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Sleep health in special populations

Sleep health in special populations
特殊人群的睡眠健康
批准号:
10737735
负责人:
Jennifer L Martin
金额:
$13.02万
依托单位国家:
美国
项目类别:
财政年份:
2023
资助国家:
美国
项目状态:
未结题
起止时间:
2023-08-21 至 2028-07-31
关键词:
AddressAdherenceAftercareAnxietyAreaAttenuatedAwardBehaviorBehavioralClinicalClinical TrialsCognitiveCognitive TherapyCombined Modality TherapyComorbid InsomniaData AnalysesDedicationsDevelopmentDisadvantagedDisciplineEducationEducational CurriculumElderlyEnvironmentEpidemiologyEvidence based interventionExerciseFeeling suicidalFundingGeriatricsGoalsHealthHospitalizationIndividualInstitutionalizationInterventionLeadershipLearningLos AngelesMental DepressionMental HealthMentorsMentorshipMethodologyMethodsNational Heart, Lung, and Blood InstituteNeurobehavioral ManifestationsNursesOutcomeOutcome MeasureParticipantPatient-Focused OutcomesPatientsPhysiciansPopulationPopulation HeterogeneityPopulations at RiskPost-Traumatic Stress DisordersProcess MeasurePsychologistQuality of lifeRandomizedRelaxationResearchResearch PersonnelResourcesRespiration DisordersRiskScientistSeveritiesSleepSleep Apnea SyndromesSleep DeprivationSleep DisordersSleep Disorders TherapySleeplessnessSpecial PopulationSpinal cord injury patientsStimulusSymptomsTechniquesTestingTimeTrainingUnited States National Institutes of HealthVeteransWomanWorkavoidance behaviorcareerclinical centercomorbiditycomparative effectivenessdata disseminationdesigndiarieseffectiveness evaluationevidence baseexperienceflexibilityfollow-uphealth disparityimplementation evaluationimplementation researchimplementation scienceimprovedimprovement on sleepinnovationinterestleadership developmentmedical specialtiesmindfulnessnovelpatient orientedpatient oriented researchpatient populationpositive airway pressureprogramspsychiatric comorbiditypsychologicrandomized trialreducing suicidesleep healthsleep qualitysleep-focused interventionstheoriestreatment response

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中文摘要
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英文摘要
PROJECT SUMMARY The goal of this renewal application is to provide support for mentoring of trainees and junior investigators in the areas of sleep disorders and sleep health among patient populations who are “at risk.” The applicant’s current research program focuses on treatment of sleep disorders in populations who have not been studied or who have achieved less benefit from current evidence-based interventions. This program provides rich opportunities for mentees to experience direct engagement in patient-oriented sleep research. Currently funded work focuses on veterans with comorbid insomnia disorder and post-traumatic stress disorder (PTSD) for whom standard cognitive-behavioral therapy for insomnia (CBT-I) is less acceptable and less efficacious than among individuals without PTSD. Based on emerging evidence that the theoretical underpinning and specific exercises of Acceptance and Commitment Therapy (ACT) present a viable approach to improving sleep when combined with evidence-based behavioral strategies, a novel ACT-based insomnia treatment, called "Acceptance and the Behavioral Changes to Treat Insomnia (ABC-I) is being tested in a clinical trial. ABC-I combines core behavioral components (sleep restriction, stimulus control, sleep hygiene, relaxation) with ACT-based techniques will be evaluated in a randomized trial. Using a comparative effectiveness design (n=200 randomized to ABC-I or cognitive-behavioral therapy for insomnia (CBT-I)), the primary aims of the study are to evaluate the benefits of ABC-I in reducing insomnia severity (non-inferiority) and PTSD symptoms (superiority) as compared to CBT-I. Additional aims address potential mechanisms of change from before to after treatment and explore potential ancillary benefits in terms of reducing other symptoms. The proposed analytic plan will simultaneously address superiority of ABC-I over CBT-I for improving PTSD symptoms and non-inferiority of ABC-I compared to CBT-I for improving insomnia symptoms. In addition to other ongoing and recently-completed projects, the study provides rich opportunities for trainees to engage in all aspects of patient-oriented research on sleep disorders, including direct interaction with research participants and engagement with data analysis and dissemination of findings. The research environment at UCLA and VAGLAHS is rich with opportunities for learning and for collaborative mentoring in areas of sleep health and sleep disorders. Building upon activities during the prior K- 24 award, the applicant will engage in formal leadership training and engage the support of a Leadership Development Council.
期刊论文(3)
专著(0)
科研奖励(0)
会议论文
Use of alcohol as a sleep aid, unhealthy drinking behaviors, and sleeping pill use among women veterans.
女退伍军人使用酒精作为助眠剂、不健康的饮酒行为和使用安眠药。
DOI: 10.1016/j.sleh.2019.06.005
发表时间: 2019
期刊: Sleep health
影响因子: 4.1
作者: [Schweizer,CAmanda, Hoggatt,KatherineJ, Washington,DonnaL, Bean-Mayberry,Bevanne, Yano,ElizabethM, Mitchell,MichaelN, Alessi,CathyA, Martin,JenniferL]
通讯作者: Martin,JenniferL
Short Sleep, Insomnia, and Cardiovascular Disease.
睡眠短,失眠和心血管疾病。
DOI: 10.1007/s40675-019-00157-8
发表时间: 2019-12
期刊: Current sleep medicine reports
影响因子: 1.8
作者: [Hsieh CG, Martin JL]
通讯作者: Martin JL
How can we address poor sleep in nursing homes?
我们如何解决疗养院睡眠质量差的问题?
DOI: 10.1017/s1041610220003300
发表时间: 2021
期刊: International psychogeriatrics
影响因子: 7
作者: [Martin,JenniferL, Chodosh,Joshua]
通讯作者: Chodosh,Joshua
A Novel Acceptance-based Treatment for Insomnia in Veterans with Post-Traumatic Stress Disorder
HSR&D Research Career Scientist Award
HSR&D Research Career Scientist Award
HSR&D Research Career Scientist Award
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