2024
0488 Exploring Study Recruitment Trends in the Acute Post-Stroke Setting
Schwarz J, Masroor K, Radulescu R, Tsang S, Sheth K, Redeker N, Yaggi H, Geer J. 0488 Exploring Study Recruitment Trends in the Acute Post-Stroke Setting. Sleep 2024, 47: a210-a210. DOI: 10.1093/sleep/zsae067.0488.Peer-Reviewed Original ResearchContinuous positive airway pressureObstructive sleep apneaPositive airway pressureAcute ischemic strokeAirway pressureUpper airway closureSleep-disordered breathingYale-New Haven HospitalCerebral blood flowOSA screeningOSA treatmentSleep apneaImpact cerebral blood flowAcademic medical centerSympathetic activityClinical trialsPatient populationHemodynamic changesRisk factorsPatientsFunctional recoveryExclusion criteriaAirway closureCardiovascular diseaseBlood flow0486 Performing Polysomnography in the Acute Post-stroke Setting
Masroor K, Schwarz J, Radulescu R, Tsang S, Sheth K, Redeker N, Yaggi H, Geer J. 0486 Performing Polysomnography in the Acute Post-stroke Setting. Sleep 2024, 47: a209-a209. DOI: 10.1093/sleep/zsae067.0486.Peer-Reviewed Original ResearchObstructive sleep apneaSleep apneaRates of obstructive sleep apneaSymptoms of obstructive sleep apneaSevere obstructive sleep apneaObstructive sleep apnea diagnosisAcute settingSleep-disordered breathingPercentage of patientsProportion of patientsYale-New Haven HospitalAHI cutoffOSA prevalenceOSA diagnosisPreventing recurrent strokeImprove stroke recoveryPolysomnography testNew Haven HospitalPolysomnographyScreening patientsTherapeutic windowApneaPatientsRisk factorsMedical records
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 comparisonsCorrelates of Perceived Discrimination Related to Substance Use Disorders Among Patients in Methadone Maintenance Treatment
Nwanaji-Enwerem U, Beitel M, Oberleitner D, Gazzola M, Eggert K, Oberleitner L, Jegede O, Zheng X, Redeker N, Madden L, Barry D. Correlates of Perceived Discrimination Related to Substance Use Disorders Among Patients in Methadone Maintenance Treatment. Journal Of Psychoactive Drugs 2023, 56: 530-540. PMID: 37399330, PMCID: PMC10761588, DOI: 10.1080/02791072.2023.2230571.Peer-Reviewed Original ResearchMethadone maintenance treatmentSubstance use disordersLogistic regression modelsUse disordersMaintenance treatmentTreatment-related characteristicsOpioid use disorderFinal logistic regression modelBSI-18 depressionAge of onsetRegression modelsMMT programDepressive symptomsMeasures of demographicsPatientsBivariate analysisSubstance abuseSignificant correlatesDisordersCorrelatesMedian splitAgeParticipantsTreatmentLikert-type scale0841 Feasibility of Actigraphy during a Daytime Bright Pilot Study in the Medical ICU
Lukas M, Doyle M, Intihar T, Wright K, Redeker N, Pisani M, Yaggi H, Knauert M. 0841 Feasibility of Actigraphy during a Daytime Bright Pilot Study in the Medical ICU. Sleep 2023, 46: a370-a371. DOI: 10.1093/sleep/zsad077.0841.Peer-Reviewed Original ResearchRest-activity patternsCircadian quotientMICU patientsPilot studyCosinor analysisStudy days 1Illness severity scoresCritical illnessMedical ICUMethods PatientsOngoing RCTsMean ageSeverity scorePatient outcomesActigraphy recordingsPatientsDay 1Patient careCircadian disruptionResults ThirteenActigraphyTotal recordingCircadian alignmentCircadian misalignmentMesor0842 Feasibility of daytime bright light exposure and urinary 6-sulfatoxymelatonin profiling in the medical ICU: A pilot study
Intihar T, Doyle M, Lukas M, Wright K, Redeker N, Pisani M, Yaggi H, Knauert M. 0842 Feasibility of daytime bright light exposure and urinary 6-sulfatoxymelatonin profiling in the medical ICU: A pilot study. Sleep 2023, 46: a371-a371. DOI: 10.1093/sleep/zsad077.0842.Peer-Reviewed Original ResearchMedical intensive care unitMICU patientsDaytime bright light exposureStudy days 1Intensive care unitIllness severity scoresBright light exposureWarrants further investigationCircadian outcomesMedical ICUCritical illnessIll patientsOngoing RCTsCare unitCircadian timingMean ageMelatonin useCircadian phaseSeverity scorePilot trialSufficient urinePatientsStudy daysBright lightDay 1Response 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
