The Management of Insomnia by Tunisian General Practitioners

2017 ◽  
Vol 41 (S1) ◽  
pp. S289-S289
Author(s):  
K. Yaich ◽  
M. Maalej Bouali ◽  
N. Charfi ◽  
W. Sellami ◽  
Z. Nasr ◽  
...  
Keyword(s):  
General Practitioners ◽  
Sleep Hygiene ◽  
Continuous Medical Education ◽  
Sleep Diary ◽  
Quality Of Sleep ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hygiene Measures ◽  
Competing Interest

IntroductionSleep disorders are common in clinical practice. However, they are relatively poorly understood by doctors. The aim of our study was to describe the management of insomnia by general practitioners (GPs).MethodsA cross-sectional survey was carried out during the month of Mai 2016. Among the 193 GPs randomly selected from different areas of Sfax, in Tunisia, 127 completed a questionnaire about the management of insomnia.ResultsAmong our participants, 46.5% stated that they often discuss the quality of sleep with their patients even when it is not their chief complaint. Forty-three percent reported that they are often consulted by insomniac patients. Twelve percent of GPs declared they know the “sleep diary”. Homeopathic treatment was the most prescribed first line medication (45.3%). Sleep hygiene measures were commonly recommended by 82.7% of the GPs. Relaxation therapy was known by 46.7% of the GPs and used by 26.7%. Sleep-restriction therapy was known and used by respectively 15.8% and 9.2% of participants. Discussing the quality of sleep with patients was correlated to: the frequency of solicitation for insomnia (P = 0.00), the knowledge of sleep diary (P = 0.031), and the recommendation of sleep hygiene measures (P = 0.032).ConclusionContinuous medical education, especially concerning non-pharmacological treatment measures, could drastically improve the management of insomnia by Tunisian GPs.Disclosure of interestThe authors have not supplied their declaration of competing interest.

What do Tunisian General Practitioners Know About Insomnia?

2017 ◽  
Vol 41 (S1) ◽  
pp. S289-S289
Author(s):  
K. Yaich ◽  
M. Maalej Bouali ◽  
N. Charfi ◽  
W. Sellami ◽  
N. Zouari ◽  
...  
Keyword(s):  
Medical Education ◽  
General Practitioners ◽  
Demographic Data ◽  
Continuous Medical Education ◽  
Economic Consequences ◽  
Theoretical Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Competing Interest ◽  
Individual Training

IntroductionInsomnia is the most prevalent sleep disorders and affects 10% of adults worldwide. It has major social and economic consequences. The aim of our study was to evaluate the knowledge of Tunisian general practitioners (GPs) about insomnia.MethodsA cross-sectional survey was carried out during the month of May 2016. Among the 193 GPs randomly selected from different areas of Sfax, in Tunisia, 127 participated to the study. The latter filled a questionnaire including items related to socio-demographic data and clinical features of insomnia.ResultsAmong our participants, 58.3% (n = 74) were men and 41.7% (n = 53) women. The average age was 47.91 ± 10.1 years. They have been working for 17.36 ± 10.7 years on average. Seventy-six of GPs had an individual training and a training by attending conferences or by continuous medical education. Most participants (80.3%) thought that they had some lacuna in the management of insomnia. Specific recommendations for the management and treatment of insomnia were known by 7.2% of the GPs. As for theoretical knowledge about insomnia, 74.8% of participants (n = 95) had a high score of correct answers. The latter was correlated to age (P = 0.013) and to the male gender (P = 0.008). However, it was neither correlated to the seniority of the GPs (P = 0.051) nor to the knowledge of specific recommendations for the management of insomnia (P = 0.11).ConclusionOur results showed that the GPs had a rather good theoretical knowledge about insomnia. Yet, an improvement of the continuous medical education and a better knowledge of specific recommendations for the management of insomnia are needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A double-blind randomised controlled study of a brief intervention of bedtime restriction for adult patients with primary insomnia

2013 ◽  
Vol 5 (1) ◽  
pp. 5 ◽  
Author(s):  
Antonio Fernando III ◽  
Bruce Arroll ◽  
Karen Falloon
Keyword(s):  
Brief Intervention ◽  
Intervention Group ◽  
Sleep Hygiene ◽  
Primary Insomnia ◽  
Sleep Diary ◽  
Controlled Study ◽  
Control Group ◽  
Number Needed To Treat ◽  
Quality Of Sleep

