N/A
N=137
Sleep Specialty Consultation: Improving Management of Sleep Disorders
Sleep Disorders
Bottom Line
View on ClinicalTrials.gov: NCT00390572 ↗Enrolled (actual)
137
Serious AEs
0.0%
Results posted
Nov 2014
Primary outcome: Primary: Provider Adherence to Sleep Specialist Recommendations — 4; 0; 8; 4 participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Sleep Specialty Consultation (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- US Department of Veterans Affairs
- Primary completion
- Jul 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Provider Adherence to Sleep Specialist Recommendations |
4; 0; 8; 4; 32; 3 | — |
| PRIMARY Diary Sleep: Total Wake Time and Total Sleep Time |
401.2; 397.0; 59.7; 79.6 | — |
| PRIMARY Sleep Efficiency |
87; 83.5 | — |
| PRIMARY Sleep Quality |
8.3; 9.5 | — |
| SECONDARY Sleepiness |
69; 50 | — |
Summary
Sleep disorders are prevalent health problems that reduce quality of life, increase risks for medical disease, and enhance healthcare costs/utilization. Only a small proportion of these cases are diagnosed in primary care. Pilot data from this VA suggest that sleep disorders are not adequately managed in a primary care setting: 33% of veterans with an insomnia complaint had an undiagnosed primary sleep disorder (e.g., sleep apnea), and 50% of these patients were prescribed pharmacologic treatment for insomnia by their primary care providers.
Eligibility Criteria
Inclusion Criteria
- veteran seen at Durham VAMC for primary care;
- must have had a sleep complaint for > 1 month;
- not being treated by a sleep specialist for sleep complaint;
- provide informed consent;
- have concurrence for enrollment from their assigned MD PCP;
- score >5 on the Pittsburgh Sleep Quality Index at time of screening
Exclusion Criteria
- terminal illness;
- acute or highly unstable Axis I psychiatric condition;
- not mentally competent;
- unstable living environment;
- unstable medical or psychiatric condition;
- established sleep disorder or currently under the care of one or more of our VAMC's sleep disorders specialists;
- previous evaluation by sleep disorders specialist;
- refuse to give informed consent
Data sourced from ClinicalTrials.gov (NCT00390572). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.