Sleep Hygiene Program Implementation in Patients with Traumatic Brain Injury

Rue-Evans, Linda De La; Nesbitt, Karen; Oka, Roberta K.

doi:10.1002/rnj.66

Cited by 26 publications

(23 citation statements)

References 16 publications

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“…The participants described that sleep disturbances resulted in fatigue and negative emotions, which decreased their motivation to engage in multiple health behaviors. A mixed methods study of sleep habits among patients with traumatic brain injury showed that inadequate sleep had a major impact on health outcomes and reduced adherence to rehabilitation activities (De La Rue-Evans, Nesbitt & Oka, 2013). Future studies of individuals with stroke should examine whether sleep disturbances need to be addressed before multiple behavior changes can occur.…”

Section: Discussionmentioning

confidence: 99%

A mixed methods study of multiple health behaviors among individuals with stroke

Plow

Moore

Sajatovic

et al. 2017

PeerJ

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BackgroundIndividuals with stroke often have multiple cardiovascular risk factors that necessitate promoting engagement in multiple health behaviors. However, observational studies of individuals with stroke have typically focused on promoting a single health behavior. Thus, there is a poor understanding of linkages between healthy behaviors and the circumstances in which factors, such as stroke impairments, may influence a single or multiple health behaviors.MethodsWe conducted a mixed methods convergent parallel study of 25 individuals with stroke to examine the relationships between stroke impairments and physical activity, sleep, and nutrition. Our goal was to gain further insight into possible strategies to promote multiple health behaviors among individuals with stroke. This study focused on physical activity, sleep, and nutrition because of their importance in achieving energy balance, maintaining a healthy weight, and reducing cardiovascular risks. Qualitative and quantitative data were collected concurrently, with the former being prioritized over the latter. Qualitative data was prioritized in order to develop a conceptual model of engagement in multiple health behaviors among individuals with stroke. Qualitative and quantitative data were analyzed independently and then were integrated during the inference stage to develop meta-inferences. The 25 individuals with stroke completed closed-ended questionnaires on healthy behaviors and physical function. They also participated in face-to-face focus groups and one-to-one phone interviews.ResultsWe found statistically significant and moderate correlations between hand function and healthy eating habits (r = 0.45), sleep disturbances and limitations in activities of daily living (r = − 0.55), BMI and limitations in activities of daily living (r = − 0.49), physical activity and limitations in activities of daily living (r = 0.41), mobility impairments and BMI (r = − 0.41), sleep disturbances and physical activity (r = − 0.48), sleep disturbances and BMI (r = 0.48), and physical activity and BMI (r = − 0.45). We identified five qualitative themes: (1) Impairments: reduced autonomy, (2) Environmental forces: caregivers and information, (3) Re-evaluation: priorities and attributions, (4) Resiliency: finding motivation and solutions, and (5) Negative affectivity: stress and self-consciousness. Three meta-inferences and a conceptual model described circumstances in which factors could influence single or multiple health behaviors.DiscussionThis is the first mixed methods study of individuals with stroke to elaborate on relationships between multiple health behaviors, BMI, and physical function. A conceptual model illustrates addressing sleep disturbances, activity limitations, self-image, and emotions to promote multiple health behaviors. We discuss the relevance of the meta-inferences in designing multiple behavior change interventions for individuals with stroke.

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Section: Discussionmentioning

confidence: 99%

A mixed methods study of multiple health behaviors among individuals with stroke

Plow

Moore

Sajatovic

et al. 2017

PeerJ

View full text Add to dashboard Cite

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“…Previous reports have shown that CBTI reduced daytime fatigue and improved nocturnal sleep quality among patients with TBI [48]. Similarly, a recent sleep health program by the Department of Veteran's Affairs, which incorporated CBTI, relaxation techniques, sleep restriction, stimulus control, and exercise proved beneficial in patients with persistent TBI symptoms [106]. Melatonin may serve a beneficial role in the treatment of mTBI-induced insomnia, but definitive trials are not yet available.…”

Section: Insomnia and Circadian Dysregulationmentioning

confidence: 99%

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

et al. 2016

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Disturbed sleep is one of the most common complaints following traumatic brain injury (TBI) and worsens morbidity and long-term sequelae. Further, sleep and TBI share neurophysiologic underpinnings with direct relevance to recovery from TBI. As such, disturbed sleep and clinical sleep disorders represent modifiable treatment targets to improve outcomes in TBI. This paper presents key findings from a national working group on sleep and TBI, with a specific focus on the testing and development of sleep-related therapeutic interventions for mild TBI (mTBI). First, mTBI and sleep physiology are briefly reviewed. Next, essential empirical and clinical questions and knowledge gaps are addressed. Finally, actionable recommendations are offered to guide active and efficient collaboration between academic, industry, and governmental stakeholders.

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“…The self-reported symptoms of neck pain, tingling, drowsiness, and nervousness are potentially modifiable in duration throughout the initial 24 hours after an SC. 42 Mittenberg et al 43 reported that early structured education of concussed patients by a therapist, which consisted of techniques for stress reduction and gradual resumption of premorbid activities along with providing a 10-page educational manual, significantly reduced recovery time compared with those who received routine hospital treatment and discharge. The theoretical rationale for this finding is based on the cognitive-behavioral model.…”

Section: Discussionmentioning

confidence: 99%

“…To address drowsiness, a checklist may be given to help educate and remind athletes about proper sleep hygiene. 42 Information about limiting barriers to sleep may reduce drowsiness duration within the initial 24 hours by facilitating sleep the night of the injury.…”

Section: Discussionmentioning

confidence: 99%

A Preliminary Formula to Predict Timing of Symptom Resolution for Collegiate Athletes Diagnosed With Sport Concussion

Resch

Brown

Macciocchi³

et al. 2015

Journal of Athletic Training

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Sleep Hygiene Program Implementation in Patients with Traumatic Brain Injury

Cited by 26 publications

References 16 publications

A mixed methods study of multiple health behaviors among individuals with stroke

A mixed methods study of multiple health behaviors among individuals with stroke

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

A Preliminary Formula to Predict Timing of Symptom Resolution for Collegiate Athletes Diagnosed With Sport Concussion

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