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Predictors of self-efficacy for sleep in primary care
Carolyn M Rutledge1, Amanda C La Guardia, Daniel Bluestein
1School of Nursing, Old Dominion University, Norfolk, VA, USA. bluestda@evms.edu
Journal of Clinical Nursing
|April 12, 2013
Summary
This study found that sleep self-efficacy is linked to race, insomnia severity, depression, and beliefs about sleep. Addressing these factors is key for successful behavioral insomnia treatment.
Area of Science:
- Sleep science
- Behavioral health
- Clinical psychology
Background:
- Insomnia affects millions, incurring significant economic costs.
- Current insomnia treatments, particularly medication, have notable side effects.
- Behavioral management offers benefits, but success factors remain unclear.
Purpose of the Study:
- To identify factors influencing self-efficacy for sleep.
- To examine associations between sleep self-efficacy and socio-demographic variables.
- To explore predictors of sleep self-efficacy, including insomnia severity, depression, dysfunctional sleep beliefs, quality of life, and treatment acceptability.
Main Methods:
- Quantitative correlational study utilizing inventory-based measures.
- 236 individuals with significant insomnia (Insomnia Severity Index score ≥ 8) participated.
- Validated scales measured self-efficacy for sleep, insomnia treatment acceptability, health status, depression, and dysfunctional sleep beliefs.
Main Results:
- A significant association was observed between sleep self-efficacy and race.
- Most predictor variables, including insomnia severity, depression, and dysfunctional beliefs, were significantly correlated with sleep self-efficacy.
- Only one predictor variable did not show a significant correlation.
Conclusions:
- Predictors of sleep self-efficacy, such as insomnia severity, depression, and beliefs about sleep, require assessment and management for effective behavioral insomnia self-management.
- Nurses should assess these factors to address barriers and improve the utilization of behavioral approaches for insomnia.
- Addressing identified limiting factors can enhance patient success with behavioral management strategies for insomnia.
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