Sleep history is neglected diagnostic information

Haponik, Edward F.; Frye, Ann; Richards, Boyd F.; Wymer, Antoinette; Hinds, Ann; Pearce, Kevin; McCall, W. Vaughn; Konen, Joseph C.

doi:10.1007/bf02598994

Cited by 97 publications

(59 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…15 Aut hors no ted that physi ci ans did not rou ti nely scre en for sle ep di sor ders in ado les cents and sle ep prob lems we re un der di ag no sed. [16][17][18] In our study 40.1% of the par ti ci pants be li e ved that they had sle ep dis tur ban ces which was qu i te fre qu ent. A cross-sec ti o nal sur vey of 1535 scho ol chil dren (aged 5-18) which was con duc ted in New Or le ans, re por ted sle ep dis tur ban ce with a fre qu ency of 15.4% but the age gro up was yo un ger than our study.…”

Section: Discussionmentioning

confidence: 79%

Frequency and Risk Factors of Sleep Problems Among High School Students Who Will Undergo University Entrance Exam as a Stressful Experience

Çifçili¹,

Ünalan²,

Kivrak³

et al. 2010

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

Frequency and Risk Factors of Sleep Problems Among High School Students Who Will Undergo University Entrance Exam as a Stressful ExperienceA AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Pre va len ce of sle ep dis tur ban ces is 15-35%, which is mo re fre qu ent du ring ado les cen ce. Stress is known to ca u se sle ep dis tur ban ce, in par ti cu lar in som ni a. In this study it is ai med to eva lu a te the frequency of sle ep dis tur ban ces among high scho ol stu dents who will un der go a uni ver sity en tran ce exam as a stress fac tor, and re la ti ons hip of sle ep dis tur ban ces with the sug ges ted va ri ab les. M Ma at te er ri ia al l a an nd d M Me et t h ho od ds s: : This des crip tive study was con duc ted in fo ur dif fe rent types of high scho ols and a pri va te uni ver sity pre pa ring exam co ur se in Is tan bul. One se ni or and one ju ni or class from all scho ols and fo ur clas ses from the pri va te co ur se we re se lec ted by simp le ran do mi za ti on and all stu dents we re in vi ted to ta ke pla ce in the study. Of the stu dents, 324 ac cep ted to parti ci pa te and 302 who fully-fil led qu es ti on na i res we re inc lu ded in the analy sis. A self-re port qu es ti on na i re abo ut ma in symptoms of sle ep di sor ders and gas tro-esop ha ge al ref lux, chro nic whe e zing or co ugh at nights, cof fe e and/or te a in ta ke, al co hol and drug use, ci ga ret te smo king, his tory of chro nic di se a ses and cur rent me di ca ti ons was used to get the da ta. Chi-squ a re, Stu dent's t -test and bi nary lo gis tic reg res si on analy sis we re used. R Re e s su ul lt ts s: : Of the parti ci pants, 33.4% (101) re por ted ex ces si ve day ti me sle e pi ness. The par ti ci pants who re por ted in som ni a we re %20. .99 res pec ti vely). C Co on nc c l lu u s si i o on n: : Alt ho ugh sle ep dif fi cul ti es se e med to be very com mon, this was re la ted to obe sity, chro nic co ugh, gas tro-esop ha ge al ref lux symptoms, ci garet te smo king, ad dic ti ve drug use and dep res si ve symptoms mo re than exam stress. Thus the stu dents with ast hma and those who are over we ight may be as ked and ma na ged abo ut sle ep di sor ders.K Ke ey y W Wo or rd ds s: : Sle ep ini ti a ti on and ma in te nan ce di sor ders; ado les cent; stress, physi o lo gi cal; sle ep ap ne a, obs truc ti ve Ö ÖZ ZE ET T A Am ma aç ç: : Ado le san çağ da ol duk ça yay gın olan uy ku bo zuk lu ğu nun sık lı ğı %15-30'dur. Stre sin uy ku bo zukluk la rı na özel lik le in som ni a ya se bep ol du ğu bi lin mek te dir. Bu ça lış ma da bir stres fak tö rü ola rak Üni ver si te sı navı na gi re cek olan öğ ren ci ler de uy ku bo zuk luk la rı nı de ğer len dir mek ve uy ku bo zuk luk la rı nın di ğer de ğiş ken ler le iliş ki si ni göz le mek amaç lan mış tır. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Bu ta nım la yı cı ça lış ma İstan bul' da bu lu nan ve tür le ri birbi rin den fark lı dört li se de ve bir özel ders ha ne de ger çek leş ti ril miş tir. Ku ra yön te mi ile her okul dan ve...

show abstract

Section: Discussionmentioning

confidence: 79%

Frequency and Risk Factors of Sleep Problems Among High School Students Who Will Undergo University Entrance Exam as a Stressful Experience

Çifçili¹,

Ünalan²,

Kivrak³

et al. 2010

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

show abstract

“…A history-and-physical sleep-audit coding sheet, designed to assess students' long-term knowledge retention and transfer of knowledge to patient care, was developed using validated screening history mnemonics such as BEARS 19 (bedtime issues, excessive daytime sleepiness, awakenings during the night, regularity and duration of sleep, snoring) and ISNORED 6 (insomnia, snoring and sleep quality, not breathing, older or obese, restorative or refreshing sleep, excessive day time sleepiness, drugs).…”

