2024
Phenotypes of sleep health among adults with chronic heart failure in a randomized controlled trial of cognitive behavioral therapy for insomnia
Jeon S, Conley S, O'Connell M, Wang Z, Redeker N. Phenotypes of sleep health among adults with chronic heart failure in a randomized controlled trial of cognitive behavioral therapy for insomnia. Sleep Health 2024 PMID: 39482227, DOI: 10.1016/j.sleh.2024.09.006.Peer-Reviewed Original ResearchEmergency department visitsRandomized controlled trial of cognitive behavioral therapyCognitive behavioral therapyTrial of cognitive behavioral therapyDepartment visitsHealth phenotypesRandomized controlled trialsBehavioral therapyProportion of participantsGeneralized estimating equationsCox proportional hazards modelsProportional hazards modelCircadian quotientLinear mixed modelsLower fatigueGeneralized linear mixed modelsSecondary analysisWalking distanceSleep healthCollected hospitalFunctional performanceSleep phenotypesPoor sleepAdverse healthHeart failure outcomes0741 Effects of Light Exposure on Sleep, Rest-Activity Rhythms, and Cognitive Function in Adults with Heart Failure
Wang Z, Jeon S, Conley S, LaFleur K, Redeker N. 0741 Effects of Light Exposure on Sleep, Rest-Activity Rhythms, and Cognitive Function in Adults with Heart Failure. Sleep 2024, 47: a317-a318. DOI: 10.1093/sleep/zsae067.0741.Peer-Reviewed Original ResearchRest-activity rhythmHeart failureCircadian quotientCognitive functionAUC ratioInter-daily stabilityPVT lapsesSleep efficiencyRandomized controlled trial of cognitive behavioral therapyTrial of cognitive behavioral therapyChronic heart failureCognitive behavioral therapyMeasure cognitive functionIntra-daily variabilityImprove HF outcomesTotal sleep timeRandomized controlled trialsImproved sleep efficiencyInfluence sleep qualityCircadian rhythm disruptionBehavioral therapyHF outcomesPsychomotor vigilance taskSleep qualityVigilance task
2023
Focus Group Study of Heart Failure Nurses’ Perceptions of the Feasibility of Cognitive Behavioral Therapy for Insomnia
O’Connell M, Feder S, Nwanaji-Enwerem U, Redeker N. Focus Group Study of Heart Failure Nurses’ Perceptions of the Feasibility of Cognitive Behavioral Therapy for Insomnia. Nursing Research 2023, 73: 109-117. PMID: 37967228, PMCID: PMC10922255, DOI: 10.1097/nnr.0000000000000706.Peer-Reviewed Original ResearchCognitive behavioral therapyHeart failureMode of deliveryBehavioral therapyClinical settingEfficacious treatmentOutpatient HF clinicOutpatient clinical settingAdvanced practice nursesDescriptive qualitative study designPerceptions of nursesImportance of insomniaHF clinicQualitative study designPractice nursesNurse membersDaytime consequencesSleep specialistsFocus groupsNurses' perceptionsSleep healthInsomniaTherapyFocus group participantsFocus group studyDaytime symptom trajectories among adults with stable heart failure and insomnia: evidence from a randomised controlled trial of cognitive behavioural therapy for insomnia
Conley S, Jeon S, Wang Z, Tocchi C, Linsky S, O'Connell M, Redeker N. Daytime symptom trajectories among adults with stable heart failure and insomnia: evidence from a randomised controlled trial of cognitive behavioural therapy for insomnia. Journal Of Sleep Research 2023, 33: e14058. PMID: 37933085, DOI: 10.1111/jsr.14058.Peer-Reviewed Original ResearchStable heart failureHeart failureSelf-management groupSymptom trajectoriesCognitive behavioral therapyBehavioral therapyHigher body mass indexGroup-based trajectory modellingHigh symptom burdenHealth-related qualityBody mass indexTrial of CBTFunctional performanceSelf-management interventionsBaseline characteristicsSymptom burdenMass indexBaseline fatigueGroup AHigher oddsSleep characteristicsInsomnia severityGroup DPhysical symptomsInsomniaSleep-related predictors of cognition among adults with chronic insomnia and heart failure enrolled in a randomized controlled trial of cognitive behavioral therapy for insomnia.
