 1 (2015): A29.1—A29. http://dx.doi.org/10.1136/injuryprev-2015-041602.72.
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Kirkendoll, Kenya D., and Karen Heaton. "A Policy Analysis of Mandatory Obstructive Sleep Apnea Screening in the Trucking Industry." Workplace Health & Safety 66, no. 7 (2018): 348–55. http://dx.doi.org/10.1177/2165079918759117.
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Obstructive sleep apnea (OSA) is a chronic condition characterized by occlusion of the upper airway during sleep resulting in daytime sleepiness. Drivers with OSA are at a two- to sevenfold increase in risk of motor vehicle crashes (MVCs). Approximately, 13% to 28% of commercial motor vehicle drivers (CMVDs) are thought to have OSA. Obstructive sleep apnea is a significant issue in the transportation industry. Currently, The Federal Motor Carrier Safety Association (FMCSA) does not mandate OSA screening. Federal regulations only specify that CMVDs be free of “respiratory dysfunction” that would impair driving. Untreated OSA is a public safety concern. The purpose of this article is to use Bardach’s eightfold policy analysis approach to examine policy options related to OSA screening in the trucking industry.
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Galić, Marko, Leon Sić, and Ana Slišković. "“I Constantly Feel Worn Out”: Mixed-methodology Approach to Seafarers’ Sleep on Board." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (January 2023): 004695802311597. http://dx.doi.org/10.1177/00469580231159746.
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Although seafaring is one of the most important professions for trade in goods in the 21st century, the results of recent research indicate that seafarers face various sources of stress in their work, including high workload and long working hours. These stressors can be reflected in low job satisfaction and poor mental health, which can result in sleep problems, and consequently lead to various somatic symptoms. The main goal of this mixed method research was, therefore, to expand knowledge about seafarers’ sleep on board, whereby a sequential explanatory design was used. Study 1 (N = 286 male seafarers from Croatia) examined whether the number of sleep hours on board has a mediating role in explaining the relationship between job satisfaction and mental health as predictors of somatic symptoms. The results of the path analysis showed that higher job satisfaction directly and indirectly through longer sleep on board reduces the number of somatic symptoms, while better mental health directly contributes to fewer somatic symptoms. Study 2 (N = 205 seafarers from Croatia) aimed to get a deeper insight into the sleep of seafarers on board, whereby 39% (N = 80) of the participants had difficulties related to sleep problems on board. The thematic analysis of their answers (N = 76) showed the sleeping difficulties experienced by seafarers on board and gave an insight into the consequences of sleeping difficulties and the coping strategies they use. The results of this research indicate the importance of developing healthy work environments for seafarers.
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Ørntoft, Marie, Ida G. Andersen, and Preben Homøe. "Agreement between manual and automatic analyses of home sleep examinations in pediatric obstructive sleep apnea." Journal of Comparative Effectiveness Research 8, no. 8 (2019): 623–31. http://dx.doi.org/10.2217/cer-2018-0093.
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Telford, Onala, Clarissa J. Diamantidis, Hayden B. Bosworth, et al. "The relationship between Pittsburgh Sleep Quality Index subscales and diabetes control." Chronic Illness 15, no. 3 (2018): 210–19. http://dx.doi.org/10.1177/1742395318759587.
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Objectives Data suggest that poor sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI) contributes to suboptimal diabetes control. How the subscales comprising the PSQI individually relate to diabetes control is poorly understood. Methods In order to explore how PSQI subscales relate to diabetes control, we analyzed baseline data from a trial of a telemedicine intervention for diabetes. We used multivariable modeling to examine: (1) the relationship between the global PSQI and hemoglobin A1c (HbA1c); (2) the relationships between the 7 PSQI subscales and HbA1c; and (3) medication nonadherence as a possible mediating factor. Results Global PSQI was not associated with HbA1c ( n = 279). Only one PSQI subscale, sleep disturbances, was associated with HbA1c after covariate adjustment; HbA1c increased by 0.4 points for each additional sleep disturbances subscale point (95%CI 0.1 to 0.8). Although the sleep disturbances subscale was associated with medication nonadherence (OR 2.04, 95%CI 1.27 to 3.30), a mediation analysis indicated nonadherence does not mediate the sleep disturbances-HbA1c relationship. Discussion The sleep disturbances subscale may drive the previously observed relationship between PSQI and HbA1c. The mechanism for the relationship between sleep disturbances and HbA1c remains unclear, as does the impact on HbA1c of addressing sleep disturbances.
