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, 10: 705-712. PMID: 39482227, PMCID: PMC11624990, 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 outcomesAlterations in Volume and Intrinsic Resting-State Functional Connectivity Detected at Brain MRI in Individuals with Opioid Use Disorder.
Mehta S, Peterson H, Ye J, Ibrahim A, Saeed G, Linsky S, Kreinin I, Tsang S, Nwanaji-Enwerem U, Raso A, Arora J, Tokoglu F, Yip S, Hahn C, Lacadie C, Greene A, Jeon S, Constable R, Barry D, Redeker N, Yaggi H, Scheinost D, Weintraub E. Alterations in Volume and Intrinsic Resting-State Functional Connectivity Detected at Brain MRI in Individuals with Opioid Use Disorder. Radiology 2024, 313: e240514. PMID: 39656127, DOI: 10.1148/radiol.240514.Peer-Reviewed Original ResearchConceptsHealthy control participantsRight medial temporal lobeOpioid use disorderFunctional brain alterationsMedial temporal lobeOpioid use disorder groupFunctional connectivityUse disorderControl participantsBrain alterationsIntrinsic resting-state functional connectivityTemporal lobeMedial prefrontal cortex volumesVoxel-wise linear regressionT1-weighted MRIResting-state functional connectivityFamily-wise error correctionPrefrontal cortex volumeResting-state functional MRIIncreased functional connectivityIntrinsic connectivity distributionFunctional MRI studiesFemale participantsRegional brain volumesAssess group differencesLongitudinal Transition of Symptom Cluster Profiles Among Community-Dwelling Older Adults With Heart Failure
Wang Z, Redeker N, Walsh S, Jeon S, Kim K, Conley S, Tocchi C, Chyun D. Longitudinal Transition of Symptom Cluster Profiles Among Community-Dwelling Older Adults With Heart Failure. Nursing Research 2024, 74: e1-e10. PMID: 39162598, DOI: 10.1097/nnr.0000000000000770.Peer-Reviewed Original ResearchSymptom cluster profilesOlder adultsCommunity-dwelling older adultsHealth and Retirement StudySecondary analysis of dataLongitudinal secondary analysisHeart failure experienceLow symptom burdenLongitudinal transitionsClinical factorsBlack/African American raceHealth InterviewRetirement StudySymptom burdenTargeted interventionsDistress profilesIncreased oddsCluster symptomsLow burdenMultinominal regressionCluster profilesAmerican raceAnalysis of dataMale sexParticipantsThe CARING study: Examining biological, behavioral, and genetic mechanisms in the intergenerational transmission of toxic stress
Condon E, Scheibner H, Kuzel M, Howard M, Cisse M, O'Connell M, Conley Y, Jeon S, Sadler L, Redeker N. The CARING study: Examining biological, behavioral, and genetic mechanisms in the intergenerational transmission of toxic stress. Research In Nursing & Health 2024, 47: 369-383. PMID: 38804202, PMCID: PMC11236528, DOI: 10.1002/nur.22400.Peer-Reviewed Original ResearchStudy of CaregivingReduce health disparitiesIntergenerational transmissionEffects of toxic stressCross-sectional studyCycle of adversityToxic stressChildren aged 3Health disparitiesHealth interventionsMental healthCare studiesCaregiversMultiple physiological systemsHypothesized pathwaysChildhood experiencesLife courseEarly childhood experiencesResearch protocolChildren's susceptibilityDaily routineProtective factorsCareAged 3Health0741 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 task0722 Clinical, Demographic, Functional, and Symptom Correlates of COMISA in Stable Heart Failure
LaFleur K, Jeon S, Wang Z, Conley S, Redeker N. 0722 Clinical, Demographic, Functional, and Symptom Correlates of COMISA in Stable Heart Failure. Sleep 2024, 47: a309-a309. DOI: 10.1093/sleep/zsae067.0722.Peer-Reviewed Original ResearchApnea-hypopnea indexHeart failureNormal sleepSleep-disordered breathingStable chronic HFStable heart failureHypopnea indexDisordered breathingChronic HFDemographic characteristicsObjective sleep characteristicsStable HFCOMISAObservational studyStudy of sleepSymptom correlationMaintaining sleepSleep characteristicsChi-squareSleepSecondary analysisInsomniaNormal sleepersSymptomsRisk
