Featured Publications
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 symptomsInsomniaSymptom 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 efficiencySleep 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 qualityAssociationRhythmRemissionDiscrepancy 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
2024
0722 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
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 characteristicsCoping, 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 failureInsomniaDepressionPeopleCBT0573 Daytime and Nighttime Sleep and Symptoms of Depression and Anxiety in Adults with Inflammatory Bowel Disease
Conley S, Proctor D, Jeon S, Redeker N. 0573 Daytime and Nighttime Sleep and Symptoms of Depression and Anxiety in Adults with Inflammatory Bowel Disease. Sleep 2022, 45: a252-a252. DOI: 10.1093/sleep/zsac079.570.Peer-Reviewed Original ResearchInflammatory bowel diseaseSymptoms of depressionNighttime sleepSleep qualityAnxious symptomsBowel diseaseSleep durationCross-sectional feasibility studyOutcomes Measurement Information System (PROMIS) measuresTreatment of sleepPresence of depressionPoor sleep qualityInadequate sleep durationNightly sleep durationHealth care providersWrist-worn actigraphsIBD centerModerate effect sizeAutoimmune diseasesPoor sleepMean depressionSleep characteristicsCare providersSleep efficiencyGeneral population0206 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 Characteristics, Mood, Somatic Symptoms, and Self-Care Among People With Heart Failure and Insomnia
Breazeale S, Jeon S, Hwang Y, O’Connell M, Nwanaji-Enwerem U, Linsky S, Yaggi HK, Jacoby DL, Conley S, Redeker NS. Sleep Characteristics, Mood, Somatic Symptoms, and Self-Care Among People With Heart Failure and Insomnia. Nursing Research 2022, 71: 189-199. PMID: 35149627, PMCID: PMC9038676, DOI: 10.1097/nnr.0000000000000585.Peer-Reviewed Original ResearchConceptsSelf-care maintenanceStable heart failureSelf-care confidenceVentricular ejection fractionHeart failureChronic insomniaSleep characteristicsSomatic symptomsClinical factorsEjection fractionLeft ventricular ejection fractionChronic heart failureSelf-care behaviorsPoor sleep characteristicsSymptoms of anxietyCross-sectional designSleep disturbancesSingle symptomWhite raceHigh riskCombined associationsInsomnia severityInsomniaSymptomsHealthcare needsSleep, 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
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 IIInsomniaDaily variations in sleep and glucose in adolescents with type 1 diabetes
Griggs S, Redeker NS, Jeon S, Grey M. Daily variations in sleep and glucose in adolescents with type 1 diabetes. Pediatric Diabetes 2020, 21: 1493-1501. PMID: 32902901, PMCID: PMC7642150, DOI: 10.1111/pedi.13117.Peer-Reviewed Original ResearchConceptsGlucose variability indicesType 1 diabetesGlucose variabilityContinuous glucose monitorSleep disruptionPoor sleepSleep characteristicsHabitual short sleep durationEarlier wake timeShort sleep durationSleep fragmentation indexTotal sleep timeMore sleep disruptionNon-dominant wristVariability indexDay-level associationsGlycemic controlWrist actigraphBlood glucose risk indexSleep efficiencySleep durationSleep timeGlucose patternsGood sleepSleep habitsSleep health in young children living with socioeconomic adversity
Ordway MR, Sadler LS, Jeon S, O'Connell M, Banasiak N, Fenick AM, Crowley AA, Canapari C, Redeker NS. Sleep health in young children living with socioeconomic adversity. Research In Nursing & Health 2020, 43: 329-340. PMID: 32306413, PMCID: PMC7368803, DOI: 10.1002/nur.22023.Peer-Reviewed Original ResearchConceptsBehavioral sleep interventionsSleep habitsSleep interventionsSleep characteristicsSleep knowledgeSocioeconomic adversityNight awakeningsLater bedtimesSleep onsetBedtime variabilityYoung childrenMixed-methods studyChild sleep characteristicsSleep durationLower sleep durationPsychological functionsEarlier bedtimesSleep healthSleep deficiencySleep recommendationsParental knowledgeFragmented sleepBedtimePercent of parentsAdversitySleep and Glycemia in Youth With Type 1 Diabetes
Rechenberg K, Griggs S, Jeon S, Redeker N, Yaggi HK, Grey M. Sleep and Glycemia in Youth With Type 1 Diabetes. Journal Of Pediatric Health Care 2020, 34: 315-324. PMID: 32171612, PMCID: PMC7311270, DOI: 10.1016/j.pedhc.2019.12.002.Peer-Reviewed Original ResearchConceptsSleep durationDiabetes clinical outcomesShort sleep durationType 1 diabetesPotential therapeutic targetObjective sleep characteristicsExecutive functionClinical outcomesGlucose variabilityContinuous glucose monitorRhythm timingSleep characteristicsDepressive symptomsTherapeutic targetSleep habitsSleep variabilityBivariate analysisType 1Anxiety symptomsSleep timingGlucose monitorSymptomsTrait anxiety symptomsDurationGlycemia
2019
Daytime and Nighttime Sleep Characteristics and Pain Among Adults With Stable Heart Failure.
Conley S, Feder SL, Jeon S, Redeker NS. Daytime and Nighttime Sleep Characteristics and Pain Among Adults With Stable Heart Failure. The Journal Of Cardiovascular Nursing 2019, 34: 390-398. PMID: 31365442, PMCID: PMC6690780, DOI: 10.1097/jcn.0000000000000593.Peer-Reviewed Original ResearchConceptsPoor sleep qualityHeart failureSleep medicationSleep characteristicsDaytime sleepinessSleep qualitySleep durationSelf-reported poor sleep qualityPittsburgh Sleep Quality IndexMore sleep medicationsStable heart failureBodily pain scaleSleep Quality IndexCross-sectional studyPresence of insomniaLong sleep durationNighttime sleep characteristicsSpecific sleep characteristicsSleep Habits QuestionnaireNocturnal sleep characteristicsPain scaleSymptom burdenMore painSleep disturbancesInsomnia symptoms
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 Research