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Hale, Lauren, Wendy Troxel, and Daniel J. Buysse. "Sleep Health: An Opportunity for Public Health to Address Health Equity." Annual Review of Public Health 41, no. 1 (2020): 81–99. http://dx.doi.org/10.1146/annurev-publhealth-040119-094412.
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The concept of sleep health provides a positive holistic framing of multiple sleep characteristics, including sleep duration, continuity, timing, alertness, and satisfaction. Sleep health promotion is an underrecognized public health opportunity with implications for a wide range of critical health outcomes, including cardiovascular disease, obesity, mental health, and neurodegenerative disease. Using a socioecological framework, we describe interacting domains of individual, social, and contextual influences on sleep health. To the extent that these determinants of sleep health are modifiable, sleep and public health researchers may benefit from taking a multilevel approach for addressing disparities in sleep health. For example, in addition to providing individual-level sleep behavioral recommendations, health promotion interventions need to occur at multiple contextual levels (e.g., family, schools, workplaces, media, and policy). Because sleep health, a key indicator of overall health, is unevenly distributed across the population, we consider improving sleep health a necessary step toward achieving health equity.
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Beresford, Bryony, Catriona McDaid, Adwoa Parker, et al. "Pharmacological and non-pharmacological interventions for non-respiratory sleep disturbance in children with neurodisabilities: a systematic review." Health Technology Assessment 22, no. 60 (2018): 1–296. http://dx.doi.org/10.3310/hta22600.
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BackgroundThere is uncertainty about the most appropriate ways to manage non-respiratory sleep disturbances in children with neurodisabilities (NDs).ObjectiveTo assess the clinical effectiveness and safety of NHS-relevant pharmacological and non-pharmacological interventions to manage sleep disturbance in children and young people with NDs, who have non-respiratory sleep disturbance.Data sourcesSixteen databases, including The Cochrane Central Register of Controlled Trials, EMBASE and MEDLINE, were searched up to February 2017, and grey literature searches and hand-searches were conducted.Review methodsFor pharmacological interventions, only randomised controlled trials (RCTs) were included. For non-pharmacological interventions, RCTs, non-randomised controlled studies and before-and-after studies were included. Data were extracted and quality assessed by two researchers. Meta-analysis and narrative synthesis were undertaken. Data on parents’ and children’s experiences of receiving a sleep disturbance intervention were collated into themes and reported narratively.ResultsThirty-nine studies were included. Sample sizes ranged from 5 to 244 participants. Thirteen RCTs evaluated oral melatonin. Twenty-six studies (12 RCTs and 14 before-and-after studies) evaluated non-pharmacological interventions, including comprehensive parent-directed tailored (n = 9) and non-tailored (n = 8) interventions, non-comprehensive parent-directed interventions (n = 2) and other non-pharmacological interventions (n = 7). All but one study were reported as having a high or unclear risk of bias, and studies were generally poorly reported. There was a statistically significant increase in diary-reported total sleep time (TST), which was the most commonly reported outcome for melatonin compared with placebo [pooled mean difference 29.6 minutes, 95% confidence interval (CI) 6.9 to 52.4 minutes;p = 0.01]; however, statistical heterogeneity was extremely high (97%). For the single melatonin study that was rated as having a low risk of bias, the mean increase in TST was 13.2 minutes and the lower CI included the possibility of reduced sleep time (95% CI –13.3 to 39.7 minutes). There was mixed evidence about the clinical effectiveness of the non-pharmacological interventions. Sixteen studies included interventions that investigated the feasibility, acceptability and/or parent or clinician views of sleep disturbance interventions. The majority of these studies reported the ‘family experience’ of non-pharmacological interventions.LimitationsPlanned subgroup analysis was possible in only a small number of melatonin trials.ConclusionsThere is some evidence of benefit for melatonin compared with placebo, but the degree of benefit is uncertain. There are various types of non-pharmacological interventions for managing sleep disturbance; however, clinical and methodological heterogeneity, few RCTs, a lack of standardised outcome measures and risk of bias means that it is not possible to draw conclusions with regard to their effectiveness. Future work should include the development of a core outcome, further evaluation of the clinical effectiveness and cost-effectiveness of pharmacological and non-pharmacological interventions and research exploring the prevention of, and methods for identifying, sleep disturbance. Research mapping current practices and exploring families’ understanding of sleep disturbance and their experiences of obtaining help may facilitate service provision development.Study registrationThis study is registered as PROSPERO CRD42016034067.FundingThe National Institute for Health Research Health Technology Assessment programme.
