2024
Sleep Deficiency A Symptoms Perspective: Exemplars from Chronic Heart Failure, Inflammatory Bowel Disease, and Breast Cancer
Redeker N, Conley S, Hwang Y. Sleep Deficiency A Symptoms Perspective: Exemplars from Chronic Heart Failure, Inflammatory Bowel Disease, and Breast Cancer. Sleep Medicine Clinics 2024, 19: 537-548. PMID: 39455175, DOI: 10.1016/j.jsmc.2024.07.003.Peer-Reviewed Original ResearchConceptsExcessive daytime sleepinessChronic heart failureInflammatory bowel diseaseBreast cancerHeart failureBowel diseaseContributions of sleep deficiencySleep disordersSleep deficiencyPrevalence of fatigueDaytime sleepinessDaytime symptomsChronic conditionsBreastCancerDeficiencySymptomsDiseaseSleepDisordersFatigueUse of Hospice and End-of-Life Care Quality Among Medical Centers with High Versus Lower Specialist Palliative Care Reach Among People with Heart Failure: An Observational Study
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Use of Hospice and End-of-Life Care Quality Among Medical Centers with High Versus Lower Specialist Palliative Care Reach Among People with Heart Failure: An Observational Study. Journal Of Palliative Medicine 2024 PMID: 39515377, DOI: 10.1089/jpm.2024.0182.Peer-Reviewed Original ResearchSpecialist palliative careVeterans Affairs Medical CenterEnd of lifeCare qualityInpatient hospiceEnd of life outcomesUse of hospiceInpatient hospice careMedical CenterMultilevel logistic regressionFamilies of patientsAffairs Medical CenterHospice carePalliative careRetrospective cohort studyAdvanced heart failureBlack adultsHospiceCohort studyFacility rateLogistic regressionStudy outcomesObservational studyCareHeart failureFunctional Capacity, Functional Performance, and Symptoms in People With Heart Failure: An Integrative Review.
Wang Z, Redeker N, Tocchi C, Kim K, Conley S, Chyun D. Functional Capacity, Functional Performance, and Symptoms in People With Heart Failure: An Integrative Review. The Journal Of Cardiovascular Nursing 2024 PMID: 39454078, DOI: 10.1097/jcn.0000000000001152.Peer-Reviewed Original ResearchFunctional capacityFunctional statusDepressive symptomsFunctional performanceIntegrative reviewInsomnia symptomsMedical Outcomes Scale-Short Form 36Associated with decreased functional performanceJoanna Briggs Institute critical appraisal toolsMeasures of functional statusSix-minute walk testReview of observational studiesFunctional performance measuresCritical appraisal toolsAssociated with sleep difficultiesFunctional capacity measuresShort Form-36Quality of studiesSix-MinuteAppraisal ToolWalk testPsychological symptomsAssess symptomsHeart failureAnxiety symptomsVariation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findings0741 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
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 symptomsInsomniaCosts 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 comparisonsValidation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs
Feder S, Zhan Y, Abel E, Smith D, Ersek M, Fried T, Redeker N, Akgün K. Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2023, 66: e475-e483. PMID: 37364737, PMCID: PMC10527602, DOI: 10.1016/j.jpainsymman.2023.06.023.Peer-Reviewed Original ResearchConceptsSpecialist palliative careInpatient encountersCurrent Procedural TerminologyPalliative careICD-9/ICDICD-9/10 codesCohort of peopleVeterans Affairs facilitiesStop codeNegative predictive valueElectronic health recordsChart reviewHeart failureAdministrative databasesSpecific clinicPredictive valueICD codesProcedural TerminologyVeterans AffairsOutpatientsHealth recordsAdministrative dataReference standardCareConsultationSleep-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 cognitionEE110 Costs and Resource Utilization of People with Stable Heart Failure and Insomnia: Evidence from a Randomized Trial
Hollenbeak C, Jeon S, O'Connell M, Conley S, Yaggi H, Redeker N. EE110 Costs and Resource Utilization of People with Stable Heart Failure and Insomnia: Evidence from a Randomized Trial. Value In Health 2023, 26: s79-s80. DOI: 10.1016/j.jval.2023.03.414.Peer-Reviewed Original Research0395 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 therapyRest-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 severityResponse 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
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 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