Featured Publications
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.
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 ResearchMeSH KeywordsAdultChronic DiseaseCognitionCognitive Behavioral TherapyFemaleHeart FailureHumansMaleMiddle AgedQuality of LifeSleepSleep Initiation and Maintenance DisordersSleepinessTreatment OutcomeConceptsChronic 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 ResearchMeSH KeywordsAdultEmergency Service, HospitalFatigueHeart FailureHospitalizationHumansMalePainSleep Initiation and Maintenance DisordersConceptsRest-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 ResearchMeSH KeywordsAdultCognitive Behavioral TherapyFatigueHeart FailureHumansMiddle AgedSelf CareSleep Initiation and Maintenance DisordersTreatment OutcomeConceptsStable 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 ResearchMeSH KeywordsActigraphyAdultCognitive Behavioral TherapyFemaleHeart FailureHumansMaleMiddle AgedSleep Initiation and Maintenance DisordersSyndromeConceptsHigh 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 ResearchMeSH KeywordsAdultAgedCognitive Behavioral TherapyFatigueFemaleHeart FailureHumansMaleMiddle AgedSleepSleep Initiation and Maintenance DisordersTreatment OutcomeConceptsChronic 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 ResearchMeSH KeywordsCognitive Behavioral TherapyFemaleHeart FailureHumansMaleMiddle AgedSleep Initiation and Maintenance DisordersSurveys and QuestionnairesConceptsEffects 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
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 ResearchMeSH KeywordsAdultChronic DiseaseCognitionCross-Sectional StudiesDisorders of Excessive SomnolenceFemaleHeart FailureHumansHypertensionMaleMiddle AgedQuality of LifeSleep Initiation and Maintenance DisordersConceptsChronic 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 ResearchMeSH KeywordsCognitive Behavioral TherapyHeart FailureHumansReproducibility of ResultsSleepSleep Initiation and Maintenance DisordersTreatment OutcomeConceptsCognitive 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 ResearchMeSH KeywordsAdaptation, PsychologicalAgedCOVID-19FemaleHeart FailureHumansMaleMiddle AgedPandemicsSleep Initiation and Maintenance DisordersConceptsSleep-related cognitionsCognitive behavioral therapySleep characteristicsPandemic-related stressPandemic-related stressorsSymptoms of anxietyInvoluntary engagementInvoluntary disengagementBehavioral therapyStressful eventsSleep problemsInsomnia severityMood disturbanceCopingCOVID-19 pandemicSecondary controlAnxietyCognitionParticipantsDaytime symptomsHeart failureInsomniaDepressionPeopleCBTSleep 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 ResearchMeSH KeywordsAdultCross-Sectional StudiesHeart FailureHumansMedically Unexplained SymptomsSelf CareSleepSleep Initiation and Maintenance DisordersStroke VolumeVentricular Function, LeftConceptsSelf-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 ResearchMeSH KeywordsAgedCOVID-19FemaleHeart FailureHumansMaleMiddle AgedPandemicsSleepSleep Initiation and Maintenance DisordersTreatment OutcomeConceptsCognitive 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 ResearchMeSH KeywordsActigraphyAgedExerciseFemaleHeart FailureHumansMaleMiddle AgedRandomized Controlled Trials as TopicSleepSleep Initiation and Maintenance DisordersTime FactorsConceptsNext-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 ResearchMeSH KeywordsAgedFemaleHeart FailureHumansMaleMiddle AgedSleep Initiation and Maintenance DisordersStress, PsychologicalConceptsDysfunctional 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 ScaleSleep 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 ResearchMeSH KeywordsAdultChild, PreschoolCross-Sectional StudiesEthnicityFemaleHumansInfantMaleParent-Child RelationsParentingParentsPovertySleepSleep Initiation and Maintenance DisordersSurveys and QuestionnairesUnited StatesConceptsBehavioral 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 parentsAdversity
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 ResearchMeSH KeywordsActigraphyCross-Sectional StudiesFatigueFemaleHeart FailureHumansMaleMiddle AgedPainPain MeasurementPolysomnographyRetrospective StudiesSleep Aids, PharmaceuticalSleep Initiation and Maintenance DisordersConceptsPoor 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 ResearchMeSH KeywordsAnimalsAutonomic Nervous System DiseasesCognitive Behavioral TherapyCross-Sectional StudiesFemaleHeart FailureHumansMaleMiddle AgedSleep Initiation and Maintenance DisordersStress, PsychologicalConceptsUrinary 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
Cognitive 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 ResearchMeSH KeywordsActigraphyChronic DiseaseCognitive Behavioral TherapyCost-Benefit AnalysisHeart FailureHumansResearch DesignSelf-ManagementSleep Initiation and Maintenance DisordersConceptsEvent-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 ResearchMeSH KeywordsAnalysis of VarianceCognitive Behavioral TherapyFeasibility StudiesFemaleHeart FailureHumansMaleMiddle AgedPilot ProjectsSelf CareSleep Initiation and Maintenance DisordersSurveys and QuestionnairesTreatment OutcomeConceptsStable 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 ResearchMeSH KeywordsActivities of Daily LivingAdultAgedBody Mass IndexCircadian RhythmCohort StudiesCross-Sectional StudiesFemaleHeart FailureHumansMaleMiddle AgedRisk FactorsSleep Apnea SyndromesSleep Initiation and Maintenance DisordersConceptsStable 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