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Seehagen, Sabine. "Infant Sleep as a Cornerstone for Cognitive Development." Policy Insights from the Behavioral and Brain Sciences 9, no. 1 (2022): 104–10. http://dx.doi.org/10.1177/23727322211068006.
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During infancy, humans typically spend most of their time asleep. It is intuitively plausible that this state is important for development and well-being. But there has been a surprising dearth of knowledge regarding the causal role of sleep for specific cognitive processes during this period. Recent experimental evidence has revealed a causal role of sleep for early memory processes. By supporting the consolidation and further processing of recently acquired memories, sleep shapes emerging knowledge networks. In addition, infants’ sleep patterns likely shape their learning environment by influencing caregiver sleep and behavior. Based on recent research, recommendations for policy and practice include (a) allowing individualized sleep schedules in child care settings, (b) providing easily accessible information on sleep and sleep promotion to caregivers, (c) integrating findings from sleep research in the training of early childhood educators, and (d) providing flexible parental leave arrangements that promote sufficient sleep in infants and caregivers.
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Holguín-Veras, José, Kaan Ozbay, Robert Baker, David Sackey, Angel Medina, and Sajjad Hussain. "Toward a Comprehensive Policy of Nighttime Construction Work." Transportation Research Record: Journal of the Transportation Research Board 1861, no. 1 (2003): 117–24. http://dx.doi.org/10.3141/1861-12.
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A first approximation toward a comprehensive policy of nighttime construction work based on the explicit consideration of the following three main aspects is presented: ( a) the travel time savings produced by nighttime construction work, ( b) the impact that nighttime work has on worker’s human factors (e.g., sleep deprivation and disruption of family and social lives), and ( c) the impact that pay differentials for nighttime workers would have on project costs. Other aspects such as quality of work and inspection were not studied because of project constraints. The travel time and economic savings of nighttime work were estimated by means of traffic simulations for a typical case. The human factor analyses relied on field surveys and interviews with workers. This research found ample evidence that indicates that nighttime work produces ( a) negative impacts on the workers’ sleep patterns, body rhythms, and social and family lives and ( b) significant economic savings in terms of travel time to motorists. A set of policy recommendations is discussed and analyzed.
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Troxel, Wendy, Ann Haas, Bonnie Ghosh-Dastidar, et al. "0373 Sustained Impacts of Neighborhood Investment on Sleep Health in Black Americans: Results from a Natural Experiment." SLEEP 48, Supplement_1 (2025): A162—A163. https://doi.org/10.1093/sleep/zsaf090.0373.
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Abstract Introduction Neighborhood disinvestment is a downstream impact of structural racism, especially afflicting minoritized communities. Thus, neighborhood reinvestment may serve as a policy-level intervention to mitigate sleep and other health disparities. This study builds on previous work by leveraging a natural experimental design to evaluate the 5-year effects of neighborhood investments on residents’ sleep. Methods Data are from the PHRESH Zzz study, a natural experiment conducted in two low-income, predominantly Black, urban neighborhoods, with a randomly selected cohort (n=567; mean age=54.8; 77.6% female). Sleep duration, wakefulness after sleep onset (WASO) and sleep efficiency were assessed via actigraphy and sleep quality via survey in 2013, 2016, and 2018. All publicly funded neighborhood investments between 2013 to 2016 were recorded and geocoded to calculate the distance from each respondent’s residence to the investment. The primary exposure variable was residents’ proximity to neighborhood investments (&lt; 0.1 of a mile). Results The overall pattern of results showed worsening sleep over time, regardless of exposure to investments. However, over the 5-year period, those who lived physically close to investments (&lt; 0.1 mile) experienced significantly smaller decreases in sleep efficiency and smaller increases in WASO, relative to those who lived farther away. Conclusion Previously we found that living near a neighborhood investment improved sleep outcomes over a short-term period of 3 years. Current results indicate that improvements were partially sustained over 5 years. Findings have implications for policy initiatives targeting upstream, structural determinants of sleep health disparities. Support (if any) National Institute on Aging (Grant No. R01AG072652), National Heart Lung Blood Institute (Grant No. R01 HL122460), and the National Cancer Institute (Grant No. R01CA164137).
