abstract: 'Background:

  Insomnia, the most commonly reported sleep-wake disturbance in people

  with cancer, has an adverse effect on quality of life including

  emotional well-being, distress associated with other symptoms, daily

  functioning, relationships, and ability to work.

  Objective:

  The aim of this study was to describe the content of discussions between

  clinicians and 120 patients with self-reported insomnia and to examine

  the associations of sociodemographic, clinical, and environmental

  factors with insomnia.

  Methods:

  A secondary analysis was conducted with self-reported symptom data and

  sociodemographic, clinical, and environmental factors. Recordings of

  clinician and patient discussions during clinic visits were examined by

  conducting a content analysis.

  Results:

  Severe insomnia was more likely to be reported by women, minority, and

  lower-income individuals. Seven major topics were identified in the

  discussions. The clinicians did not always discuss insomnia; discussion

  rates differed by diagnosis and clinical service.

  Conclusions:

  Reporting of insomnia by the patient and clinician communication about

  insomnia may have differed by demographic and clinical characteristics.

  Clinicians attended to insomnia about half the time with management

  strategies likely to be effective. Explanations may be that insomnia had

  a low clinician priority for the clinic visit or lack of clear evidence

  to support insomnia interventions.

  Implications for Practice:

  A better understanding is needed about why insomnia is not addressed

  even when reported by patients; it is well known that structured

  assessments and early interventions can improve quality of life.

  Research is warranted to better understand potential disparities in

  cancer care.'
affiliation: 'Siefert, ML (Corresponding Author), Dana Farber Canc Inst, 450 Brookline
  Ave LW515, Boston, MA 02215 USA.

  Siefert, Mary Lou; Valcarce, Bianca; Berry, Donna L., Phyllis F Cantor Ctr Res Nursing
  \& Patient Care S, Boston, MA USA.

  Hong, Fangxin, Dana Farber Canc Inst, Dept Biostat \& Computat Biol, Boston, MA
  02215 USA.'
author: Siefert, Mary Lou and Hong, Fangxin and Valcarce, Bianca and Berry, Donna
  L.
author-email: mlsiefet@aya.yale.edu
author_list:
- family: Siefert
  given: Mary Lou
- family: Hong
  given: Fangxin
- family: Valcarce
  given: Bianca
- family: Berry
  given: Donna L.
da: '2023-09-28'
doi: 10.1097/NCC.0b013e318283a7bc
eissn: 1538-9804
files: []
issn: 0162-220X
journal: CANCER NURSING
keywords: 'Self-reported symptoms; Sleep; Cancer; Insomnia; Patient/provider

  communication'
keywords-plus: 'QUALITY-OF-LIFE; BREAST-CANCER; PROSTATE-CANCER; HOT FLASHES; SLEEP;

  FATIGUE; TRIAL; DIAGNOSIS; SYMPTOMS; CHEMOTHERAPY'
language: English
month: MAR-APR
number: '2'
number-of-cited-references: '52'
pages: E51-E59
papis_id: 38c91b8da5eaab54c1f71e1f72445859
ref: Siefert2014patientclinician
times-cited: '27'
title: Patient and Clinician Communication of Self-reported Insomnia During Ambulatory
  Cancer Care Clinic Visits
type: article
unique-id: WOS:000332172800007
usage-count-last-180-days: '0'
usage-count-since-2013: '6'
volume: '37'
web-of-science-categories: Oncology; Nursing
year: '2014'