INTRODUCTION: Bedtime restriction is effective for volunteer patients with primary insomnia. AIM: To determine the effectiveness of bedtime restriction in adult volunteers with primary insomnia. METHODS: Patients were recruited in response to articles in local newspapers. The study hypothesis was not given in the articles. Patients were assessed as to whether or not they had primary insomnia. They completed a two-week sleep diary after which they met the investigators and were randomised to either bedtime restriction and basic sleep hygiene or the control group with basic sleep hygiene only. A total of 224 potential participants applied to be in the study. Of the 52 who had primary insomnia, 45 were randomly allocated to either control or intervention group and only two did not complete the study. Randomisation was concealed and participants were blinded regarding the treatment. The primary outcome was also measured in a blinded fashion. RESULTS: The outcome evaluated was patient description of ‘better’ or ‘much better’ quality of sleep versus the ‘same’, ‘worse’ or ‘much worse’ quality of sleep at six weeks. Overall, 73% (16/22) of those in the intervention group were either having better or much better quality of sleep after treatment, while in the control group this was 35% (8/23). The number needed to treat was 3 [95% CI 2–11] for bedtime restriction and sleep hygiene versus sleep hygiene alone. DISCUSSION: This is the first study using bedtime restriction designed to be feasible in primary care by using a brief intervention and a patient-oriented outcome. KEYWORDS: Insomnia; primary health care; randomized controlled trial

scholarly journals Effects of COVID-19 Lockdown on Physical Activity and Dietary Behaviors in Kuwait: A Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2252
Author(s):  
Ahmad Salman ◽  
Kennedy Ouma Sigodo ◽  
Fatima Al-Ghadban ◽  
Badreya Al-Lahou ◽  
Maha Alnashmi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Vegetable Consumption ◽  
Negative Impact ◽  
Dietary Behaviors ◽  
Quality Of Sleep ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sugary Drinks ◽  
The Impact

The Coronavirus disease (COVID-19) pandemic has brought about drastic measures that have significantly altered the norms of daily living. These measures have affected human behaviors in disparate ways. This study seeks to understand the impact of the pandemic on physical activity and dietary behavior among adults living in Kuwait. A cross-sectional survey was conducted between 18 June and 15 July 2020, using a questionnaire disseminated through social media, including WhatsApp and Facebook. The target population was individuals aged 21 years or older living in the State of Kuwait. The study included 679 respondents; 57.9% were females, and 67.7% were Kuwaiti nationals. Both genders reported an increased consumption of vegetables, fruits, and carbohydrates, and a decreased consumption of fish and sugary drinks. Compared to males, females reported eating more during the outbreak than their pre-pandemic eating behaviors (32.3% vs. 35.9%, p < 0.05). Approximately one-third of respondents (33.1%) reported performing less than 30 min of physical activity or exercise in a week, and 36.4% of respondents rated their quality of sleep as ‘poor’ or ‘very poor’. The rate of smoking cigarettes among males was significantly higher than in females (40.6% vs. 5.3%, p < 0.001). Physical activity was positively correlated with vegetable consumption and quality of sleep. Quality of sleep was negatively correlated with the consumption of sweets and snacks, just as the consumption of vegetables was negatively correlated with the consumption of sugary drinks. The overall negative impact of the COVID-19 pandemic in Kuwait necessitates the development of health promotion interventions to support positive physical activity and dietary behaviors using alternative coping strategies among the residents of Kuwait.

scholarly journals Quality of Sleep and Its Correlates among Yemeni Medical Students: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Bothaina Ahmed Attal ◽  
Mohammed Bezdan ◽  
Abdulwahab Abdulqader
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Sleep Quality ◽  
Poor Sleep ◽  
Quality Of Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Mean

Background. Sleep disturbance is particularly common among medical students worldwide and affects their wellbeing and academic performance. However, little is known about this issue in Yemen. This study looks at sleep quality and its association with personal and life-style factors and self-reported academic performance among medical students at the largest Yemeni university. Methods. A cross-sectional survey was conducted at Sana’a University, Yemen, in 2017. The Pittsburgh Sleep Quality Index (PSQI), consisting of 19 items and 7 components ( score   range = 0 ‐ 3 ), was used to assess sleep quality. The summation of the components’ scores yields the global PSQI score ( range = 0 ‐ 21 ). A global PSQI value higher than 5 indicates poor quality of sleep. Logistic regression was applied to look at relationships. Results. 240 male (41%) and female (59%) medical students took part in the study with 54% being preclinical and 46% clinical with an average age of 23.3 years ( SD = 1.7 ). The mean global score (SD) was 6.85 (2.8), and 68% of the students ( N = 163 ) were identified as poor sleepers. The mean global PSQI score (SD) and proportion of poor sleepers were higher among males (7.7 (2.8) and 81%, respectively) than females (6.27 (2.42) and 59.2%, respectively), p ≤ 0.001 . Good sleep quality was more likely (OR (95% CI)) among females (3.4 (1.3-8.8)), the unmarried (2.8 (1-7.8)), those in good health (2.3 (1.1-4.5)), and nonkhat chewers (4.9 (1.4-17.1)). Nonsmokers were less likely to have good quality sleep compared to occasional smokers (0.185 (0.071-.485)). Stress (30%) and academic workload (21%) were the most commonly reported causes of poor sleep quality. Almost two-thirds of the students (65%) mentioned that disturbed sleep undermined their academic performance. Conclusions. Poor sleep quality is common among Sana’a medical students and impacts their academic performance. Specific stress management and sleep hygiene promoting programs should be incorporated early on in medical education.

