Featured Publications
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 outcomesDaytime 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 cognitionRest-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 severityTrajectory 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 modelingFailureSymptom 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 efficiencyEffects 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
2024
0741 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
Costs and Resource Utilization of People with Stable Heart Failure and Insomnia: Evidence from a Randomized Trial of Cognitive Behavioral Therapy for Insomnia
Hollenbeak C, Jeon S, Connell M, Conley S, Yaggi H, Redeker N. Costs and Resource Utilization of People with Stable Heart Failure and Insomnia: Evidence from a Randomized Trial of Cognitive Behavioral Therapy for Insomnia. Behavioral Sleep Medicine 2023, 22: 263-274. PMID: 37530117, PMCID: PMC10834836, DOI: 10.1080/15402002.2023.2241589.Peer-Reviewed Original ResearchSelf-management groupChronic heart failureHeart failureOutpatient visitsStable chronic heart failureCBT-I groupHalf of patientsStable heart failureEmergency department visitsPhysician office visitsSelf-management educationEffects of CBTCognitive behavioral therapyImpact of CBTUsual careDepartment visitsMultivariable analysisOffice visitsInpatient admissionsInpatient hospitalizationClinical trialsInsomnia symptomsHealthcare costsPatientsUnivariate comparisons0395 Effects of Insomnia and Rest-Activity on Hospitalizations and Emergency Department Visits in People with Stable Heart Failure
Jeon S, Conley S, Hollenbeak C, O’Connell M, Yaggi H, Jacoby D, Wang Z, Tocchi C, Redeker N. 0395 Effects of Insomnia and Rest-Activity on Hospitalizations and Emergency Department Visits in People with Stable Heart Failure. Sleep 2023, 46: a175-a175. DOI: 10.1093/sleep/zsad077.0395.Peer-Reviewed Original ResearchRest-activity rhythmED visitsHeart failureRisk factorsInsomnia Severity IndexHazard ratioEffects of insomniaInsomnia severityNew York Heart Association classDate of hospitalizationClinical risk factorsStable heart failureEmergency department visitsRandomized clinical trialsSelf-management educationAvailable medical recordsProportional hazards modelCognitive behavioral therapyGreater comorbidityHF patientsHigher insomnia severityCardiac eventsEarly hospitalizationFirst hospitalizationFrequent hospitalizations0326 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
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 characteristicsTreatment Fidelity in a Randomized Controlled Trial of Cognitive Behavioral Therapy for Insomnia in Heart Failure
O’Connell M, Iennaco JD, Linsky S, Jeon S, Conley S, Gaiser E, Redeker NS. Treatment Fidelity in a Randomized Controlled Trial of Cognitive Behavioral Therapy for Insomnia in Heart Failure. Nursing Research 2022, 71: 459-468. PMID: 35997691, PMCID: PMC9617756, DOI: 10.1097/nnr.0000000000000616.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapySleep disturbance questionnaireTreatment fidelityDysfunctional beliefsBehavioral therapyDisturbance QuestionnaireSleep-related beliefsCBT-I interventionTrial of CBTMost participantsNap frequencyChronic insomniaSleep scheduleSleep behaviorSleep onsetSleep ScaleSleep efficiencySleep itemsCBTBeliefsEfficacious treatmentTotal scoreFidelity evaluationHeart failureInsomniaCoping, 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 failureInsomniaDepressionPeopleCBT0206 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 modelingFailureTherapyManagementSleep, Stress, and Symptoms Among People With Heart Failure During the COVID-19 Pandemic
O'Connell M, Jeon S, Conley S, Linsky S, Redeker NS. Sleep, Stress, and Symptoms Among People With Heart Failure During the COVID-19 Pandemic. The Journal Of Cardiovascular Nursing 2022, 38: e55-e60. PMID: 35324509, PMCID: PMC9508278, DOI: 10.1097/jcn.0000000000000906.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyBehavioral therapySleep-related cognitionsHeart failureSelf-reported sleep characteristicsStressful eventsEffects of stressCOVID-19 pandemicMental healthMonths post treatmentSelf-management educationSleep characteristicsMoodSleepChronic conditionsInsomniaSymptomsTherapyPeopleCognitionCopingPost treatmentAnxietyPandemicSignificant improvement
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
2020
Day-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 IIInsomnia