Prevalence of Obstructive Sleep Apnea Among Veterans and Nonveterans DOI
Lizabeth A. Goldstein, Paul A. Bernhard, Claire A. Hoffmire

et al.

American Journal of Health Promotion, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 13, 2024

Purpose Understanding disease prevalence can inform treatment and resource needs across populations. This study aimed to identify the of sleep apnea (OSA) among veterans nonveterans. Design The national Comparative Health Assessment Interview Study, cross-sectional survey using probability-based sampling frames. Setting Surveys completed by Internet or phone. Subjects 15,166 (40% response rate) 4,654 nonveterans (57% rate). Measures Self-report healthcare provider-based diagnosis OSA. Analysis Calculation OSA statistical weighting allow for direct comparison between Secondary analyses evaluated deployment status compared average age differences in stratified gender, marital status, race/ethnicity, posttraumatic stress disorder diagnosis. Results was more than twice as prevalent (21%, 95% CI 20%-22%) (9%, 8%-10%; aOR: 2.56, 2.22-2.95, P < .001). Deployment associated with higher odds (aOR: 1.64, 1.43-18.7, 001.) Veterans were diagnosed on 5 years earlier Conclusion have a high rate OSA, highlighting importance veterans’ access treatment. is likely underdiagnosed nonveterans, particularly racial/ethnic minoritized groups. Future research should investigate disparities diagnostic testing minority and/or risk factors veterans. increased those PTSD highlights early referral providers well development trauma-informed strategies promote adherence. Limitations include bias toward underestimation true due self-report

Language: Английский

Telemedicine versus face-to-face delivery of cognitive behavioral therapy for insomnia: a randomized controlled noninferiority trial DOI Open Access
J. Todd Arnedt, Deirdre A. Conroy,

Ann Mooney

et al.

SLEEP, Journal Year: 2020, Volume and Issue: 44(1)

Published: July 13, 2020

Abstract Study Objectives In a randomized controlled noninferiority trial, we compared face-to-face and telemedicine delivery (via the AASM SleepTM platform) of cognitive-behavioral therapy (CBT) for insomnia improving insomnia/sleep daytime functioning at posttreatment 3-month follow-up. A secondary objective modalities on treatment credibility, satisfaction, therapeutic alliance. Methods total 65 adults with chronic (46 women, 47.2 ± 16.3 years age) were to 6 sessions CBT delivered individually via (n = 33, CBT-TM) or 32, CBT-F2F). Participants completed sleep diaries, Insomnia Severity Index (ISI), measures pretreatment, posttreatment, Treatment alliance between modalities. The ISI was primary outcome. Results Based margin four points and, after adjusting confounders, CBT-TM noninferior CBT-F2F (β 0.54, SE 1.10, 95% CI 1.64 2.72) follow-up 0.34, 1.83 2.53). Daytime measures, except physical composite scale SF-12, significantly improved follow-up, no difference formats. were, average, nearly 10 min shorter, yet participant ratings similar CBT-F2F. Conclusions Telemedicine is not inferior severity yields improvements other outcomes. Further, allows more efficient while compromising Clinical Trial Registration Number NCT03293745

Language: Английский

Citations

90
“Sleep is Not Getting the Attention It Deserves” DOI
Allison E. Gaffey, Kristin Mattocks, H. Klar Yaggi

et al.

Medical Care, Journal Year: 2025, Volume and Issue: unknown

Published: April 30, 2025

Unique characteristics and service exposures of the post-9/11 cohort U.S. Veterans can influence their sleep health associated comorbidities. The objectives this study were to learn about men women Veterans' "front line" VA providers' knowledge experiences with Health Administration (VA) management. One sample included who received care (n=23; 60% women; Mage: 45 y). To complement those views, primary mental providers recruited from medical centers (n=27). Semistructured qualitative interviews conducted using Microsoft Teams. Questions pertained knowledge, practices, perceived barriers sleep-related care. Interview data synthesized content analysis inductive coding characterize major themes. Four main themes emerged: (1) Sleep is viewed as foundational but often have limited related more routine education needed. (2) Men distinct management needs. Relative men, are likely advocate for assessment behavioral versus pharmacological treatment. (3) practices vary considerably between clinics providers. (4) each experience unique Post-9/11 view critical. Yet, needs be uniform. Providers motivated assess require standardized low-burden opportunities incorporate into practice, perhaps screening. Ultimately, specialized required meet responsibility health.

Language: Английский

Citations

1
The impact of the COVID-19 pandemic on sleep medicine practices DOI Creative Commons
Karin G. Johnson,

Shannon Sullivan,

Afua Nti

et al.

Journal of Clinical Sleep Medicine, Journal Year: 2020, Volume and Issue: 17(1), P. 79 - 87

Published: Sept. 23, 2020

The COVID-19 pandemic required sleep centers to consider and implement infection control strategies mitigate viral transmission patients staff. Our aim was assess measures taken by due the plans surrounding reinstatement of services.We distributed an anonymous online survey health care providers in medicine on April 29, 2020. From responders, we identified a subset unique region demographic variables.We obtained 379 individual responses, which represented 297 centers. A total 93.6% reported stopping all or nearly testing at least one type, without significant differences between adult pediatric labs, geographic region, population density. By contrast, greater proportion respondents continued home apnea services. 60.3% reduced volume 90%, compared 90.4% that in-laboratory 90%. Respondents acknowledged they implemented wide variety mitigation strategies. While no virtual visits be ≥ 25% clinical prior pandemic, more than half (51.9%) anticipated maintaining after pandemic.Among surveyed centers, vast majority near-cessation studies, while smaller reductions tests. large increase use telemedicine reported, with expecting telehealth endure future.