2020
Evaluating Recruitment Strategies for a Randomized Clinical Trial with Heart Failure Patients
Conley S, O’Connell M, Linsky S, Moemeka L, Darden JW, Gaiser EC, Jacoby D, Yaggi H, Redeker NS. Evaluating Recruitment Strategies for a Randomized Clinical Trial with Heart Failure Patients. Western Journal Of Nursing Research 2020, 43: 785-790. PMID: 33158412, PMCID: PMC8099934, DOI: 10.1177/0193945920970229.Peer-Reviewed Original ResearchConceptsClinic-based recruitmentMultiple recruitment strategiesPatient portalsClinical trialsElectronic databasesChronic stable heart failureElectronic medical record databaseRecruitment strategiesStable heart failureHeart failure patientsChronic medical conditionsRandomized clinical trialsMedical record databaseBaseline data collectionCognitive behavioral therapyFailure patientsHeart failureMedical recordsMedical conditionsPatientsRecruitment goalsRecord databaseBehavioral therapySupport groupsTrialsNursing Research Priorities in Critical Care, Pulmonary, and Sleep: International Delphi Survey of Nurses, Patients, and Caregivers
George M, Hernandez C, Smith S, Narsavage G, Kapella MC, Carno M, Guttormson J, Disler RT, Hart DE, Chlan LL, Happ MB, Chen Z, Hetland B, Hutchinson AF, Jonsdottir H, Redeker NS, Schell-Chaple H, Fletcher M, Yorke J. Nursing Research Priorities in Critical Care, Pulmonary, and Sleep: International Delphi Survey of Nurses, Patients, and Caregivers. Annals Of The American Thoracic Society 2020, 17: 1-10. PMID: 31891300, PMCID: PMC6944344, DOI: 10.1513/annalsats.201909-705st.Peer-Reviewed Original ResearchConceptsNursing research prioritiesCritical careAdult pulmonaryPatient-reported outcomesPatient-reported experiencesDelphi consensus approachInternational Delphi surveyResearch prioritiesClinical outcomesPatient insightSleep itemsNursing expertsSleep conditionsPulmonaryNursesPotential research prioritiesFocal areasCarePatientsGreater thresholdOutcomesNurse scientistsDelphi surveyConsumer expertsExpert opinion
2019
Pilot study: an intensive care unit sleep promotion protocol
Knauert MP, Pisani M, Redeker N, Murphy T, Araujo K, Jeon S, Yaggi H. Pilot study: an intensive care unit sleep promotion protocol. BMJ Open Respiratory Research 2019, 6: e000411. PMID: 31258916, PMCID: PMC6561389, DOI: 10.1136/bmjresp-2019-000411.Peer-Reviewed Original ResearchConceptsPromotion protocolProtocol armUsual careSleep protocolICU sleepProtocol patientsIll patientsPrimary outcomeSleep disruptionBedside careRoom entryPatientsRoom activitiesSleep opportunityCareLength of timeProtocol effectMean ARoom disturbancesGeneralised linear modelArmTime blocksEquivalent levelsRoom entranceActivity
2018
Mechanisms of reduced sleepiness symptoms in heart failure and obstructive sleep apnea
Pak VM, Strouss L, Yaggi HK, Redeker NS, Mohsenin V, Riegel B. Mechanisms of reduced sleepiness symptoms in heart failure and obstructive sleep apnea. Journal Of Sleep Research 2018, 28: e12778. PMID: 30421541, PMCID: PMC6538477, DOI: 10.1111/jsr.12778.Peer-Reviewed Original ResearchConceptsObstructive sleep apneaSleep apneaHeart failureSleepiness symptomsUntreated obstructive sleep apneaHeart failure populationBenefits of treatmentExcessive daytimeEpidemiologic evidenceFailure populationHigh riskApneaClinical practiceCase identificationPatientsSymptomsPossible mechanistic explanationTreatmentFailurePopulationMortalitySleepinessDiseaseSleep0381 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
2017
Factors Influencing Patients' Sleep in the Intensive Care Unit: Perceptions of Patients and Clinical Staff.
