Critical Transitions: A Mixed Methods Examination of Sleep from Inpatient Alcohol Rehabilitation Treatment to the Community.
Critical Transitions: A Mixed Methods Examination of Sleep from Inpatient Alcohol Rehabilitation Treatment to the Community.
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关键过渡：从住院酒精康复治疗到社区的睡眠检查的混合方法。
DOI：
10.1371/journal.pone.0161725
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Wallen GR
中科院分区：
文献类型：
--
作者：
Brooks AT;Krumlauf M;Fryer CS;Beck KH;Yang L;Ramchandani VA;Wallen GR
这项前瞻性的重复测量研究采用了一种收敛的平行混合方法来评估在临床研究机构接受住院戒毒和治疗的酒精依赖者在与康复过程相关的过渡期的睡眠体验：最初调整为住院患者和从住院患者过渡到门诊患者。这项研究包括个人的半结构化访谈和定量措施有关的心理困扰，睡眠质量，白天嗜睡，睡眠相关的信念和行为（n = 33; 66.7%的男性）。在参与者预定出院日期的一周内进行了访谈和问卷调查，并在出院后4至6周内再次进行随访（或通过电话）。参与者在两个研究时间点都自我报告了显著的睡眠障碍。在两个时间点都有有效数据的参与者中（n = 28），从出院前到出院后的平均得分没有显著变化，除了睡眠自我效能感（SE-S）在出院后显著更高。初步的定性研究结果表明，在任何一个时间点上，持续睡眠障碍的人、睡眠障碍已经解决的人和没有睡眠障碍的人之间存在差异。这项分析强调了酒精依赖患者在住院治疗和过渡到门诊治疗过程中睡眠的个体差异。同时收集定量和定性数据，并将定性数据中的新兴主题与定量分析相结合，可以对这一相对新颖的研究领域进行更彻底的检查，并提供可用于为未来的行为睡眠干预提供信息的信息。
This prospective, repeated measures study utilized a convergent parallel mixed methods approach to assess sleep experiences among individuals who were alcohol-dependent undergoing inpatient detoxification and treatment at a clinical research facility across the transition periods associated with the rehabilitation process: the initial adjustment to becoming an inpatient and the transition from inpatient to outpatient status. This study included individual semi-structured interviews and quantitative measures relating to psychological distress, sleep quality, daytime sleepiness, and sleep-related beliefs and behavior (n = 33; 66.7% male). Interviews were conducted and questionnaires were administered within one week of participants’ scheduled discharge date and again four to six weeks post-discharge when they returned for a follow-up visit (or via phone). Participants self-reported significant sleep disturbances at both study time points. Of those participants with valid data at both time points (n = 28), there were no significant changes in mean scores from pre- to post-discharge with the exception of self-efficacy for sleep (SE-S) being significantly higher post-discharge. Preliminary qualitative findings suggested differences between those with ongoing sleep disturbances, those whose sleep disturbances had resolved, and those with no sleep disturbances at either time point. This analysis highlights individual variation in sleep throughout the process of inpatient treatment and transition to outpatient aftercare in individuals with alcohol dependence. Collecting quantitative and qualitative data concurrently and combining emerging themes from qualitative data with quantitative analyses allowed for a more thorough examination of this relatively novel area of research and provided information that can be utilized to inform future behavioral sleep interventions.
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影响因子：
2.2
作者：
Dominguez, Dinora;Jawara, Mandy;Grady, Christine
通讯作者：
Grady, Christine
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4.7
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16.2
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作者：
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影响因子：
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作者：
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通讯作者：
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