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 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 severityReal-time racial discrimination, affective states, salivary cortisol and alpha-amylase in Black adults
Nam S, Jeon S, Lee SJ, Ash G, Nelson LE, Granger DA. Real-time racial discrimination, affective states, salivary cortisol and alpha-amylase in Black adults. PLOS ONE 2022, 17: e0273081. PMID: 36103465, PMCID: PMC9473392, DOI: 10.1371/journal.pone.0273081.Peer-Reviewed Original ResearchConceptsAutonomic nervous systemEcological momentary assessmentDiurnal slopeCortisol levelsPhysiological stress responseBlack adultsMajor stress response systemsHealthy black adultsFlatter diurnal slopeDiurnal cortisol slopeNervous systemSalivary biomarkersHealth outcomesLarger sample sizeCortisol slopeSalivary cortisolConcurrent useBaseline surveyStress response systemStress responseCross-sectional dataCortisolSame dayFurther studiesAlpha-amylaseTrajectory 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 efficiencyRest-activity rhythms, daytime symptoms, and functional performance among people with heart failure
Jeon S, Conley S, Redeker NS. Rest-activity rhythms, daytime symptoms, and functional performance among people with heart failure. Chronobiology International 2020, 37: 1223-1234. PMID: 32588662, PMCID: PMC7529895, DOI: 10.1080/07420528.2020.1779280.Peer-Reviewed Original ResearchConceptsRest-activity rhythmStable heart failureHeart failureDaytime symptomsCircadian quotientPoorer New York Heart Association classNew York Heart Association classHF disease management programFunctional performanceBetter NYHA classChronic heart failureMinute walk testDisease management programsLess sleep fragmentationHF independentUnattended polysomnographyNYHA classGreater comorbidityAssociation classWalk testIntra-daily variabilityFunctional outcomePhysical functionPoor functionSleep fragmentationSleep 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 qualityAssociationRhythmRemissionFour Approaches for Determining Composite Scores for the Measurement of Transition in Cancer Scale
Jeon S, Schulman-Green D, McCorkle R, Dixon JK. Four Approaches for Determining Composite Scores for the Measurement of Transition in Cancer Scale. Nursing Research 2019, 68: 57-64. PMID: 30247334, DOI: 10.1097/nnr.0000000000000318.Peer-Reviewed Original ResearchSleep 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 analysisDetecting a clinically meaningful change in tic severity in Tourette syndrome: A comparison of three methods
Jeon S, Walkup JT, Woods DW, Peterson A, Piacentini J, Wilhelm S, Katsovich L, McGuire JF, Dziura J, Scahill L. Detecting a clinically meaningful change in tic severity in Tourette syndrome: A comparison of three methods. Contemporary Clinical Trials 2013, 36: 414-420. PMID: 24001701, PMCID: PMC3999642, DOI: 10.1016/j.cct.2013.08.012.Peer-Reviewed Original ResearchConceptsOdds ratioTourette syndromeYGTSS total tic scoreChronic tic disorderPositive treatment responsePositive responseTic scoreTic disordersTreatment responseTic severityTreatment assignmentBehavioral treatmentSignal detection analysisBehavioral interventionsSyndromeCGICategorical measuresTrialsMeaningful changeSeverityPercent reductionOptimal sensitivityDimensional measuresResponse
2024
Measuring intersectional HIV, sexual diversity, and gender non-conformity stigma among healthcare workers in Ghana: scale validation and correlates of stigma
Oga E, Stockton M, Abu-Ba’are G, Vormawor R, Mankattah E, Endres-Dighe S, Richmond R, Jeon S, Logie C, Baning E, Saalim K, Torpey K, Nelson L, Nyblade L. Measuring intersectional HIV, sexual diversity, and gender non-conformity stigma among healthcare workers in Ghana: scale validation and correlates of stigma. BMC Health Services Research 2024, 24: 647. PMID: 38773589, PMCID: PMC11110277, DOI: 10.1186/s12913-024-11098-6.Peer-Reviewed Original ResearchConceptsIntersectional stigmaIntersectional identitiesHealthcare facility staffHealthcare facilitiesGender non-conformity stigmaStigmatizing beliefsGender non-conformingSame-sex relationshipsReduce intersectional stigmaSame-gender sexFactors associated with stigmaAssociated with less stigmaMethodsWe analyzed baseline dataStigma reduction interventionsGreater comfortCorrelates of stigmaMulti-level interventionsInfection control trainingSexual diversitySexual normsAssociated with greater comfortGreater religiosityHIV testingResultsFactor analysisExploratory factor analysisStudy Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic
Huang S, Nam S, Ash G, Wu B, Melkus G, Jeon S, McMahon E, Dickson V, Whittemore R. Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic. Nursing Research 2024, 73: 328-336. PMID: 38905624, DOI: 10.1097/nnr.0000000000000731.Peer-Reviewed Original ResearchConceptsChinese American immigrantsRecruitment strategiesRetention strategiesSnowball samplingOnline surveyMultiple recruitment strategiesPhysical activity studiesForeign-born Chinese womenCOVID-19 pandemicAmerican immigrantsGestational diabetesDiverse socioeconomic groupsStudy websiteReport adherenceEmail remindersGeographically diverse sampleHealth researchText remindersAdherence strategiesCommunity outreachStudy recruitmentDiabetes diagnosisIndex pregnancyStudy webpageChinese womenAssociation between adverse childhood experiences and self-reported health-risk behaviors among cancer survivors: A population-based study
