دورية أكاديمية
أعرض في EDS

Adapting sleep hygiene for community interventions: a qualitative investigation of sleep hygiene behaviors among racially/ethnically diverse, low-income adults.

التفاصيل البيبلوغرافية
العنوان: Adapting sleep hygiene for community interventions: a qualitative investigation of sleep hygiene behaviors among racially/ethnically diverse, low-income adults.
المؤلفون: Rottapel RE; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Ave, BLI 225, Boston, Massachusetts, USA, 02115. Electronic address: rrottapel@bwh.harvard.edu., Zhou ES; Perini Family Survivors' Center, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, Massachusetts, USA, 02215; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA, 02115., Spadola CE; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Ave, BLI 225, Boston, Massachusetts, USA, 02115; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA, 02115; Phyllis and Harvey Sandler School of Social Work, Florida Atlantic University, 777 Glades Road, SO 303, Boca Raton, Florida, USA, 33431., Clark CR; Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, 75 Francis St, Boston, Massachusetts, USA, 02115., Kontos EZ; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Ave, BLI 225, Boston, Massachusetts, USA, 02115; DynaMed, EBSCO Health, 10 Estes St, Ipswich, Massachusetts, USA, 01938., Laver K; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Ave, BLI 225, Boston, Massachusetts, USA, 02115., Chen JT; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Landmark Center, Room 403-N, West Wing, Boston, Massachusetts, USA, 02215., Redline S; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Ave, BLI 225, Boston, Massachusetts, USA, 02115; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA, 02115., Bertisch SM; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Ave, BLI 225, Boston, Massachusetts, USA, 02115; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA, 02115.
المصدر: Sleep health [Sleep Health] 2020 Apr; Vol. 6 (2), pp. 205-213. Date of Electronic Publication: 2020 Jan 23.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101656808 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-7226 (Electronic) Linking ISSN: 23527218 NLM ISO Abbreviation: Sleep Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [New York, NY] : Elsevier Inc., [2015]-
مواضيع طبية MeSH: Sleep Hygiene*, Ethnicity/*psychology , Poverty/*ethnology , Racial Groups/*psychology, Adult ; Aged ; Aged, 80 and over ; Community Health Services ; Ethnicity/statistics & numerical data ; Female ; Focus Groups ; Humans ; Male ; Middle Aged ; Qualitative Research ; Racial Groups/statistics & numerical data ; Young Adult
مستخلص: Background: Despite the high prevalence of inadequate sleep in racially/ethnically diverse, low-income adults, there is scant research targeting sleep health interventions among underserved populations. Sleep hygiene (SH) recommendations may help promote sleep health for the general population; however, they likely require tailoring to optimize uptake and effectiveness in the "real world" given socio-contextual factors. As an initial step to developing contextually appropriate and effective community-based SH interventions, we conducted qualitative research to understand SH behaviors, beliefs, and barriers in a low-income, ethnically diverse sample of adults.
Methods: We recruited 24 racially/ethnically diverse adults from an affordable housing community who self-reported sleeping ≤6 hours on average. Participants were invited to either an individual interview (n = 5) or a focus group (n = 3). A deductive, thematic-analysis approach was employed. Data collection and interpretation were informed by the Socio-Contextual Model of Behavior Change.
Results: There was evidence of high acceptability of SH and interest in improving sleep health. Barriers to implementing SH were multifaceted, including individual (knowledge, motivation, habits, medical issues, stress, trauma), interpersonal (caregiving), organizational (job strain), and environmental (noise) factors.
Conclusions: Future strategies for adapting behavioral SH interventions should target knowledge, skill development, and behavioral change domains, such as motivation, social support, and self-efficacy. In addition, adapting SH beyond the clinical context for a high-need community population requires attention to multilevel sociocontextual factors that contribute to sleep health, particularly chronic stress, prior trauma, and adverse sleeping environments. Development of novel trauma-informed SH interventions may promote effective and safe implementation.
(Copyright © 2019 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: R34 AT008923 United States AT NCCIH NIH HHS; R35 HL135818 United States HL NHLBI NIH HHS
فهرسة مساهمة: Keywords: Behavioral health; Community health; Low-income; Qualitative; Sleep; Sleep hygiene
تواريخ الأحداث: Date Created: 20200128 Date Completed: 20201030 Latest Revision: 20211204
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7176530
DOI: 10.1016/j.sleh.2019.12.009
PMID: 31983611
قاعدة البيانات: MEDLINE
الوصف
تدمد:2352-7226
DOI:10.1016/j.sleh.2019.12.009