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Tsegay, Yitbarek, Nurhusen R. Arefayne, Demeke Y. Fentie, Misganaw M. Workie, Biresaw A. Tegegne, and Yophtahe W. Berhe. "Assessment of sleep quality and its factors among clinicians working in critical care units and operation theaters at North West Ethiopia, 2022: a multicenter cross-sectional study." Annals of Medicine & Surgery 85, no. 8 (2023): 3870–79. http://dx.doi.org/10.1097/ms9.0000000000001071.
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Background: The quality of sleep has an effect on the health of clinicians and the quality of patient care. Maintaining cognitive function/mood, facilitation of glucose metabolism, and strengthening of the immune system are among the roles that adequate sleep may contribute. Poor sleep quality is multifactorial, and studies had shown inconsistencies in the factors that contribute to the development of this poor sleep quality. The prevalence of poor sleep quality among clinicians working in the critical care unit and operation theater in the study setting was not investigated yet. Objective: The objective of this study was conducted for the purpose of assessing the quality of sleep and associated factors among clinicians working in the critical care unit and operation theater. Methods: A cross-sectional study was conducted from 15 May to 15 June 2022. Data were collected using a self-administered questionnaire from 421 clinicians selected by simple random sampling techniques. Sleep quality was measured by the Pittsburg sleep quality index. The data were entered into Epi-data and exported to SPSS. Frequency and percentage were used for the descriptive analysis. Binary and multivariate logistic regression analysis were used to identify factors associated with poor quality of sleep. The strength of the association was measured with an OR within the 95% CI and P-value of <0.05. Result: About half 220 (52.3%) of the study participants age between 25 and 30 year old and the majority 321 (76.2%) of them were males. The prevalence of poor sleeps quality was 81.5% (95% CI: 77.9–85.5). Working night shift (AOR: 3.37, 95% CI: 1.754–6.484), having depressive symptoms (AOR: 3.25, 95% CI: 1.485–7.147) and having no regular exercises (AOR: 0.299, 95% CI: 0.166–0.537) were predisposing factors for poor sleep quality. Conclusion and Recommendation: The prevalence of poor sleep quality among clinicians working in the ICU and operation room was high. Clinicians who had no regular exercise, who worked in night shift, and who had depressive symptoms were associated with poor quality of sleep. Clinicians should have an awareness on the symptoms of depression, implement sleep hygiene education programs and promoting regular exercise. The authors recommend healthcare policy makers for improving working schedules.
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Durkin, Adelaide Caroci, and Andrew John Richards. "Sleep quality and the intention to modify sleep behaviors among night-shift nurses." Nursing 54, no. 3 (2024): 54–58. http://dx.doi.org/10.1097/01.nurse.0001006268.77409.dc.
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Purpose: To explore the relationship between sleep quality and intent to change sleep behaviors among night-shift nurses. Methods: Full-time night-shift nurses in a hospital setting completed a cross-sectional online survey including demographics, Snoring, Tiredness during daytime, Observed apnea, and High Blood Pressure (STOP) Questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Intention to Change Behavior Scale (ICBS). The relationship between PSQI and ICBS scores was tested using Spearman's rho correlation coefficient. Results: Most participants reported poor sleep and did not engage in health behaviors that promote good sleep. There was a weak, positive relationship between PSQI and ICBS scores. Those who reported poor sleep quality indicated a high intent to improve sleep. Conclusion: These findings support the need for night-shift nurses to prioritize enhancing their sleep quality by advocating for policy and practice improvements. The findings also highlight the importance of support from nurse leaders, educators, and researchers to raise awareness and implement holistic strategies for better sleep health.
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Kinnunen, Kirsi M., Penny Rapaport, Lucy Webster, et al. "A manual-based intervention for carers of people with dementia and sleep disturbances: an acceptability and feasibility RCT." Health Technology Assessment 22, no. 71 (2018): 1–408. http://dx.doi.org/10.3310/hta22710.
