Factors contributing to poor satisfaction with sleep and healthcare seeking behavior in older adults

Abraham, Olufunmilola; Pu, Jia; Schleiden, Loren J.; Albert, Steven M.

doi:10.1016/j.sleh.2016.11.004

Cited by 34 publications

(24 citation statements)

References 33 publications

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“…Ageing leads to changes in sleep quality, which can lead to dissatisfaction, as shown in a study with 1,026 individuals aged 60 years or over, in which 19.3% of them were dissatisfied or very dissatisfied with their sleep quality (Abraham, Pu, Schleiden, & Albert, ). The habit of napping is often found in older adults (Chen et al, ; Smagula, Stone, Fabio, & Cauley, ), a fact corroborated by the present study, in which the prevalence of naps was high.…”

Section: Discussionmentioning

confidence: 99%

“…The effects described as beneficial are emotional stability and memory consolidation (Mantua & Spencer ). Regarding the harmful effects, cognitive decline, depressive symptoms, cardiovascular and metabolic diseases can be mentioned (Abraham et al, ; Chen et al, ; Cross et al, ; Fang et al, ; Mantua & Spencer ). It was also verified that there was a greater prevalence of naps among the older adults with four or more health problems, when compared to those who did not report such problems, as well as to those who reported from one–three problems.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Napping, functional capacity and satisfaction with life in older adults: A population‐based study

Bueno

Andrechuk

Lima

et al. 2019

Journal of Clinical Nursing

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Aim and objective To analyse the association between napping, functional capacity and satisfaction with life in older adult residing in the community. Method A cross‐sectional population‐based study using data from a health survey conducted in a city of the state of São Paulo. Information on sociodemographic and clinical variables was collected through a questionnaire, as well as the occurrence or not of napping and satisfaction with life. Functional capacity was assessed using the Katz Index and Lawton–Brody Scale. Statistical analysis was performed using the Rao–Scott chi‐square test and a hierarchical analysis using stepwise backward multiple Poisson regression. p‐Values <0.05 were considered significant. In this paper, we adhere to STrengthening the Reporting of OBservational studies in Epidemiology guidelines. Results There was predominance of the 60–69 years age group (51.3%) and of females (60.8%). The majority of the older adults (57.5%), of both sexes, reported napping. A higher prevalence of napping was found in the older subjects, the male sex, the subjects without children, those with health problems and those that were partially dependent in instrumental activities of daily living. Conclusions The study showed that naps are prevalent in older adults. The need to identify the issues that permeate napping is emphasised, in order to promote health in individuals of this age group, before classifying the practice as beneficial or harmful. Relevance to clinical practice It is essential that health professionals, in their practices, consider the complaints and reports of naps in the elderly, in an attempt to detect and reduce possible consequences in activities of daily living.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Napping, functional capacity and satisfaction with life in older adults: A population‐based study

Bueno

Andrechuk

Lima

et al. 2019

Journal of Clinical Nursing

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“…Sleep satisfaction was rated using a single item (e.g., Abraham, Pu, Schleiden, & Albert, ) assessing satisfaction with the quality of their sleep at night (“Overall how satisfied/dissatisfied were you with your sleep last night?”) on a 5‐point scale (1 = very satisfied and 5 = very dissatisfied ). Sleep satisfaction was recorded for each daily diary day.…”

Section: Methodsmentioning

confidence: 99%

Chronic parenting stress and mood reactivity: The role of sleep quality

et al. 2017

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Sleep is a basic biological process supporting emotion regulation. The emotion regulation function of sleep may be particularly important in the context of chronic stress. To better understand how chronic stress and sleep interact to predict mood, 66 parents of children with autism completed daily diaries assessing parenting stress, negative mood, and sleep quality for 6 consecutive days. Hierarchical linear modelling revealed that daily negative mood was predicted by between-person differences in parenting stress and between-person differences in sleep efficiency. Further, between-person differences in sleep efficiency and within-person differences in sleep satisfaction moderated the impact of stress on mood. These data suggest that sleep disturbances may exacerbate the association between stress and mood in the context of chronic parenting stress. Further, high parenting stress appears to heighten the impact of transient sleep disturbances on mood.

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“…The Pepper Community Registry includes over 2000 community‐dwelling persons in the Pittsburgh, Pennsylvania region, aged 60 and older who consented to be contacted for participation in Pepper‐approved research studies. The distributed survey was designed to elicit information on older adults’ perspectives of sleep quality and satisfaction, along with methods of alleviating sleep problems such as the use of OTC medications . From the sample of 1025 participants who returned the completed survey, 148 participants indicated that they had taken at least one non‐prescription sleep aid within the last 30 days and were willing to be contacted to complete a follow‐up interview.…”

Section: Methodsmentioning

confidence: 99%

Managing sleep problems using non-prescription medications and the role of community pharmacists: older adults’ perspectives

Abraham

Schleiden

Amanda

et al. 2017

International Journal of Pharmacy Practice

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ObjectivesTo examine older adults’ perspectives regarding managing sleep problems through selection and use of non‐prescription sleep aids, and the role of pharmacists.MethodsTelephone interviews were conducted from May to June 2015 with 116 individuals aged ≥60 years in Pittsburgh, Pennsylvania. Participants reported in a previous survey to have used at least one non‐prescription sleep aid in the past 30 days and were willing to participate in a follow‐up interview. Interview guides were designed to elicit perspectives of sleep problems, selection and use of non‐prescription sleep aids, and consultation with healthcare professionals. Interview transcripts underwent content analysis.Key findingsFour themes emerged as follows: experiences with sleep problems, selection of non‐prescription sleep aids, non‐prescription sleep aid use and interactions with healthcare professionals. Over half of participants reported using a non‐prescription sleep aid for >1 year, were satisfied with its use and perceived it improved sleep quality. Participants commonly used an antihistamine‐only sleep aid; 36% of participants self‐recommended their sleep aid; and 16% of participants consulted healthcare professionals. Few participants read medication dosage labels (22%), side effects or warnings (19%), and many reported they disregarded directions. Participants did not typically consult pharmacists about sleep problems (65%) but perceived that they could assist with medication concerns.ConclusionsAlthough most participants had favourable perceptions of non‐prescription sleep aids, older adults may be inappropriately using non‐prescription sleep aids to self‐manage sleep problems by frequently disregarding medication labels and directions for safe use. Also, few older adults are discussing their sleep aid selection and use with pharmacists.

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Factors contributing to poor satisfaction with sleep and healthcare seeking behavior in older adults

Abstract: These results underscore the possible linkage between poor satisfaction with sleep and older adults' current healthcare seeking behaviors and self-treatment methods, particularly using OTC medications to cope with sleep problems without consulting a healthcare provider.

Cited by 34 publications

References 33 publications

Napping, functional capacity and satisfaction with life in older adults: A population‐based study

Napping, functional capacity and satisfaction with life in older adults: A population‐based study

Chronic parenting stress and mood reactivity: The role of sleep quality

Managing sleep problems using non-prescription medications and the role of community pharmacists: older adults’ perspectives

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