Patient and Clinician Communication of Self-reported Insomnia During Ambulatory Cancer Care Clinic Visits

Siefert, Mary Lou; Hong, Fangxin; Valcarce, Bianca; Berry, Donna L.

doi:10.1097/ncc.0b013e318283a7bc

Cited by 33 publications

(20 citation statements)

References 43 publications

(59 reference statements)

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“…9,61 Many oncologists, however, do not enquire about sleep problems. 62 Similarly, many patients do not report their sleep disturbances to their oncologists. 63 When reported, sleep disturbances are usually not addressed during routine cancer care.…”

Section: Discussionmentioning

confidence: 99%

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Associations of sleep disturbance with physical function and cognition in older adults with cancer

Loh

Pandya

Zittel

et al. 2017

Support Care Cancer

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Purpose Although sleep disturbances are common in older adults, studies evaluating the prevalence of sleep disturbance and influence on functional outcomes in older adults with cancer are few. In this study, we examined the prevalence of sleep disturbance and its association with physical function and cognition in older adults with cancer. Methods Patients referred to the Specialized Oncology Care & Research in the Elderly clinics at the Universities of Rochester and Chicago from May 2011 to October 2015 who underwent a geriatric assessment (GA) and completed the sleep assessment were included. Presence of sleep disturbance was self-reported (yes/no). Physical function was assessed using Instrumental Activities of Daily Living (IADLs), physical activity (PA) survey, falls in the preceding six months, and Short Physical Performance Battery (SPPB). Bivariate and multivariable analyses were used to examine the associations between sleep disturbance with functional outcomes and cognition. Results We included 389 older patients. The prevalence of sleep disturbance was 40%. Sixty eight percent had ≥1 IADL impairment, 76% had PA limitation, 37% had ≥1 fall, 70% had impairment on SPPB, and 47% screened positive for cognitive impairment. On bivariate analyses, sleep disturbance was associated with IADL impairment (Odds ratio [OR] 1.96, 95% Confidence Interval [CI] 1.23-3.13, P=0.005) and PA limitation (OR 2.43, 95% CI 1.38-4.28, P=0.002). The associations remained significant on multivariable analyses. Sleep disturbance was not significantly associated with falls, impairment on SPPB and performance on the cognitive screen. Conclusion Sleep disturbance was associated with IADL impairment and PA limitation. It is important for oncologists to inquire about sleep problems, and these patients should also be screened for functional impairment if sleep disturbance was present.

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Section: Discussionmentioning

confidence: 99%

“…63 When reported, sleep disturbances are usually not addressed during routine cancer care. 62 Therefore, it is important for oncologists to inquire about sleep problems, and these patients should also be screened for functional impairment if sleep disturbance was present.…”

Section: Discussionmentioning

confidence: 99%

Associations of sleep disturbance with physical function and cognition in older adults with cancer

Loh

Pandya

Zittel

et al. 2017

Support Care Cancer

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“…Adequate sleep is an important contributor to maintaining quality of life (eg, Gibbins et al), a priority for many patients with advanced cancer and their caregivers. Thus, identifying and managing sleep disturbance should be an important part of advanced cancer care; yet, sleep problems are often unaddressed by clinicians …”

Section: Introductionmentioning

confidence: 99%

Dyadic effects of distress on sleep duration in advanced cancer patients and spouse caregivers

et al. 2019

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Objective Short sleep duration is a common problem for both advanced cancer patients and their spouse caregivers. Sleep and distress have been shown to be interdependent in patient‐caregiver and spouse dyads, yet virtually, no work has explored the dyadic effects of psychological distress on sleep in advanced cancer patients and spouse caregivers. The goal of the present study was to examine the dyadic impact of anxiety and depression on sleep duration in a sample of advanced cancer patients and their spouse caregivers. It was hypothesized that, for both patients and caregivers, anxiety and depression in individuals would be associated with sleep duration in both themselves (actor effects) and in their spouses (partner effects). Method Advanced cancer patients and their spouse caregivers (N = 87 dyads) completed cross‐sectional questionnaires assessing demographic variables, subjective health, subjective sleep duration, and anxiety and depression symptoms. Results Controlling for sex, age, and subjective health, individuals' anxiety was negatively associated with their own and their partner's sleep duration. No significant actor or partner effects were found for depression. Conclusions Results provided partial support for hypotheses. Although past work has demonstrated links between subjective sleep disturbance and anxiety/psychological distress, this is one of the first studies to examine partner effects of distress on sleep disturbance in advanced cancer patients and spouse caregivers.