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Background It has been estimated that between 25% and 40% of people living with dementia suffer from sleep disturbances, and there are currently no known effective treatments. Sleep disturbances may be the direct result of dementia or due to other comorbidities, such as pain and limited mobility. If carers’ sleep is also disturbed, carers too can become tired and stressed, and this sometimes results in the breakdown of care in the home. Objectives To design an evidence-based manualised non-pharmacological therapy for sleep disturbances and test it for feasibility and acceptability. Design A single-blind, randomised, parallel-group feasibility trial, with participants randomised 2 : 1 to intervention or treatment as usual (TAU). Setting Five memory services in two London NHS trusts and Join Dementia Research (JDR). Participants The study recruited people with dementia and sleep disturbances (who scored ≥ 4 on at least one question on the Sleep Disorders Inventory) and their primary family carers. Intervention All participants were given an Actiwatch (CamNtech Ltd, Cambridge, UK) to wear to record their sleep patterns for 2 weeks before randomisation. The intervention group received Dementia RElAted Manual for Sleep; STrAtegies for RelaTives (DREAMS START). This was designed as a six-session, manual-based intervention for carers of people with dementia, delivered by trained and clinically supervised psychology graduates, based on evidence about managing sleep disturbance in people with dementia. It uses the structure of a previous manual-based treatment, STrAtegies for RelaTives (START). Family carers were consulted about structure, content and design. Sessions were interactive, and each involved techniques, tasks to practise between sessions, relaxation and a recapitulation on the previous session. The sessions covered understanding sleep and dementia, making a plan (incorporating information from Actiwatch read-outs and a light box to increase light), daytime activity and routine, difficult night-time behaviours, taking care of your own (carer’s) sleep and using the strategies in the future. Carers kept their own manual, light box and relaxation recordings post intervention. Randomisation and blinding A statistician created an electronic randomisation list, stratified by site, using random permuted blocks. Those assessing the outcome were blinded to allocation; participants were not blinded. Main outcome measures Outcomes were assessed at 3 months. (1) Feasibility, defined as the percentage of eligible people who consented to the study recruitment, with an expected value of 50% [95% confidence interval (CI) 41% to 59%]. (2) Acceptability, defined as the percentage of intervention group participants attending ≥ 4 intervention sessions, with an expected value of 75% (95% CI 59% to 87%). The predetermined criterion for progression to the main trial was acceptability of ≥ 70%. Results Of 95 eligible patients referred, 63 (66%, 95% CI 56% to 76%) consented between 4 August 2016 and 24 March 2017: 61 from memory clinics and two from JDR. Of these, 62 participants (65%, 95% CI 55% to 75%) were randomised: 42 to the intervention arm and 20 to the TAU arm. Thirty-seven out of 42 participants (88%, 95% CI 75% to 96%) adhered to the intervention. Conclusions The results show that the randomised controlled trial is feasible and that the intervention is acceptable. A higher than expected proportion of eligible patients referred consented to the study and adhered to the intervention. Limitations Participants were not blinded and were recruited only in London. Future work The results of this trial indicate that a future efficacy trial is warranted. Trial registration Current Controlled Trials ISCTRN36983298. Funding This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 22, No. 71. See the NIHR Journals Library website for further project information. Funding was also provided by Camden and Islington NHS Foundation Trust and Barnet, Enfield and Haringey Mental Health NHS Trust to pay for excess treatment costs from therapist training and supervision and intervention delivery.
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Pretorius, Kelly, Sookja Kang, and Eunju Choi. "Photos Shared on Facebook in the Context of Safe Sleep Recommendations: Content Analysis of Images." JMIR Pediatrics and Parenting 7 (April 23, 2024): e54610-e54610. http://dx.doi.org/10.2196/54610.