Redeker N, Conley S, O'Connell M, Geer J, Yaggi H, Jeon S. Sleep-related predictors of cognition among adults with chronic insomnia and heart failure enrolled in a randomized controlled trial of cognitive behavioral therapy for insomnia. Journal Of Clinical Sleep Medicine 2023, 19: 1073-1081. PMID: 36740924, PMCID: PMC10235706, DOI: 10.5664/jcsm.10498.Peer-Reviewed Original ResearchConceptsChronic heart failureCognitive behavioral therapyHeart failureGroup time effectsRest-activity rhythmBehavioral therapyChronic insomniaCBT-I groupSelf-reported cognitive functionProportion of participantsTrial of CBTQuality of lifeSelf-management strategiesGroup-based CBTWalk distanceSleep apneaChronic illnessWrist actigraphyCognitive impairmentInsomniaTherapyCognitive functionMinute walkSelf-reported cognitive abilitiesBaseline cognition0326 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 therapyResponse to letter to the editor on: Interpreting the effectiveness of cognitive behavioural therapy (CBT) and self-management strategies in heart failure patients for improving sleep’, in response to the article—‘coping, symptoms, and insomnia among people with heart failure during the COVID-19 pandemic.’
Redeker N, O’Connell M, Conley S. Response to letter to the editor on: Interpreting the effectiveness of cognitive behavioural therapy (CBT) and self-management strategies in heart failure patients for improving sleep’, in response to the article—‘coping, symptoms, and insomnia among people with heart failure during the COVID-19 pandemic.’. European Journal Of Cardiovascular Nursing 2023, 22: e27-e28. PMID: 36692219, DOI: 10.1093/eurjcn/zvad016.Peer-Reviewed Original Research
2022
Trajectory of self-care in people with stable heart failure and insomnia after two self-care interventions
Conley S, Jeon S, Andrews L, Breazeale S, Hwang Y, O'Connell M, Linsky S, Redeker N. Trajectory of self-care in people with stable heart failure and insomnia after two self-care interventions. Patient Education And Counseling 2022, 105: 3487-3493. PMID: 36088189, DOI: 10.1016/j.pec.2022.09.001.Peer-Reviewed Original ResearchConceptsStable heart failureSelf-care interventionsHeart failureSevere baseline fatigueSelf-care supportSelf-care educationSelf-care groupEffects of CBTCognitive behavioral therapyGroup-based trajectory modelingBaseline fatigueEfficacious interventionsHealthcare providersSecondary analysisInsomniaBehavioral therapySelf-CareChi-squareDemographic characteristicsInterventionT-testFunctional performanceAdultsTrajectory modelingFailure0206 Rest-Activity Rhythms are Associated with Sleep Characteristics and Cognitive Functions in People with Heart Failure Over 6 Months
Jeon S, Conley S, O'Connell M, Yang R, Redeker N. 0206 Rest-Activity Rhythms are Associated with Sleep Characteristics and Cognitive Functions in People with Heart Failure Over 6 Months. Sleep 2022, 45: a94-a94. DOI: 10.1093/sleep/zsac079.204.Peer-Reviewed Original ResearchQuality of lifeRest-activity rhythmHeart failureCircadian quotientSignificant intervention effectsSleep characteristicsCognitive functionInsomnia severityHF patientsSleep qualityWrist actigraphyIntervention effectsLower insomnia severitySelf-management educationLong sleep durationTime-group interactionPoor cognitive functionBetter sleep efficiencyCognitive behavioral therapySleep efficiencySleep durationInsomniaBehavioral therapySleep deprivationCosinor analysis0448 Self-care trajectories and sleep characteristics in people with heart failure and insomnia
