Featured Publications
Symptom Cluster Profiles Among Adults with Insomnia and Heart Failure
Conley S, Jeon S, Breazeale S, O’Connell M, Hollenbeak CS, Jacoby D, Linsky S, Yaggi HK, Redeker NS. Symptom Cluster Profiles Among Adults with Insomnia and Heart Failure. Behavioral Sleep Medicine 2022, 21: 150-161. PMID: 35388730, PMCID: PMC9537348, DOI: 10.1080/15402002.2022.2060226.Peer-Reviewed Original ResearchConceptsHigh symptom burdenHeart failureSymptom burdenSleep characteristicsLower symptom burdenChronic heart failureStable heart failureBody mass indexTreatment of insomniaStudy of insomniaHigh symptom profileCognitive behavioral therapyBeta blockersClinical characteristicsDaytime symptomsMass indexSevere insomniaSingle symptomInsomnia severitySymptom profilesInsomniaSymptom clustersBehavioral therapyHigher symptomsSymptomsCognitive behavioral therapy for insomnia has sustained effects on insomnia, fatigue, and function among people with chronic heart failure and insomnia: the HeartSleep Study
Redeker NS, Yaggi HK, Jacoby D, Hollenbeak CS, Breazeale S, Conley S, Hwang Y, Iennaco J, Linsky S, Nwanaji-Enwerem U, O’Connell M, Jeon S. Cognitive behavioral therapy for insomnia has sustained effects on insomnia, fatigue, and function among people with chronic heart failure and insomnia: the HeartSleep Study. Sleep 2021, 45: zsab252. PMID: 34657160, PMCID: PMC8754495, DOI: 10.1093/sleep/zsab252.Peer-Reviewed Original ResearchConceptsChronic heart failureSix-minute walk distanceStable heart failureHeart failureInsomnia severityWalk distanceSleep characteristicsSelf-reported sleep latencyGeneral linear mixed modelSelf-reported sleep characteristicsMonths of treatmentSelf-management educationSelf-management programSleep hygiene educationCognitive behavioral therapyEjection fractionPrimary outcomeDaytime symptomsExcessive daytimePhysical functionDaytime sleepinessSleep latencyMild insomniaSleep qualitySleep efficiencyRest-activity rhythms, daytime symptoms, and functional performance among people with heart failure
Jeon S, Conley S, Redeker NS. Rest-activity rhythms, daytime symptoms, and functional performance among people with heart failure. Chronobiology International 2020, 37: 1223-1234. PMID: 32588662, PMCID: PMC7529895, DOI: 10.1080/07420528.2020.1779280.Peer-Reviewed Original ResearchConceptsRest-activity rhythmStable heart failureHeart failureDaytime symptomsCircadian quotientPoorer New York Heart Association classNew York Heart Association classHF disease management programFunctional performanceBetter NYHA classChronic heart failureMinute walk testDisease management programsLess sleep fragmentationHF independentUnattended polysomnographyNYHA classGreater comorbidityAssociation classWalk testIntra-daily variabilityFunctional outcomePhysical functionPoor functionSleep fragmentationSleep Disturbance, Daytime Symptoms, and Functional Performance in Patients With Stable Heart Failure
Jeon S, Redeker NS. Sleep Disturbance, Daytime Symptoms, and Functional Performance in Patients With Stable Heart Failure. Nursing Research 2016, 65: 259-267. PMID: 27362512, PMCID: PMC4930009, DOI: 10.1097/nnr.0000000000000169.Peer-Reviewed Original ResearchConceptsSelf-reported functional performanceStable heart failureDaytime symptomsHeart failureSleep disturbancesNew York Heart Association class ISix-minute walk testFunctional performanceRespiratory disturbance indexPoorer functional performanceHF patientsSymptom burdenWalk testRespiratory indexObservational studySleep qualityInsomnia symptomsAmbulatory polysomnographyPatientsSecondary analysisSymptomsClass IDisturbance indexExploratory regression analysisRegression analysis