Section: Learning Outcome Instruments and Data Collectionmentioning

confidence: 99%

“…5 However, despite the prevalence of sleep disorders and the relationship of these disorders to underlying medical conditions, physician performance on sleep-related knowledge or skills assessments, from medical students through practicing primary care physicians, is poor at best. 6,7 As a result, many sleep disorders are undiagnosed in children and in adults. [8][9][10] Underdiagnosis of sleep disorders has been historically attributed to the limited inclusion of sleep medicine in medical school curricula.…”

mentioning

confidence: 99%

Assessing Learning Outcomes and Cost Effectiveness of an Online Sleep Curriculum for Medical Students

Bandla

Franco

Simpson

et al. 2012

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

objective: Sleep disorders are highly prevalent across all age groups but often remain undiagnosed and untreated, resulting in signifi cant health consequences. To overcome an inadequacy of available curricula and learner and instructor time constraints, this study sought to determine if an online sleep medicine curriculum would achieve equivalent learner outcomes when compared with traditional, classroom-based, face-to-face instruction at equivalent costs. Method: Medical students rotating on a required clinical clerkship received instruction in 4 core clinical sleep-medicine competency domains in 1 of 2 delivery formats: a single 2.5-hour face-to-face workshop or 4 asynchronous e-learning modules. Immediate learning outcomes were assessed in a subsequent clerkship using a multiple-choice examination and standardized patient station, with long-term outcomes assessed through analysis of students' patient write-ups for inclusion of sleep complaints and diagnoses before and after the intervention. Instructional costs by delivery format were tracked. Descriptive and inferential statistical analyses compared learning outcomes and costs by instructional delivery method (face-to-face versus e-learning).Results: Face-to-face learners, compared with online learners, were more satisfi ed with instruction. Learning outcomes (i.e., multiple-choice examination, standardized patient encounter, patient write-up), as measured by short-term and long-term assessments, were roughly equivalent. Design, delivery, and learner-assessment costs by format were equivalent at the end of 1 year, due to higher ongoing teaching costs associated with face-to-face learning offsetting online development and delivery costs. Conclusions: Because short-term and long-term learner performance outcomes were roughly equivalent, based on delivery method, the cost effectiveness of online learning is an economically and educationally viable instruction platform for clinical clerkships. Keywords: Learning outcomes, cost effectiveness, on-line sleep curriculum Citation: Bandla H; Franco RA; Simpson D; Brennan K; McKanry J; Bragg D. Assessing learning outcomes and cost effectiveness of an online sleep curriculum for medical students.

show abstract

“…In one clinical study, residents who received didactic instruction about sleep disorders were found to ask about sleep more regularly in subsequent clinical encounters. 48 Finally, reimbursement issues may loom large among reasons why primary care providers do not routinely investigate insufficient sleep and sleep disorders. A sleep specialist can count on revenue from diagnostic procedures in the sleep laboratory to subsidize the time-intensive tasks of taking histories, counseling, education, or cognitive/behavioral therapy (for insomnia).…”

Section: What Are the Barriers To Screening For Insufficient Sleep/slmentioning

confidence: 99%

How is Your Sleep: A Neglected Topic for Health Care Screening

Sorscher¹

2008

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Purpose: Inadequate sleep, whether it is caused by voluntary sleep curtailment or specific sleep disorders, is highly prevalent, has wide-ranging negative consequences for human health and well-being, and is greatly under-diagnosed. The objective of this study was to determine the frequency of inquiry by family medicine clinics about unhealthy sleep patterns and symptoms in their health history database questionnaires.Methods: This study surveyed health history database forms used by family medicine clinics in the 7-county Minneapolis/St. Paul metropolitan area for questions related to sleep disorders. Fourteen distinct database batteries that are used in 121 primary care clinics and employ 935 family medicine doctors (roughly 75% of physicians practicing in this region) were analyzed.Results: Direct questions about sleep health are often not included in health history questionnaires. Eight of 14 (57%) database batteries reviewed in this study featured no sleep-related questions. Other lifestyle issues were screened with much greater frequency. For example, questions about healthy eating patterns and regular physical activity were present in 13 and 12 of the 14 batteries (93% and 86%), respectively.Conclusions: Despite the significant burden that sleep disorders place on human health, this study found that family medicine clinics do not screen for them as frequently as they do for other lifestyle/ behavioral issues when they establish a health history database for new patients.

show abstract

Sleep history is neglected diagnostic information

Cited by 97 publications

References 18 publications

Frequency and Risk Factors of Sleep Problems Among High School Students Who Will Undergo University Entrance Exam as a Stressful Experience

Frequency and Risk Factors of Sleep Problems Among High School Students Who Will Undergo University Entrance Exam as a Stressful Experience

Assessing Learning Outcomes and Cost Effectiveness of an Online Sleep Curriculum for Medical Students

How is Your Sleep: A Neglected Topic for Health Care Screening

Contact Info

Product

Resources

About