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Substance use, sleep and intervention design: insights from qualitative data
Joanne Neale1, Robert Meadows2, Sarah Nettleton3
1National Addiction Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London , London , UK.
Journal of Mental Health (Abingdon, England)
|December 22, 2017
Summary
People with drug and alcohol problems often experience poor sleep, even after stopping substance use. Understanding these diverse sleep issues is key to developing effective interventions.
Area of Science:
- Addiction research
- Sleep science
- Psychology
Background:
- Substance use is linked to poor sleep quality and quantity.
- Limited qualitative research exists on sleep experiences of substance users.
- Few psychosocial interventions target sleep problems in this population.
Purpose of the Study:
- To inform the development of psychosocial interventions for improving sleep.
- To understand the sleep experiences of individuals with drug and alcohol problems.
Main Methods:
- Qualitative data collected via free-text responses in a sleep survey.
- Analysis of 188 responses from 549 drug/alcohol users using Iterative Categorisation.
- Findings reviewed using the Behaviour Change Wheel (BCW).
Main Results:
- Substance use negatively impacts sleep, with poor sleep often persisting post-cessation.
- Sleep problems, their causes, and coping strategies were diverse, spanning biological, psychological, social, and environmental factors.
- Identified factors that improve and undermine sleep quality.
Conclusions:
- The Behaviour Change Wheel (BCW) framework aids in identifying intervention components.
- Potential intervention components include education, training, enablement, modelling, service provision, guidelines, and environmental adjustments.
- Addresses the complex interplay between substance use and sleep disturbances.
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