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“…Th ese conditions often are not considered really compromising by attending physicians from a prescriptive point of view, but prove to be highly invalidating [21][22][23] from the point of view of patients. In particular, highly signifi cant results are achieved concerning the presence of alteration of bowel function, pain, anxiety and depression, malaise, fatigue and abnormal sleep-rest pattern 8,24 , as such toxicities, very frequently suggested by patients, tend to be underestimated and undervalued by operators [25][26][27][28][29] ( Table 2, Fig. 2).…”

Section: Resultsmentioning

confidence: 99%

A Comparative Study of Data Collection Methods in the Process of Nursing: Detection of Chemotherapy Side Effects Using a Self-Reporting Questionnaire

Marinucci

Benedictis

et al. 2017

ACC

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SUMMARY -Toxicity of chemotherapy is a factor that most negatively aff ects the quality of life of cancer patients. Monitoring of side eff ects and adverse eff ects may be subject to errors due to various factors such as the lack of privacy during data collection, shame on the part of the patient to talk about some issues, lack of recognition of symptoms and/or unawareness of side eff ects of treatments, and/or inappropriate reference model of data collection. In order to assist caregivers in proper data collection, a 'self-reporting questionnaire' was designed. Th e questionnaire was developed using validated scales such as the Common Terminology Criteria for Adverse Event, Edmonton Symptom Assessment Scale and Douleur Neuropathique en 4 Questions. Th e survey involved the population of patients scheduled for chemotherapy in Day Hospital at the Campus Bio-Medico University Hospital, Rome, between June and July 2015. During the period of observation, 367 patients were admitted to Day Hospital, 57.5% of women and 38.4% of men, average age 64 years, for a total of 622 accesses; of these, only 173 were interviewed by the nursing staff in relation to side eff ects and toxicity. During the trial, 381 patients were involved, of which 60.1% of women (p=0.8) and 38.3% of men (p=0.9), average age 63 years (p=0.9), for a total of 611 accesses and 498 self-reporting questionnaires administered. At the end of the trial period, in order to evaluate usability, an evaluation questionnaire was given to medical personnel, including fi ve doctors and six nurses, to consider possible amendments to the instrument and its perceived eff ectiveness. Comparative analysis of data collected during the observation period and the trial showed how the use of the self-reporting questionnaire allowed for detection of side eff ects of chemotherapy earlier and in a more detailed way than relying only on medical examination and unstructured interview by nursing staff . It also enabled reaching a larger number of users. In conclusion, the use of self-reporting systems, together with the work and clinical judgment of the expert, can contribute to improvement in the patient quality of life, corroborating nurse interviews through a precise and systematic data collection process that reduces the amount of interpretation of symptoms by the patient and the caregiver, while providing them with precise instructions on what to report and how to report it. Th e signifi cant and rapid spread of computers, tablets and smartphones allows for speculating on further use and implementation of this system through its computerized application.

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Patient and Clinician Communication of Self-reported Insomnia During Ambulatory Cancer Care Clinic Visits

Cited by 33 publications

References 43 publications

Associations of sleep disturbance with physical function and cognition in older adults with cancer

Associations of sleep disturbance with physical function and cognition in older adults with cancer

Dyadic effects of distress on sleep duration in advanced cancer patients and spouse caregivers

A Comparative Study of Data Collection Methods in the Process of Nursing: Detection of Chemotherapy Side Effects Using a Self-Reporting Questionnaire

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