Sarkar S, Jackson B, Manzo L, Jeon S, Poghosyan H. Association between adverse childhood experiences and self-reported health-risk behaviors among cancer survivors: A population-based study. PLOS ONE 2024, 19: e0299918. PMID: 38512934, PMCID: PMC10956880, DOI: 10.1371/journal.pone.0299918.Peer-Reviewed Original ResearchConceptsHealth risk behaviorsSelf-reported health risk behaviorsAdverse childhood experiencesHistory of adverse childhood experiencesOdds of reportingCancer survivorsE-cigarette useIncreased odds of reportingReport adverse childhood experiencesPrevalence of adverse childhood experiencesSelf-reportAlcohol drinkingHigher odds of reportingAdult cancer survivorsE-cigarettesSurvivor self-reportPrevent health risk behaviorsAdverse childhood experience historyChildhood experiencesAssociated with health risk behaviorsCigarette smokingHistory of cancerPopulation-based studyPrimary independent variableMultivariate logistic regression
2023
Personalized Digital Health Information to Substantiate Human-Delivered Exercise Support for Adults With Type 1 Diabetes
Ash G, Nally L, Stults-Kolehmainen M, De Los Santos M, Jeon S, Brandt C, Gulanski B, Spanakis E, Baker J, Weinzimer S, Fucito L. Personalized Digital Health Information to Substantiate Human-Delivered Exercise Support for Adults With Type 1 Diabetes. Clinical Journal Of Sport Medicine 2023, 33: 512-520. PMID: 36715983, PMCID: PMC10898917, DOI: 10.1097/jsm.0000000000001078.Peer-Reviewed Original ResearchConceptsContinuous glucose monitoringExercise supportHealth informationDigital health informationBody mass indexType 1 diabetesCommunity-based sampleSevere hypoglycemiaMass indexPsychosocial assessmentCGM useHigh satisfaction ratingsPhysician oversightType 1Future interventionsGlucose monitoringMedical readinessMolecular biomarkersBaseline observationsInterventionSatisfaction ratingsAdultsExerciseBehavioral skillsSingle group
2022
Integrating Palliative Care Into Self-management of Breast Cancer
Schulman-Green D, Linsky S, Jeon S, Holland ML, Kapo J, Blatt L, Adams C, Chagpar AB. Integrating Palliative Care Into Self-management of Breast Cancer. Cancer Nursing 2022, 46: e169-e180. PMID: 35353749, PMCID: PMC9519806, DOI: 10.1097/ncc.0000000000001078.Peer-Reviewed Original ResearchConceptsBreast cancer patientsPalliative careCancer careRace/ethnicityCancer patientsChronic Disease Self-Efficacy ScaleStage III/IV cancerSingle-blind pilotSymptom management educationSelf-management planFeasibility/acceptabilityAcademic cancer centerMedical Communication Competence ScaleSelf-management outcomesLate-stage cancerEthnic minority patientsEffect sizeClinical characteristicsCancer CenterHospital AnxietyMishel UncertaintyCancer stageIllness ScaleBreast cancerDepression ScaleCorrelates 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 characteristicsRacial and Ethnic Variation in COVID-19 Vaccination Uptake Among Medicare Beneficiaries with Cancer History
Poghosyan H, Dinan MA, Tamamyan G, Nelson L, Jeon S. Racial and Ethnic Variation in COVID-19 Vaccination Uptake Among Medicare Beneficiaries with Cancer History. Journal Of Racial And Ethnic Health Disparities 2022, 10: 2354-2362. PMID: 36149576, PMCID: PMC9510246, DOI: 10.1007/s40615-022-01415-2.Peer-Reviewed Original ResearchConceptsNon-Hispanic white beneficiariesCancer historyVaccine doseMedicare beneficiariesWhite beneficiariesVaccine uptakeHispanic beneficiariesMultivariable logistic regression analysisCOVID-19 vaccination uptakeSelf-reported cancer historyCOVID-19 vaccine uptakeSelf-reported receiptCOVID-19 vaccination ratesLogistic regression analysisNon-Hispanic blacksSelf-reported raceUnvaccinated beneficiariesVaccination uptakeVaccine dosesVaccination ratesVaccine confidenceVaccine availabilitySupplement surveyCross-sectional dataEthnic variationFactors associated with sleep health in young women after breast cancer treatment
Hwang Y, Conley S, Jeon S, Redeker N, Sanft T, Knobf M. Factors associated with sleep health in young women after breast cancer treatment. Research In Nursing & Health 2022, 45: 680-692. PMID: 36102624, DOI: 10.1002/nur.22264.Peer-Reviewed Original ResearchConceptsPoor sleep healthSleep healthCognitive appraisalPittsburgh Sleep Quality IndexWorse family functioningBreast cancerPsychological symptom distressYoung womenContext of familyFamily functioningDiverse cancer survivorsRoutine survivorship carePsychosocial variablesCross-sectional designMediation effectSleep Quality IndexSleep health disparitiesBreast cancer treatmentSignificant clinical problemPsychosocial factorsNon-Hispanic whitesHalf of participantsSurvivorship careCancer survivorsMean ageSleep 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 needs