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Knowledge, Perception, Barriers and Facilitators to Sleep Medicine Practice among Nigerian Paediatricians
O E Olorunmoteni1,2, A J Kareem3, T T Oyetoke2
1Department of Paediatrics and Child Health, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria. Email: oeolorunmoteni@oauife.edu.ng, doc_tosino@yahoo.com.
Insights
Nigerian pediatricians show poor knowledge of pediatric sleep disorders, with significant barriers including lack of training and facilities. Improving pediatrician knowledge and establishing sleep labs are crucial for better child sleep health.
Area of Science:
- Pediatric Sleep Medicine
- Clinical Pediatrics
- Healthcare Access
Background:
- Paediatric sleep disorders are prevalent but often underdiagnosed and undertreated in Nigeria.
- Assessing healthcare provider knowledge and practice is essential for improving patient outcomes.
Purpose of the Study:
- To evaluate Nigerian paediatricians' knowledge, perception, and current practices concerning paediatric sleep disorders.
- To identify barriers and facilitators affecting the quality of care for paediatric sleep disorders in Nigeria.
Main Methods:
- A descriptive cross-sectional study involving 153 paediatricians across Nigeria.
- Data collected via a pilot-tested, semi-structured questionnaire at the Paediatrics Association of Nigeria (PAN) Annual Scientific Meeting.
- Statistical analysis performed using IBM SPSS version 20.
Main Results:
- Over two-thirds (66.7%) of paediatricians had poor knowledge scores regarding paediatric sleep disorders.
- A significant majority lacked confidence in diagnosing sleep disorders (22.2% poor, 63.4% fair).
- Lack of training (77.3%) and sleep laboratories (66.7%) were primary management barriers; 98.7% lacked access to sleep labs.
Conclusions:
- Urgent need for interventions to enhance paediatricians' knowledge of sleep medicine in Nigeria.
- Development of paediatric sleep laboratory facilities is critical for improving diagnosis and management.
- Addressing training gaps and infrastructure deficits is essential for quality paediatric sleep healthcare.
Background And Objectives:
This study aimed to assess the knowledge and perception of Nigerian paediatricians regarding paediatric sleep disorders and their management. It also assessed the state of their current practice with screening, evaluating and treating sleep disorders in children and the perceived barriers and facilitators to the provision of quality care for sleep disorders for Nigerian children.
Methods:
This descriptive cross-sectional study was conducted among 153 Paediatricians who practice in Nigeria and attended the Annual Scientific Meeting of the Paediatrics Association of Nigeria (PAN) held in January 2023 at Akure, Ondo state, Nigeria. We utilized a pilot-tested, semi-structured questionnaire adapted from the Paediatrics sleep survey questionnaire. Data was analysed with the IBM SPSS software, version 20.
Results:
The 153 respondents were from the six geopolitical zones in Nigeria. More than two-thirds (66.7%) had a poor knowledge score (<6). The majority of the respondents rated their confidence in diagnosing sleep disorders as fair (63.4%), while 22.2% rated it as poor. Almost all (98.7%) reported the lack of sleep laboratory in their centre of practice. Also, about two-thirds (68.0%) had no paediatric sleep clinic. The main barriers to the management of paediatric sleep disorders were lack of training (119; 77.3%) and lack of sleep laboratory (102; 66.7%). Having a sleep laboratory in the centre of practice was significantly associated with the knowledge of the paediatricians (p = 0.044).
Conclusion:
There is a need for interventions to improve the knowledge of Nigerian paediatricians on sleep medicine and the provision of Paediatric sleep laboratory facilities in Nigeria.
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