2023
0326 Symptom trajectories in adults with stable heart failure and insomnia: Evidence from a randomized controlled trial of CBT-I
Conley S, Jeon S, Wang Z, Tocchi C, Linsky S, O'Connell M, Redeker N. 0326 Symptom trajectories in adults with stable heart failure and insomnia: Evidence from a randomized controlled trial of CBT-I. Sleep 2023, 46: a145-a145. DOI: 10.1093/sleep/zsad077.0326.Peer-Reviewed Original ResearchHeart failureSelf-management educationSymptom trajectoriesDaytime symptomsStable chronic heart failureCBT-I groupChronic heart failureStable heart failureTrial of CBTCognitive behavioral therapyGroup-based trajectory modelingConclusions Most participantsSymptom improvementDaytime sleepinessBaseline fatigueRetrospective analysisHigher oddsIndividual symptomsSymptom profilesPhysical symptomsSustained effectPsychological symptomsSymptomsSymptom clustersBehavioral therapy
2022
Coping, symptoms, and insomnia among people with heart failure during the COVID-19 pandemic
O’Connell M, Jeon S, Conley S, Linsky S, Redeker NS. Coping, symptoms, and insomnia among people with heart failure during the COVID-19 pandemic. European Journal Of Cardiovascular Nursing 2022, 22: 291-298. PMID: 35938348, PMCID: PMC9384676, DOI: 10.1093/eurjcn/zvac072.Peer-Reviewed Original ResearchConceptsSleep-related cognitionsCognitive behavioral therapySleep characteristicsPandemic-related stressPandemic-related stressorsSymptoms of anxietyInvoluntary engagementInvoluntary disengagementBehavioral therapyStressful eventsSleep problemsInsomnia severityMood disturbanceCopingCOVID-19 pandemicSecondary controlAnxietyCognitionParticipantsDaytime symptomsHeart failureInsomniaDepressionPeopleCBT
2021
342 CBT-I Has Sustained Effects on Insomnia Versus Heart-Failure Self-Management Education among Adults with Chronic Heart Failure
Redeker N, Bessette A, Breazeale S, Conley S, Hollenbeak C, Hwang Y, Iannacco J, Jacoby D, Kelly-Hauser J, Linsky S, Moemeka L, Nwanaji-Enwerem U, O’Connell M, Yaggi H, Jeon S. 342 CBT-I Has Sustained Effects on Insomnia Versus Heart-Failure Self-Management Education among Adults with Chronic Heart Failure. Sleep 2021, 44: a136-a137. DOI: 10.1093/sleep/zsab072.341.Peer-Reviewed Original ResearchChronic heart failurePittsburgh Sleep Quality IndexHeart failureSleep apneaSleep disturbance questionnaireHS groupInsomnia severityStable chronic heart failureContinuous positive airway pressureSelf-reported sleep durationCBT-I interventionPoor daytime functionMild sleep apneaPositive airway pressureSleep-related cognitionsSleep Quality IndexModerate-severe insomniaCognitive behavioral therapyAirway pressureDaytime symptomsDaytime functionClinical insomniaSleep ScaleMild insomniaSleep quality
2018
Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure
Redeker NS, Conley S, Anderson G, Cline J, Andrews L, Mohsenin V, Jacoby D, Jeon S. Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure. Behavioral Sleep Medicine 2018, 18: 190-202. PMID: 30461315, PMCID: PMC6529289, DOI: 10.1080/15402002.2018.1546709.Peer-Reviewed Original ResearchConceptsUrinary free cortisolHeart failureAutonomic functionCognitive behavioral therapyFree cortisolSleep characteristicsSleep-related cognitionsBehavioral therapyChronic heart failureStable heart failureSleep-related symptomsHypothalamic-pituitary axisStable class IISelf-reported insomnia severityEffects of CBTFunctional performanceDaytime symptomsPituitary axisSleep disturbancesSleep interventionsWrist actigraphySleep durationInsomnia severityBiomarkers of stressRatio of days
