Sleep Is Not Getting the Attention It Deserves”

A Qualitative Study of Patient and Provider Views on Sleep Management in the Veterans Health Administration

Datos Bibliográficos

ID9104026
AutoresAllison E Gaffey (0000-0002-2960-2772, VA Connecticut Healthcare System, West Haven, CT, autor de correspondencia), Kristin Mattocks (0000-0002-6012-3008, VA Central Western Massachusetts Healthcare System), Kristin M Mattocks (VA Central Western Massachusetts, Leeds, MA), H Klar Yaggi (0000-0002-9888-2480, Yale University, autor de correspondencia), Valerie Marteeny (0009-0009-1656-9414, VA Central Western Massachusetts, Leeds, MA), Lorrie Walker (0000-0003-4696-9805, VA Central Western Massachusetts, Leeds, MA), Cynthia A Brandt (VA Connecticut Healthcare System, West Haven, CT), Cynthia Brandt (0000-0001-8179-1796, Yale Cancer Center, autor de correspondencia), Sally G Haskell (0000-0002-2888-2637, VA Connecticut Healthcare System, West Haven, CT, autor de correspondencia), Lori A Bastian (0000-0003-2874-6405, VA Connecticut Healthcare System, West Haven, CT, autor de correspondencia), Matthew M Burg (0000-0002-1263-2385, VA Connecticut Healthcare System, West Haven, CT, autor de correspondencia)
Año2025
Volumen63
Número7
Páginas472-478
Fecha de publicación2025-07-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000002152
PMID40307672
OpenAlexW4410009916
IdiomaEN
Referencias citadas38

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

Sleep (system call) · Computer Science · Medicine · Obstructive Sleep Apnea Research · Psychology · Sleep and related disorders · Sleep and Work-Related Fatigue