2023
Daytime 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 symptomsInsomniaEarly emergence of racial and ethnic differences in sleep health among toddlers living in low-income families
Ordway M, Sadler L, Jeon S, Pierre J, Canapari C, Redeker N. Early emergence of racial and ethnic differences in sleep health among toddlers living in low-income families. Sleep Health 2023, 9: 389-397. PMID: 37453903, PMCID: PMC10517059, DOI: 10.1016/j.sleh.2023.02.006.Peer-Reviewed Original ResearchConceptsAverage sleep durationSleep healthGroup differencesEthnic differencesBrief Infant Sleep QuestionnaireAge-based recommendationsSleep health disparitiesInfant Sleep QuestionnaireLow-income familiesMonths of ageChildren's sleep healthSleep QuestionnaireSleep durationLarge effect sizesSleep diaryBedtime variabilityActigraph dataHealth disparitiesEarlier bedtimesSociodemographic variablesSocioeconomic differencesMarital statusBedtimeEarly childhoodYoung childrenSleep-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 cognition0144 A Mixed Methods Exploration of Stigma, Discrimination, and Sleep among Individuals on Medication for Opioid Use Disorder
Nwanaji-Enwerem U, Sadler L, Jeon S, Barry D, Yaggi H, Redeker N. 0144 A Mixed Methods Exploration of Stigma, Discrimination, and Sleep among Individuals on Medication for Opioid Use Disorder. Sleep 2023, 46: a65-a65. DOI: 10.1093/sleep/zsad077.0144.Peer-Reviewed Original ResearchOpioid use disorderUse disordersInsomnia severitySpearman correlationInsomnia Severity IndexSleep studiesExperience symptomsSleep outcomesExperiences of stigmaLarge diverse sampleStigma ScaleInsomniaChronic stressorsSeverity IndexSleepMedicationsConclusions FindingsOUDIntervention approachesNegative healthStigmatized populationsSeverityDisordersStigmaOutcomesRest-activity rhythms predict time to hospitalizations and emergency department visits among participants in a randomized control of adults with heart failure and insomnia
Jeon S, Conley S, Hollenbeak C, O'Connell M, Wang Z, Tocchi C, Redeker N. Rest-activity rhythms predict time to hospitalizations and emergency department visits among participants in a randomized control of adults with heart failure and insomnia. Sleep Medicine 2023, 108: 1-7. PMID: 37301192, PMCID: PMC10336725, DOI: 10.1016/j.sleep.2023.05.019.Peer-Reviewed Original ResearchConceptsRest-activity rhythmED visitsHeart failureEmergency departmentCircadian quotientEarly hospitalizationWrist actigraphyEarly ED visitsChronic heart failureLow ejection fractionFirst cardiac eventCox proportional hazardsEffects of insomniaCognitive behavioral therapyComposite eventsNYHA classHF patientsCardiac eventsCPAP useSevere painEjection fractionMale sexSevere insomniaHospitalizationInsomnia severity
2022
Correlates of cognition among people with chronic heart failure and insomnia
Geer JH, Jeon S, O’Connell M, Linsky S, Conley S, Hollenbeak CS, Jacoby D, Yaggi HK, Redeker NS. Correlates of cognition among people with chronic heart failure and insomnia. Sleep And Breathing 2022, 27: 1287-1296. PMID: 36214945, PMCID: PMC10084469, DOI: 10.1007/s11325-022-02716-w.Peer-Reviewed Original ResearchConceptsChronic heart failureHigher body mass indexHeart failureBody mass indexQuality of lifeMass indexDaytime sleepinessNew York Heart Association class ICognitive impairmentSignificant risk factorsNon-white raceSelf-reported cognitive impairmentInsomnia Severity IndexSleep disturbance questionnaireCross-sectional analysisCognitive behavioral therapyFrequency of lapsesMedical comorbiditiesCommon comorbiditiesClinical factorsEjection fractionPulmonary diseaseMultivariable analysisRisk factorsSleep characteristicsTrajectory 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 modelingFailure
2020
Rest-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 Characteristics and Rest–Activity Rhythms Are Associated with Gastrointestinal Symptoms Among Adults with Inflammatory Bowel Disease