2017
0706 CONTRIBUTIONS OF INSOMNIA SYMPTOM AND CIRCADIAN RHYTHM OF ACTIVITY PATTERN ON DAYTIME SYMPTOMS AND FUNCTIONAL PERFORMANCE IN STABLE HEART FAILURE PATIENTS
Jeon S, Knies A, Redeker N. 0706 CONTRIBUTIONS OF INSOMNIA SYMPTOM AND CIRCADIAN RHYTHM OF ACTIVITY PATTERN ON DAYTIME SYMPTOMS AND FUNCTIONAL PERFORMANCE IN STABLE HEART FAILURE PATIENTS. Sleep 2017, 40: a261-a262. DOI: 10.1093/sleepj/zsx050.705.Peer-Reviewed Original ResearchStable heart failure patientsHeart failure patientsDaytime symptomsEpworth Sleepiness ScaleInsomnia symptomsCircadian quotientFailure patientsPhysical functionStable HFFunctional performanceOlder adultsStable HF patientsRespiratory disturbance indexSix-minute walkBody mass indexCircadian rhythmCross-sectional studyYears of ageActivity-rest patternNYHA classificationHF patientsMass indexFatigue ScaleEjection factionSleepiness ScaleCognitive behavioral therapy for insomnia in stable heart failure: Protocol for a randomized controlled trial
Redeker NS, Knies AK, Hollenbeak C, Yaggi H, Cline J, Andrews L, Jacoby D, Sullivan A, O'Connell M, Iennaco J, Finoia L, Jeon S. Cognitive behavioral therapy for insomnia in stable heart failure: Protocol for a randomized controlled trial. Contemporary Clinical Trials 2017, 55: 16-23. PMID: 28159703, PMCID: PMC5348292, DOI: 10.1016/j.cct.2017.01.009.Peer-Reviewed Original ResearchConceptsEvent-free survivalStable heart failureHealth care utilizationSelf-management educationHeart failureCognitive behavioral therapyCost-effectiveness analysisHF patientsCare utilizationSleep characteristicsMedical record reviewParallel-group RCTFunctional performanceStochastic cost-effectiveness analysisEffects of CBTAttention control conditionIncident mortalityDaytime symptomsRecord reviewComorbid insomniaHF settingDaytime functionGroup RCTChronic insomniaWrist actigraphy
2015
Feasibility and Efficacy of a Self-Management Intervention for Insomnia in Stable Heart Failure.
Redeker NS, Jeon S, Andrews L, Cline J, Jacoby D, Mohsenin V. Feasibility and Efficacy of a Self-Management Intervention for Insomnia in Stable Heart Failure. Journal Of Clinical Sleep Medicine 2015, 11: 1109-19. PMID: 25979100, PMCID: PMC4582052, DOI: 10.5664/jcsm.5082.Peer-Reviewed Original ResearchConceptsStable heart failureHeart failureSelf-management interventionsChronic insomniaEffect of comorbidityShort-term efficacyInsomnia Severity IndexTreatment of insomniaMeasures of fatigueEffects of CBTAttention control conditionDaytime symptomsPoor functionPreliminary efficacyStable class IWrist actigraphyInsomniaPatientsClass ISeverity IndexEfficacyCBTFunctional performanceTrialsControl condition
2010
Insomnia Symptoms and Daytime Function in Stable Heart Failure
Redeker NS, Jeon S, Muench U, Campbell D, Walsleben J, Rapoport DM. Insomnia Symptoms and Daytime Function in Stable Heart Failure. Sleep 2010, 33: 1210-1216. PMID: 20857868, PMCID: PMC2938862, DOI: 10.1093/sleep/33.9.1210.Peer-Reviewed Original ResearchConceptsStable heart failureHeart failureInsomnia symptomsDaytime symptomsHF patientsHF disease management programStable chronic HF patientsMedical Outcomes Study SF-36Six-minute walk testPittsburgh Sleep Quality IndexChronic HF patientsDemographic patient characteristicsEpworth Sleepiness ScaleSleep Quality IndexFunctional performanceDisease management programsPatient characteristicsWalk testExcessive daytimeSF-36Daytime functionFull polysomnographyFatigue ScaleDepression ScaleSleepiness Scale