Conley S, Jeon S, OConnell M, Redeker N. 0448 Self-care trajectories and sleep characteristics in people with heart failure and insomnia. Sleep 2022, 45: a199-a199. DOI: 10.1093/sleep/zsac079.445.Peer-Reviewed Original ResearchHeart failureSelf-care maintenanceSleep characteristicsCombination of HFSelf-reported sleep characteristicsSelf-care managementCognitive behavioral therapyGroup-based trajectory modelingSleep disturbancesInsomnia severitySecondary analysisBehavioral therapyInsomniaBaselineMonthsSignificant differencesSleepClass BClass AAssociationParticipantsTrajectory modelingFailureTherapyManagement
2020
Evaluating Recruitment Strategies for a Randomized Clinical Trial with Heart Failure Patients
Conley S, O’Connell M, Linsky S, Moemeka L, Darden JW, Gaiser EC, Jacoby D, Yaggi H, Redeker NS. Evaluating Recruitment Strategies for a Randomized Clinical Trial with Heart Failure Patients. Western Journal Of Nursing Research 2020, 43: 785-790. PMID: 33158412, PMCID: PMC8099934, DOI: 10.1177/0193945920970229.Peer-Reviewed Original ResearchConceptsClinic-based recruitmentMultiple recruitment strategiesPatient portalsClinical trialsElectronic databasesChronic stable heart failureElectronic medical record databaseRecruitment strategiesStable heart failureHeart failure patientsChronic medical conditionsRandomized clinical trialsMedical record databaseBaseline data collectionCognitive behavioral therapyFailure patientsHeart failureMedical recordsMedical conditionsPatientsRecruitment goalsRecord databaseBehavioral therapySupport groupsTrialsDay-to-day Relationships between Physical Activity and Sleep Characteristics among People with Heart Failure and Insomnia
Ash G, Jeon S, Conley S, Knies AK, Yaggi HK, Jacoby D, Hollenbeak CS, Linsky S, O’Connell M, Redeker NS. Day-to-day Relationships between Physical Activity and Sleep Characteristics among People with Heart Failure and Insomnia. Behavioral Sleep Medicine 2020, 19: 602-614. PMID: 33048589, PMCID: PMC8496686, DOI: 10.1080/15402002.2020.1824918.Peer-Reviewed Original ResearchConceptsNext-day physical activityHeart failureTotal sleep timePhysical activityCounts/minuteSleep characteristicsSleep timeSleep variablesNYHA class IIAdvanced heart failureStable heart failureDaytime physical activityBody mass indexCommunity-dwelling adultsWrist actigraphy recordingsCognitive behavioral therapyNYHA classHF classMass indexSleep improvementActigraphy recordingsLong sleepBehavioral therapyClass IIInsomniaPerceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure
Gaffey AE, Jeon S, Conley S, Jacoby D, Ash GI, Yaggi HK, O’Connell M, Linsky SJ, Redeker NS. Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure. Behavioral Sleep Medicine 2020, 19: 363-377. PMID: 32394733, PMCID: PMC7658015, DOI: 10.1080/15402002.2020.1762601.Peer-Reviewed Original ResearchConceptsDysfunctional beliefsCognitive abilitiesMental healthCognitive behavioral therapySymptom severitySleep disturbance questionnaireSleep disturbancesHF patientsSelf-reported sleep disturbanceHeart failurePerceived Stress ScaleBehavioral therapyInsomnia Severity IndexPerceived stressStress ScaleBaseline stressPittsburgh Sleep Quality IndexDisturbance QuestionnaireLower symptomsSleep Quality IndexNew York Heart Association classification ISF-36 mental healthSleep-related characteristicsStable heart failureSleep Scale
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 days0381 Cognitive Impairment Mediates The Relationship between Insomnia and Emotional Wellbeing among Patients with Stable Heart Failure
Jeon S, Conley S, Yaggi K, Jacoby D, Hollenbeak C, O’Connell M, Linsky S, Gaiser E, Richardson P, Mathew B, Kelly-Hauser J, Redeker N. 0381 Cognitive Impairment Mediates The Relationship between Insomnia and Emotional Wellbeing among Patients with Stable Heart Failure. Sleep 2018, 41: a145-a146. DOI: 10.1093/sleep/zsy061.380.Peer-Reviewed Original Research0881 Insomnia Is Related To Self-care In People With Stable Heart Failure
