Sleep hygiene, sleep-related problems, and their relations with quality of life in a primary-care population in southwest Saudi Arabia

IntroductionInsomnia is a prevalent sleep disorder that negatively affects quality of life. Multicomponent cognitive-behavioural therapy (CBT) is the recommended treatment but access remains limited, particularly in primary care. Sleep restriction therapy (SRT) is one of the principal active components of CBT and could be delivered by generalist staff in primary care. The aim of this randomised controlled trial is to establish whether nurse-delivered SRT for insomnia disorder is clinically and cost-effective compared with sleep hygiene advice.Methods and analysisIn the HABIT (Health-professional Administered Brief Insomnia Therapy) trial, 588 participants meeting criteria for insomnia disorder will be recruited from primary care in England and randomised (1:1) to either nurse-delivered SRT (plus sleep hygiene booklet) or sleep hygiene booklet on its own. SRT will be delivered over 4 weekly sessions; total therapy time is approximately 1 hour. Outcomes will be collected at baseline, 3, 6 and 12 months post-randomisation. The primary outcome is self-reported insomnia severity using the Insomnia Severity Index at 6 months. Secondary outcomes include health-related and sleep-related quality of life, depressive symptoms, use of prescribed sleep medication, diary and actigraphy-recorded sleep parameters, and work productivity. Analyses will be intention-to-treat. Moderation and mediation analyses will be conducted and a cost-utility analysis and process evaluation will be performed.Ethics and disseminationEthical approval was granted by the Yorkshire and the Humber - Bradford Leeds Research Ethics Committee (reference: 18/YH/0153). We will publish our primary findings in high-impact, peer-reviewed journals. There will be further outputs in relation to process evaluation and secondary analyses focussed on moderation and mediation. Trial results could make the case for the introduction of nurse-delivered sleep therapy in primary care, increasing access to evidence-based treatment for people with insomnia disorder.Trial registration numberISRCTN42499563

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The Association Between Occlusal Traits and Oral Health Related Quality of Life Among Adults in Primary Care Settings in Saudi Arabia

Egyptian Dental Journal ◽

10.21608/edj.2020.37499.1191 ◽

2020 ◽

Vol 66 (4) ◽

pp. 1999-2006

Author(s):

Shoroog Agou

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Saudi Arabia ◽

Oral Health ◽

Health Related Quality ◽

Primary Care Settings ◽

Related Quality ◽

Health Related

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Impact of Clinical Pharmacist Interventions in Management of Diabetes in Primary Care in Saudi Arabia

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v12i4.4909 ◽

2021 ◽

Vol 12 (4) ◽

pp. 2582-2594

Author(s):

Maha Aldraimly ◽

Syed Azhar Bin Syed Sulaiman ◽

Ahmed Ibrahim Nouri ◽

Salma Fahad Alanazi ◽

Reem Fahad Alanazi ◽

...

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Saudi Arabia ◽

Ambulatory Care ◽

Clinical Pharmacist ◽

Good Practice ◽

Diabetic Patients ◽

Healthcare Team ◽

The Impact

The study aimed to identify the impact and effectiveness of clinical pharmacist intervention on the management and overall quality of life of diabetic patients. Two cross-sectional studies using SF36 Health Survey, involving physicians and pharmacists at the Ambulatory Care Department in Riyadh, Saudi Arabia. Diabetic patients showed significant improvements in their QoL in terms of general health, energy and fatigue, pain scores, and social, emotional, and physical functions. Moreover, PC was found to have a significant impact on diabetes related QoL along with various outcome indicators, such as HbA1c, random blood sugar, and lipid profile in such patients. Additionally, satisfactory knowledge, good practice in identifying prescription errors were found among pharmacists. This study reveals that clinical pharmacists are valuable members of interdisciplinary primary care teams in ambulatory care. This can positively impact glycemic control in patients with type 2 diabetes and improve their quality of life. Also, the current study presented that a satisfactory extent of pharmaceutical care by an ambulatory clinical pharmacist was effective in improving HbA1c in patients with diabetes. A clinical pharmacist in ambulatory care was found to be eminent and of an added value to the patients, physicians, and healthcare team.

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