Ding Q, Redeker NS, Pisani MA, Yaggi HK, Knauert MP. Factors Influencing Patients' Sleep in the Intensive Care Unit: Perceptions of Patients and Clinical Staff. American Journal Of Critical Care 2017, 26: 278-286. PMID: 28668912, PMCID: PMC5559223, DOI: 10.4037/ajcc2017333.Peer-Reviewed Original ResearchConceptsIntensive care unitMedical intensive care unitPatients' sleepCare unitSleep improvementIntensive care unit staffIntensive care unit environmentPerceptions of patientsAdequate sleep opportunityIll patientsBeliefs of staffClinical outcomesSleep qualityRestorative sleepUnit staffPatientsClinical staffPatient surrogatesSleepUnit environmentSleep opportunityOnly factorPatients' emotionsNonenvironmental factorsSemistructured interviews0704 THE CIRCADIAN QUOTIENT OBTAINED FROM WRIST ACTIGRAPHY EXPLAINS SLEEP QUALITY PARAMETERS AMONG PATIENTS WITH STABLE HEART FAILURE
Jeon S, Knies A, Redeker N. 0704 THE CIRCADIAN QUOTIENT OBTAINED FROM WRIST ACTIGRAPHY EXPLAINS SLEEP QUALITY PARAMETERS AMONG PATIENTS WITH STABLE HEART FAILURE. Sleep 2017, 40: a261-a261. DOI: 10.1093/sleepj/zsx050.703.Peer-Reviewed Original ResearchStable heart failureCircadian quotientYears of ageHeart failureSleep quality parametersREM sleepSleep efficiencyOlder patientsYounger patientsWrist actigraphySleep timeGeneral linear modelSleep quality variablesDaytime activityTotal sleep timeLess daytime activityHF patientsREM percentageNight-time activity levelsNocturnal polysomnographyLower mesorPatientsPatient's homeOlder adultsCosinor analysis
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 analysisExcessive Daytime Sleepiness in Stroke Survivors
Ding Q, Whittemore R, Redeker N. Excessive Daytime Sleepiness in Stroke Survivors. Biological Research For Nursing 2016, 18: 420-431. PMID: 26792913, PMCID: PMC6344831, DOI: 10.1177/1099800415625285.Peer-Reviewed Original ResearchConceptsExcessive daytime sleepinessStroke survivorsDaytime sleepinessStroke survivors' qualityIndependent risk factorSleep-disordered breathingStroke patientsPrevalent symptomsRisk factorsInclusion criteriaSurvivors' qualityClinical practiceSurvivorsIntegrative reviewCognitive functioningOutcomesStrokeSymptomsSleepinessHarmful outcomesFunctional performanceObjective measuresMultidimensional constructEMBASEPatients
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 ResearchConceptsStable 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 conditionThe relationship between pain, fatigue, depression and functional performance in stable heart failure
Conley S, Feder S, Redeker NS. The relationship between pain, fatigue, depression and functional performance in stable heart failure. Heart & Lung 2015, 44: 107-112. PMID: 25576085, PMCID: PMC4352387, DOI: 10.1016/j.hrtlng.2014.07.008.Peer-Reviewed Original ResearchConceptsStable heart failureHeart failureStable HF patientsFunctional performanceCross-sectional studySymptom management interventionsHF patientsMean ageSectional studyClinical covariatesSecondary data analysisPainFunctional capacityFunctional measuresDepressionDemographic factorsFunctional variablesFatigueHierarchical multiple regressionManagement interventionsPatientsFailure
2014
Incorporating measures of sleep quality into cancer studies
Redeker NS, Pigeon WR, Boudreau EA. Incorporating measures of sleep quality into cancer studies. Supportive Care In Cancer 2014, 23: 1145-1155. PMID: 25510361, PMCID: PMC4346497, DOI: 10.1007/s00520-014-2537-0.Peer-Reviewed Original ResearchConceptsImportance of sleepCancer careSleep qualityCancer studiesSleep measuresSleep-promoting interventionsQuality of lifeDevelopment of cancerBackgroundSleep disturbancesCancer patientsSleep evaluationPatient experienceSleep measurementsBeneficial effectsMethodsThis reviewSleepCancerCareCancer researchersRecent studiesTreatmentPatientsGreater understandingStudySurvivorsFeasibility study of unattended polysomnography in medical intensive care unit patients
Knauert MP, Yaggi HK, Redeker NS, Murphy TE, Araujo KL, Pisani MA. Feasibility study of unattended polysomnography in medical intensive care unit patients. Heart & Lung 2014, 43: 445-452. PMID: 25023504, PMCID: PMC4150840, DOI: 10.1016/j.hrtlng.2014.06.049.Peer-Reviewed Original ResearchConceptsMedical intensive care unitPortable polysomnographySleep efficiencyMedical intensive care unit patientsIntensive care unit patientsSleep deprivationOvernight sleep durationCare unit patientsObservational pilot studyIntensive care unitIndicators of feasibilityUnattended polysomnographyUnit patientsIll patientsPatients' sleepCare unitArousal indexPSG studiesSleep durationPatientsInterpretable qualityPilot studyGold standardSleepSleep stages