Conley S, Jeon S, Lehner V, Proctor DD, Redeker NS. Sleep Characteristics and Rest–Activity Rhythms Are Associated with Gastrointestinal Symptoms Among Adults with Inflammatory Bowel Disease. Digestive Diseases And Sciences 2020, 66: 181-189. PMID: 32193859, PMCID: PMC8162988, DOI: 10.1007/s10620-020-06213-6.Peer-Reviewed Original ResearchConceptsInflammatory bowel diseaseRest-activity rhythmHeartburn/refluxDisease activityGI symptomsSleep characteristicsBowel diseaseGas/bloatingCross-sectional studySpecific sleep characteristicsRAR variablesGastrointestinal symptomsIntra-daily variabilityBackgroundSleep disturbancesSleep efficiencyAimsThe purposeSleep onsetSymptomsAdultsDiseaseRefluxPoor qualityAssociationRhythmRemission
2019
Latent Transition Analysis of the Symptom Experience of Cancer Patients Undergoing Chemotherapy
Jeon S, Sikorskii A, Given BA, Given CW, Redeker NS. Latent Transition Analysis of the Symptom Experience of Cancer Patients Undergoing Chemotherapy. Nursing Research 2019, 68: 91-98. PMID: 30540701, PMCID: PMC6399048, DOI: 10.1097/nnr.0000000000000332.Peer-Reviewed Original ResearchConceptsSymptom experienceCancer patientsYoung adultsEmotional role functioningTreatment-related symptomsClass A patientsBetter physical functionAdult cancer patientsGeneral health perceptionRandomized clinical trialsClustering of symptomsPatients' symptom experiencesSymptom management interventionsLatent transition analysisNumber of symptomsQuality of lifeLess comorbidityA patientsSymptom managementPhysical functionClinical trialsHealth perceptionMultiple symptomsRole functioningPatients' membership
2018
Discrepancy between wrist‐actigraph and polysomnographic measures of sleep in patients with stable heart failure and a novel approach to evaluating discrepancy
Jeon S, Conley S, Redeker NS. Discrepancy between wrist‐actigraph and polysomnographic measures of sleep in patients with stable heart failure and a novel approach to evaluating discrepancy. Journal Of Sleep Research 2018, 28: e12717. PMID: 29943403, PMCID: PMC6309769, DOI: 10.1111/jsr.12717.Peer-Reviewed Original ResearchConceptsPoor sleep qualityTotal sleep timeHeart failurePolysomnographic measuresSleep qualitySleep measuresSleep timeHeart failure disease management programsMotor activityDaytime motor activityStable heart failureShorter total sleep timeCross-sectional studyPoor sleep efficiencyImportance of agingDisease management programsOlder patientsBland-Altman plotsSevere insomniaRisk factorsClinical dataIntra-class correlationSleep characteristicsSleep efficiencyWrist actigraphy
2017
Polysomnographic phenotypes and their cardiovascular implications in obstructive sleep apnoea
Zinchuk AV, Jeon S, Koo BB, Yan X, Bravata DM, Qin L, Selim BJ, Strohl KP, Redeker NS, Concato J, Yaggi HK. Polysomnographic phenotypes and their cardiovascular implications in obstructive sleep apnoea. Thorax 2017, 73: 472. PMID: 28935698, PMCID: PMC6693344, DOI: 10.1136/thoraxjnl-2017-210431.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAgedCardiovascular DiseasesCluster AnalysisCross-Sectional StudiesFemaleHumansIschemic Attack, TransientLongitudinal StudiesMaleMiddle AgedMortalityPhenotypePolysomnographyProportional Hazards ModelsRisk AssessmentSeverity of Illness IndexSleep Apnea, ObstructiveStrokeConceptsObstructive sleep apnoeaCardiovascular outcomesPolysomnographic featuresSleep apnoeaPolysomnographic dataIncident transient ischemic attackUS Veteran cohortTransient ischemic attackAcute coronary syndromeAdverse cardiovascular outcomesPeriodic limb movementsOSA severity classificationPolysomnographic phenotypeCoronary syndromeIschemic attackCardiovascular implicationsOSA phenotypesOSA evaluationPathophysiological domainsPoor sleepMild/Patient clustersVeteran cohortSurvival analysisCombined outcomeEffects 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
2016
Sleep 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