Conley S, Jeon S, Yaggi H, Jacoby D, Hollenbeak C, O’Connell M, Linsky S, Darden J, Gaiser E, Kelly-Hauser J, Matthew B, Richardson P, Redeker N. 0881 Insomnia Is Related To Self-care In People With Stable Heart Failure. Sleep 2018, 41: a327-a328. DOI: 10.1093/sleep/zsy061.880.Peer-Reviewed Original ResearchSelf-care maintenanceInsomnia Severity IndexPittsburgh Sleep Quality IndexStable heart failureHeart failureEpworth Sleepiness ScaleSleep disturbance questionnaireCognitive behavioral therapySleep characteristicsSleep-related cognitionsInsomnia severityStable chronic heart failureBehavioral therapyChronic heart failureSelf-care confidenceHeart Failure IndexUntreated sleep apneaSleep Quality IndexPoor sleep qualitySelf-care managementYears of ageSleep onset latencyHF patientsHigher insomnia severitySleep apnea
2017
Effects of Cognitive Behavioral Therapy for Insomnia on Sleep-Related Cognitions Among Patients With Stable Heart Failure
Redeker NS, Jeon S, Andrews L, Cline J, Mohsenin V, Jacoby D. Effects of Cognitive Behavioral Therapy for Insomnia on Sleep-Related Cognitions Among Patients With Stable Heart Failure. Behavioral Sleep Medicine 2017, 17: 342-354. PMID: 28745520, PMCID: PMC5904007, DOI: 10.1080/15402002.2017.1357120.Peer-Reviewed Original ResearchConceptsEffects of CBTHF patientsSleep disturbance questionnaireCognitive behavioral therapySleep-related cognitionsStable New York Heart Association class IINew York Heart Association class IIInsomnia severityChronic heart failure patientsBehavioral therapyPittsburgh Sleep Quality IndexHigh symptom burdenStable heart failureHeart failure patientsSleep Quality IndexImproved sleep qualityInsomnia Severity IndexSelf-reported fatigueDysfunctional sleep-related cognitionsSymptom burdenFailure patientsHeart failureMixed-effects modelingSleep latencyPoor sleep
2015
Cognitive Behavioral Therapy for Insomnia in the Context of Cardiovascular Conditions
Conley S, Redeker NS. Cognitive Behavioral Therapy for Insomnia in the Context of Cardiovascular Conditions. Current Sleep Medicine Reports 2015, 1: 157-165. PMID: 26500835, PMCID: PMC4612490, DOI: 10.1007/s40675-015-0019-7.Peer-Reviewed Original ResearchCardiovascular diseaseQuality of lifeContext of CVDLong-term outcomesRole of biomarkersChronic cardiovascular diseaseDiagnosis of insomniaCause of deathOptimal delivery methodEffects of CBTLimited available evidenceCognitive behavioral therapyCardiovascular morbidityCVD riskSymptom burdenDaytime symptomsMortality outcomesChronic insomniaCardiovascular conditionsInsomnia treatmentCardiac conditionsInsomnia symptomsNegative biological consequencesInsomniaBehavioral therapy
2013
“I'd eat a bucket of nails if you told me it would help me sleep:” Perceptions of insomnia and its treatment in patients with stable heart failure
Andrews LK, Coviello J, Hurley E, Rose L, Redeker NS. “I'd eat a bucket of nails if you told me it would help me sleep:” Perceptions of insomnia and its treatment in patients with stable heart failure. Heart & Lung 2013, 42: 339-345. PMID: 23998381, PMCID: PMC4104042, DOI: 10.1016/j.hrtlng.2013.05.003.Peer-Reviewed Original ResearchConceptsHeart failureHF patientsPatients' perceptionsStable heart failureSelf-management strategiesModel of insomniaEfficacy of interventionsCognitive behavioral therapyHypnotic medicationsDaytime functionInsomnia treatmentPoor sleepSleep concernsSide effectsPatientsHealth problemsInsomniaBehavioral therapyBehavioral treatmentTreatmentSleepDescriptive statisticsFocus group dataPsychological factorsIntervention