Sleep health in special populations

特殊人群的睡眠健康

• 批准号: 9983142
• 负责人: Jennifer L Martin
• 金额: $ 10.15万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9983142
• 关键词: Adherence; Area; Award; Behavioral; Cause of Death; Clinical; Clinical Investigator; Clinical Services; Clinical Trials; Complex; Development; Diagnostic; Disadvantaged; Discipline; Drowsiness; E-learning; Education; Educational Curriculum; Elderly; Environment; Epidemiology; Face; Fatigue; Funding; Geriatrics; Goals; Grant Review; Health; Health Services Research; Healthcare Systems; Hour; Hypertension; Hypothyroidism; Individual; Intervention; Knowledge; Long-Term Care; Los Angeles; Measures; Mental Depression; Mentors; Mentorship; Methodology; Methods; Modeling; Monitor; Nurses; Nursing Homes; Outcome; Patient Self-Report; Patient-Focused Outcomes; Patients; Physicians; Population; Populations at Risk; Practice Management; Psychologist; Quality of life; Reporting; Research; Research Personnel; Resources; Risk; Scientist; Sleep; Sleep Apnea Syndromes; Sleep Disorders; Sleep Disorders Therapy; Sleeplessness; Snoring; Spinal cord injury; Spinal cord injury patients; Testing; Time; Training; United States National Institutes of Health; Veterans; Woman; Women' s Group; Women' s Health; Work; actigraphy; base; cardiovascular disorder risk; career; clinical center; comorbidity; compliance behavior; depressive symptoms; design; effective therapy; efficacy testing; health disparity; implementation research; implementation science; improved; innovation; interdisciplinary collaboration; interest; longitudinal dataset; medical specialties; men; named group; novel; online resource; patient oriented research; patient population; pressure; programs; public health relevance; reduce symptoms; sleep health; sleep quality; theories; training opportunity; treatment as usual

PROJECT SUMMARY Insufficient and poor quality sleep resulting from sleep disorders can have a negative impact on health outcomes and quality of life. This is particularly true for patient populations who are at risk for poor outcomes due to comorbidities. While there are established treatments and best practices for management of sleep disorders, including sleep apnea and insomnia, significant knowledge gaps remain in how best to manage complex patients and improve patient-centered outcomes. The goal of this application is to provide support for mentoring of trainees and junior investigators in the areas of sleep disorders and sleep health among patient populations who are “at risk.” The applicant's current research program focuses primarily on women with sleep apnea, who are at elevated risk for non-adherence to PAP therapy compared to men, particularly when they face additional challenges to adherence, such as psychiatric comorbidities. The main research aims of the funded work focus on improving adherence to PAP therapy among women. Additional aims focus on improving PAP adherence among patients with spinal cord injuries and on implementing practices to improve sleep in long term care settings. Dr. Martin has a track record of mentoring trainees at multiple levels toward research independence, and the proposed award will enhance her ability to provide additional mentoring in patient oriented research focused on sleep disorders and sleep health. The goal of the award is to increase the number of independent clinical investigators studying how best to treat patients with sleep disorders in “real world” settings. As such, the goals of the proposed training plan focus on providing Dr. Martin with training in implementation science. UCLA and the VA Greater Los Angeles Healthcare System (VAGLAHS) provide rich environments for mentoring and for applied clinical and health services research. Finally, development of web- based resources for clinical trainees in patient oriented research will be developed for use within and beyond UCLA and VAGLAHS.

项目摘要 睡眠障碍导致的睡眠不足和质量差会对健康产生负面影响 成果和生活质量。对于面临不良结果风险的患者群体尤其如此 由于合并症。虽然有既定的治疗方法和最佳的睡眠治疗方法 包括睡眠呼吸暂停和失眠在内的疾病，重要的知识差距仍然是如何最好地管理的 复杂的患者并改善以患者为中心的结果。此应用的目的是为 在睡眠障碍领域和患者睡眠健康领域的学员和初级调查人员的指导 “有风险”的人群。申请人当前的研究计划主要关注睡眠的女性 与男性相比 面对依从性的其他挑战，例如精神病合并症。主要研究目的 资助的工作重点是改善妇女对子宫颈抹片疗法的依从性。其他目标专注于改进 脊髓损伤患者和实施练习以改善睡眠的患者之间的粘附 长期护理环境。马丁博士在多个层次上都有心理学员的记录 独立和拟议的奖项将增强她在患者中提供额外心理的能力 定向研究的重点是睡眠障碍和睡眠健康。该奖项的目的是增加 独立临床研究人员的数量研究如何最好地治疗“实际睡眠障碍患者” 因此，环境。因此，拟议的培训计划的目标重点是向马丁博士提供培训 实施科学。 UCLA和VA大洛杉矶医疗保健系统（Vaglahs）提供了丰富的 心理和应用临床和健康服务研究的环境。最后，Web的发展 - 将开发针对患者研究的临床学员的基于基于的资源，以供内外使用 UCLA和VAGLAHS。