2023-09-28 14:46:10 +00:00
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abstract: 'Background:
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Insomnia, the most commonly reported sleep-wake disturbance in people
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with cancer, has an adverse effect on quality of life including
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emotional well-being, distress associated with other symptoms, daily
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functioning, relationships, and ability to work.
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Objective:
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The aim of this study was to describe the content of discussions between
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clinicians and 120 patients with self-reported insomnia and to examine
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the associations of sociodemographic, clinical, and environmental
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factors with insomnia.
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Methods:
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A secondary analysis was conducted with self-reported symptom data and
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sociodemographic, clinical, and environmental factors. Recordings of
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clinician and patient discussions during clinic visits were examined by
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conducting a content analysis.
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Results:
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Severe insomnia was more likely to be reported by women, minority, and
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lower-income individuals. Seven major topics were identified in the
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discussions. The clinicians did not always discuss insomnia; discussion
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rates differed by diagnosis and clinical service.
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Conclusions:
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Reporting of insomnia by the patient and clinician communication about
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insomnia may have differed by demographic and clinical characteristics.
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Clinicians attended to insomnia about half the time with management
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strategies likely to be effective. Explanations may be that insomnia had
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a low clinician priority for the clinic visit or lack of clear evidence
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to support insomnia interventions.
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Implications for Practice:
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A better understanding is needed about why insomnia is not addressed
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even when reported by patients; it is well known that structured
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assessments and early interventions can improve quality of life.
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Research is warranted to better understand potential disparities in
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cancer care.'
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affiliation: 'Siefert, ML (Corresponding Author), Dana Farber Canc Inst, 450 Brookline
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Ave LW515, Boston, MA 02215 USA.
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Siefert, Mary Lou; Valcarce, Bianca; Berry, Donna L., Phyllis F Cantor Ctr Res Nursing
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\& Patient Care S, Boston, MA USA.
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Hong, Fangxin, Dana Farber Canc Inst, Dept Biostat \& Computat Biol, Boston, MA
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02215 USA.'
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author: Siefert, Mary Lou and Hong, Fangxin and Valcarce, Bianca and Berry, Donna
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L.
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author-email: mlsiefet@aya.yale.edu
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author_list:
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- family: Siefert
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given: Mary Lou
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- family: Hong
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given: Fangxin
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- family: Valcarce
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given: Bianca
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- family: Berry
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given: Donna L.
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da: '2023-09-28'
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doi: 10.1097/NCC.0b013e318283a7bc
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eissn: 1538-9804
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files: []
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issn: 0162-220X
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journal: CANCER NURSING
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keywords: 'Self-reported symptoms; Sleep; Cancer; Insomnia; Patient/provider
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communication'
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keywords-plus: 'QUALITY-OF-LIFE; BREAST-CANCER; PROSTATE-CANCER; HOT FLASHES; SLEEP;
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FATIGUE; TRIAL; DIAGNOSIS; SYMPTOMS; CHEMOTHERAPY'
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language: English
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month: MAR-APR
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number: '2'
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number-of-cited-references: '52'
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pages: E51-E59
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papis_id: 38c91b8da5eaab54c1f71e1f72445859
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ref: Siefert2014patientclinician
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times-cited: '27'
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title: Patient and Clinician Communication of Self-reported Insomnia During Ambulatory
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Cancer Care Clinic Visits
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000332172800007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '6'
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volume: '37'
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web-of-science-categories: Oncology; Nursing
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year: '2014'
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