scholarly journals Integrating Quality of Life in the Care Pathway of Cancer Patients Undergoing Immunotherapy Treatment: Descriptive, Cross-sectional Survey of an Online Patient Community's Experiences and Expectations

10.2196/25792 ◽  
2022 ◽  
Vol 24 (1) ◽  
pp. e25792
Author(s):  
Ophélie Wilczynski ◽  
Anthony Boisbouvier ◽  
Lise Radoszycki ◽  
François-Emery Cotté ◽  
Anne-Françoise Gaudin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Practitioners ◽  
Health Care Professionals ◽  
Checkpoint Inhibitors ◽  
Care Pathway ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cancer Management

Background New cancer treatments, such as immune checkpoint inhibitors (ICIs), can improve survival and health-related quality of life (HRQoL) in patients with cancer. Although long-term monitoring of HRQoL has been shown to improve survival, integration of HRQoL into everyday practice remains poorly documented. Objective This study describes experiences and expectations of patients treated with ICIs regarding a discussion of HRQoL with health care professionals (HCPs) in cancer management. Methods This cross-sectional study was conducted in an online patient community (Carenity) in France. Patients treated with ICIs for cancer, included between September 2018 and January 2019, completed a questionnaire to assess the involvement of HCP in a discussion of HRQoL and when and what was discussed. Results Of 82 patients included (mean age: 56.9 years, 95% CI 54.2-59.6; 46 [56%] male; 34 [41%] with lung cancer), 62 (76%) reported discussing HRQoL at least once with HCPs, mainly general practitioners (54/82, 66%), oncologists (53/82, 65%), and hospital nurses (50/82, 61%). Around half (45/82, 55%) of the patients were satisfied with these discussions. Discussions with the oncologist were at the patient’s initiative (34/53, 64%). Discussions occurred primarily during follow-up visits (40/62, 65%), when adverse events occurred (30/62, 48%), and at treatment initiation (27/62, 32%). The most discussed dimensions were symptoms (48/62, 77%) and physical well-being (43/62, 69%). With respect to expectations, 54/82 (66%) patients considered oncologists as the most important HCPs for discussing HRQoL. These discussions were desirable throughout the care pathway, particularly at diagnosis (63/82, 77%) and when treatment was initiated (75/82, 92%) or changed (68/82, 83%). All HRQoL dimensions were considered important to discuss. Conclusions With only around half of the patients satisfied with HRQoL discussions, impactful HRQoL integration in clinical practice is critical. According to patients, this integration should involve mainly oncologists and general practitioners, should happen at every step of the care pathway, and should be extended to dimensions that are currently rarely addressed.

scholarly journals Magnitude and correlates of sleep quality among undergraduate medical students in Ethiopia: cross –sectional study

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Tirusew Wondie ◽  
Alemayehu Molla ◽  
Haregewoin Mulat ◽  
Woynabeba Damene ◽  
Mengistu Bekele ◽  
...  
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
Sleep Hygiene ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Quality Of Sleep ◽  
Undergraduate Medical Students ◽  
Poor Sleep Quality ◽  
Cross Sectional

Abstract Purpose Poor quality of sleep has a negative effect on academic performance of medical students. Quantity and quality of sleep in addition to average sleep time are strongly linked with students’ learning abilities, poor academic performance and poor interpersonal relationship which predispose them to mental illnesses. This study is aimed to assess magnitude and correlates of sleep quality among medical students in Ethiopia. Method An institutional based cross-sectional study was conducted among 576 undergraduate medical students. Data was collected by using interviewer administered structured questionnaires. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. The collected data were entered in to Epi-data version 3.1and analyzed using SPSS version 20. Logistic regression was used to identify the potential determinants of quality of sleep among undergraduate medical students. P-values less than 0.05 were considered statistically significant and strength of the association was presented by adjusted odds ratio with 95% C.I. Result The prevalence of poor sleep quality among undergraduate medical students was 62% (95%CI, 57.9, 65.3). The mean age (±SD) of the respondents was 21.5(±2.4), with age ranging from 18 to 28 and about 310 (53.8%) were males. Factors like, being depressed (AOR = 1.92,95%CI 1.16,3.19), poor social support (AOR = 5.39,95%CI 2.33,2.49), being stressed (AOR = 2.04,95%CI 1.26,3.31), and poor sleep hygiene (AOR = 3.01,95%CI 1.75,5.18) were associated with poor sleep quality at p-value < 0.05. Findings also showed that, one unit increase in grade point average was associated with 81.5% decrease (AOR = 0.185, 95%CI 0.13, 0.28) in poor sleep quality. Conclusion A substantial proportion of medical students are affected by poor sleep quality. Routine screening of sleep quality, sleep hygiene, depression and stress is warranted. Moreover, it is better to educating medical students about proper sleep hygiene and the consequences of poor sleep.