Language: Английский

Citations

60
Prevalence and management of sleep disorders in the Veterans Health Administration DOI
Robert L. Folmer, Connor Smith,

Eilis Boudreau

et al.

Sleep Medicine Reviews, Journal Year: 2020, Volume and Issue: 54, P. 101358 - 101358

Published: July 20, 2020

Language: Английский

Citations

59
A Pilot Randomized Controlled Trial of the Insomnia Coach Mobile App to Assess Its Feasibility, Acceptability, and Potential Efficacy DOI
Eric Kuhn, Katherine E. Miller,

Deloras Puran

et al.

Behavior Therapy, Journal Year: 2021, Volume and Issue: 53(3), P. 440 - 457

Published: Nov. 19, 2021

Language: Английский

Citations

45
Veterans Health Administration TeleSleep Enterprise-Wide Initiative 2017–2020: bringing sleep care to our nation’s veterans DOI

Victor S. Chun,

Mary A. Whooley, Katherine Williams

et al.

Journal of Clinical Sleep Medicine, Journal Year: 2023, Volume and Issue: 19(5), P. 913 - 923

Published: Jan. 30, 2023

The Veterans Health Administration cares for many veterans with sleep disorders who live in rural areas. Administration's Office of Rural funded the TeleSleep Enterprise-Wide Initiative (EWI) to improve access care through creation national telehealth networks.

Language: Английский

Citations

15
Sleep and circadian informatics data harmonization: a workshop report from the Sleep Research Society and Sleep Research Network DOI Open Access
Diego R. Mazzotti, Melissa Haendel, Julie A. McMurry

et al.

SLEEP, Journal Year: 2022, Volume and Issue: 45(6)

Published: Jan. 14, 2022

Abstract The increasing availability and complexity of sleep circadian data are equally exciting challenging. field is in constant technological development, generating better high-resolution physiological molecular than ever before. Yet, the promise large-scale studies leveraging millions patients limited by suboptimal approaches for sharing interoperability. As a result, integration valuable clinical basic resources problematic, preventing knowledge discovery rapid translation findings into care. To understand current landscape domains, Sleep Research Society (SRS) Network (now task force SRS) organized workshop on informatics harmonization, presented at World Congress 2019, Vancouver, Canada. Experts translational gathered with research experts to discuss opportunities challenges defining strategies harmonization. goal this was fuel discussion foster innovative development infrastructure supporting multi-site collaboration. Key recommendations included collecting storing findable, accessible, interoperable, reusable data; identifying existing international cohorts biology; most relevant elements associated metadata that could be supported early initiatives. This report introduces foundational concepts facilitating engagement between sleep/circadian communities call action implementation adoption harmonization domain.

Language: Английский

Citations

20
Telemedicine and insomnia: a comprehensive systematic review and meta-analysis DOI
Amir Sharafkhaneh, Nader Salari, Sepideh Khazaie

et al.

Sleep Medicine, Journal Year: 2022, Volume and Issue: 90, P. 117 - 130

Published: Jan. 25, 2022

Language: Английский

Citations

18
Travel Burden as a Measure of Healthcare Access and the Impact of Telehealth within the Veterans Health Administration DOI Creative Commons
Zachary Hahn,

John R. Hotchkiss,

Charles W. Atwood

et al.

Journal of General Internal Medicine, Journal Year: 2023, Volume and Issue: 38(S3), P. 805 - 813

Published: June 20, 2023

Abstract Background Travel is a major barrier to healthcare access for Veteran Affairs (VA) patients, and disproportionately affects rural Veterans (approximately one quarter of Veterans). The CHOICE/MISSION acts’ intent increase timeliness care decrease travel, although not clearly demonstrated. impact on outcomes remains unclear. Increased community increases VA costs fragmentation. Retaining within the high priority, reduction travel burdens will help achieve this goal. Sleep medicine presented as use case quantify related barriers. Objective Observed Excess Distances are proposed two measures access, allowing quantification delivery burden. A telehealth initiative that reduced burden presented. Design Retrospective, observational, utilizing administrative data. Subjects patients with sleep between 2017 2021. In-person encounters: Office visits polysomnograms; virtual home apnea tests (HSAT). Main Measures distance: distance Veteran’s treating facility. difference where received nearest facility offering service interest. Avoided in-person equivalent service. Key Results encounters peaked 2018 2019, have down trended since, while increased. During 5-year period, traveled an excess 14.1 million miles, 10.9 miles were avoided due encounters, 48.4 HSAT devices. Conclusions often experience substantial when seeking medical care. distances valuable barrier. These allow assessment novel approaches improve identify specific regions may benefit from additional resources.

Language: Английский

Citations

10
Longitudinal trends of sleep services for veterans with and without serious mental illness in VA electronic health records DOI Creative Commons
Kelsey A. Bonfils, Julia Longenecker,

Yeon‐Jung Seo

et al.

Journal of Affective Disorders, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0