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Abstract Background Sudden unexpected infant death (SUID) remains a leading cause of infant mortality; therefore, understanding parental practices of infant sleep at home is essential. Since social media analyses yield invaluable patient perspectives, understanding sleep practices in the context of safe sleep recommendations via a Facebook mothers’ group is instrumental for policy makers, health care providers, and researchers. Objective This study aimed to identify photos shared by mothers discussing SUID and safe sleep online and assess their consistency with infant sleep guidelines per the American Academy of Pediatrics (AAP). We hypothesized the photos would not be consistent with guidelines based on prior research and increasing rates of accidental suffocation and strangulation in bed. Methods Data were extracted from a Facebook mothers’ group in May 2019. After trialing various search terms, searching for the term “SIDS” on the selected Facebook group resulted in the most relevant discussions on SUID and safe sleep. The resulting data, including 20 posts and 912 comments among 512 mothers, were extracted and underwent qualitative descriptive content analysis. In completing the extraction and subsequent analysis, 24 shared personal photos were identified among the discussions. Of the photos, 14 pertained to the infant sleep environment. Photos of the infant sleep environment were then assessed for consistency with safe sleep guidelines per the AAP standards by 2 separate reviewers. Results Of the shared photos relating to the infant sleep environment, 86% (12/14) were not consistent with AAP safe sleep guidelines. Specific inconsistencies included prone sleeping, foreign objects in the sleeping environment, and use of infant sleeping devices. Use of infant monitoring devices was also identified. Conclusions This study is unique because the photos originated from the home setting, were in the context of SUID and safe sleep, and were obtained without researcher interference. Despite study limitations, the commonality of prone sleeping, foreign objects, and the use of both infant sleep and monitoring devices (ie, overall inconsistency regarding AAP safe sleep guidelines) sets the stage for future investigation regarding parental barriers to practicing safe infant sleep and has implications for policy makers, clinicians, and researchers.
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Salihu, Nurudeen Oganija, and Habibat Bolanle Abdulkareem. "UNDERSTANDING SLEEP PROCRASTINATION: THEORETICAL APPROACHES AND IMPLICATIONS FOR ADOLESCENT WELL-BEING AND COUNSELLING PERSPECTIVE." JOMSIGN: Journal of Multicultural Studies in Guidance and Counseling 9, no. 1 (2025): 49–68. https://doi.org/10.17509/jomsign.v9i1.80145.
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Sleep procrastination—the voluntary delay of sleep despite foreseeable negative consequences—has become increasingly prevalent among adolescents, especially in the digital era. This paper explores the concept, causes, and consequences of sleep procrastination among Nigerian adolescents. Drawing upon current literature and research, the study highlights how environmental, psychological, biological, and technological factors contribute to this behaviour. Sleep procrastination is linked to poor academic performance, emotional instability, reduced cognitive functioning, and overall health deterioration. The paper also discusses both bedtime and while-in-bed procrastination, emphasizing how adolescents sacrifice sleep for leisure, often due to poor self-regulation, stress, and excessive media consumption. Ultimately, the study underscores the urgent need for targeted interventions involving families, schools, and policy-makers to promote healthy sleep habits. Recommendations are provided to help mitigate the negative effects of sleep procrastination and support adolescent development.
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Azmi, Rizky Nur, Deasy Nur Chairin Hanifa, Nur Sholeh Ariyodi Fernando, and Maulina Rahmawati Putri. "DESCRIPTION OF THE QUALITY OF PHARMACY STUDENT SLEEP IN THE PANDEMIC PERIOD OF CORONA VIRUS DISEASE (COVID-19)." Jurnal Ilmu Kesehatan 9, no. 1 (2021): 72–80. http://dx.doi.org/10.30650/jik.v9i1.1649.
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Sleep is one of the basic human needs that important to support health. The existence of problems in the sleep phase can be the cause of various medical and psychological conditions. The existence of policy to online learning in Covid-19 pandemic can be one of the factors that can affect the quality of student sleep. This research aims to describe of the sleep quality description of pharmacy students during the pandemic. This research is use the Pittsburgh Sleep Quality Index (PSQI) questionnaire to assessment sleep quality of pharmacy student at the Universitas Muhammadiyah Kalimantan Timur from July to August 2020 and It was obtained as 140 respondents. The PSQI has seven components related to sleep habits including sleep duration, sleep disturbance, sleep latency time, sleep efficiency habits, daytime dysfunction, use of sleeping pills, and overall sleep quality. This research shown that 84.3% respondents is female sex. 42.1% of respondents needed more than 30 minutes to fall asleep. 81% of pharmacy students were classified in the poor sleepers group based on the PSQI scoring results. This shows that most pharmacy students had poor sleep quality during the Covid-19 pandemic.
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Marquis, Patrick. "Sleep Disturbance." PharmacoEconomics 10, Supplement 1 (1996): 25–28. http://dx.doi.org/10.2165/00019053-199600101-00005.
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