scholarly journals Integrating Quality of Life in the Care Pathway of Cancer Patients Undergoing Immunotherapy Treatment: Descriptive, Cross-sectional Survey of an Online Patient Community's Experiences and Expectations (Preprint)

2020 ◽  
Author(s):  
Ophélie Wilczynski ◽  
Anthony Boisbouvier ◽  
Lise Radoszycki ◽  
François-Emery Cotté ◽  
Anne-Françoise Gaudin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Practitioners ◽  
Health Care Professionals ◽  
Checkpoint Inhibitors ◽  
Care Pathway ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cancer Management

BACKGROUND New cancer treatments, such as immune checkpoint inhibitors (ICIs), can improve survival and health-related quality of life (HRQoL) in patients with cancer. Although long-term monitoring of HRQoL has been shown to improve survival, integration of HRQoL into everyday practice remains poorly documented. OBJECTIVE This study describes experiences and expectations of patients treated with ICIs regarding a discussion of HRQoL with health care professionals (HCPs) in cancer management. METHODS This cross-sectional study was conducted in an online patient community (Carenity) in France. Patients treated with ICIs for cancer, included between September 2018 and January 2019, completed a questionnaire to assess the involvement of HCP in a discussion of HRQoL and when and what was discussed. RESULTS Of 82 patients included (mean age: 56.9 years, 95% CI 54.2-59.6; 46 [56%] male; 34 [41%] with lung cancer), 62 (76%) reported discussing HRQoL at least once with HCPs, mainly general practitioners (54/82, 66%), oncologists (53/82, 65%), and hospital nurses (50/82, 61%). Around half (45/82, 55%) of the patients were satisfied with these discussions. Discussions with the oncologist were at the patient’s initiative (34/53, 64%). Discussions occurred primarily during follow-up visits (40/62, 65%), when adverse events occurred (30/62, 48%), and at treatment initiation (27/62, 32%). The most discussed dimensions were symptoms (48/62, 77%) and physical well-being (43/62, 69%). With respect to expectations, 54/82 (66%) patients considered oncologists as the most important HCPs for discussing HRQoL. These discussions were desirable throughout the care pathway, particularly at diagnosis (63/82, 77%) and when treatment was initiated (75/82, 92%) or changed (68/82, 83%). All HRQoL dimensions were considered important to discuss. CONCLUSIONS With only around half of the patients satisfied with HRQoL discussions, impactful HRQoL integration in clinical practice is critical. According to patients, this integration should involve mainly oncologists and general practitioners, should happen at every step of the care pathway, and should be extended to dimensions that are currently rarely addressed.

scholarly journals ASSOCIATION OF DEPRESSION, ANXIETY AND STRESS WITH QUALITY OF SLEEP AMONG DPT STUDENTS OF ZCRS

2019 ◽  
Vol 8 (1) ◽  
pp. 37-42
Author(s):  
Beenish Zafar ◽  
Farzana Amir ◽  
Syed Wasif Ali
Keyword(s):  
Strong Association ◽  
Sample Selection ◽  
Sampling Technique ◽  
Quality Of Sleep ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Anxiety Depression

AIMS AND OBJECTIVES Sleep deprivation is a major contributor of health and mental problems that may cause serious difficulties in accomplishing ADL’s among students although severe health and mental conditions have direct impact on the quality and quantity of sleep too. Thus, this study aims to determine the quality of sleep and its association between anxiety, depression, and stress to improve health related quality of life (HRQOL) among undergraduate DPT students of ZCRS. STUDY DESIGN A cross-sectional survey SAMPLE SELECTION 325 students were selected through convenience sampling technique from pre-clinical (1st, 2nd) and clinical (3rd, 4th, 5th) years of DPT program. PROCEDURE Data was collected on by providing Pittsburgh Sleep Quality Index and Depression, Anxiety and Stress Scale-21 to both students of pre-clinical and clinical years at beginning, middle and end of semester to determine the association of related outcome measures. RESULTS Strong association was found between sleep deprived students with depression, anxiety, and stress on chi-square test of association (p<0.05). CONCLUSION It was concluded that high prevalence of anxiety followed by depression and stress with the quality of sleep along with the amount of sleep in university students during all three phases of their academic semester. Although studies proposed genetic co-relation with anxiety, depression and stress as well as with the quality of sleep.

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