Barriers to Treatment Seeking in Primary Insomnia in the United Kingdom: A Cross-Sectional Perspective

Stinson, Kathleen; Tang, Nicole K. Y.; Harvey, Allison G.

doi:10.1093/sleep/29.12.1643

Cited by 84 publications

(65 citation statements)

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“…Although low rates of insomnia recognition can be a result of the inherent resistance among insomnia patients to seek professional help (Aikens and Rouse 2005;Stinson et al 2006;Angst et al 2010), the suboptimal management of insomnia might reflect a more complex problem in primary care practice. Drawing on exploratory studies there appears to be a gap between clinical definitions of insomnia and patient definitions of insomnia.…”

Section: Managing Insomnia In Primary Carementioning

confidence: 99%

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Cheung

Atternäs

Melchior

et al. 2014

Aust. J. Prim. Health

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Abstract. This paper reports a qualitative pilot study exploring primary care health practitioners' perspectives on the management of insomnia following the extensive media coverage on the adverse effects of zolpidem in 2007-08. General practitioners and community pharmacists were recruited throughout metropolitan Sydney, New South Wales using a convenience sampling and snowballing technique. Demographic information was collected from each participant followed by a semistructured interview. In total 22 participants were interviewed, including eight general practitioners and 14 community pharmacists. Interview transcripts were analysed using 'framework analysis'. Participants' responses illuminated some of the key issues facing primary care practitioners in the management of insomnia. Practitioners perceived there to be an overreliance on pharmacotherapy among insomnia patients and inadequate support for directing patients to alternative treatment pathways if they require or prefer non-pharmacological management. Current prescribing trends appear to favour older benzodiazepines in new cases of insomnia whereas some successful sporadic users of zolpidem have continued to use zolpidem after the media coverage in 2007-08. The findings of this pilot study suggest the need to address the limitations in the management of insomnia within the current health care system, to revise and disseminate updated insomnia guidelines and to provide educational opportunities and resources to primary care practitioners concerning management options.

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Section: Managing Insomnia In Primary Carementioning

confidence: 99%

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Cheung

Atternäs

Melchior

et al. 2014

Aust. J. Prim. Health

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“…In a telephone survey of the general population conducted in Canada, Morin and colleagues (2006b) found that only 42.3% of those people with diagnosable insomnia had consulted their GP regarding their sleeping difficulties. Additional barriers to seeking help might include a tendency to minimise problems, and a lack of awareness of treatment options available Stinson, Tang & Harvey, 2006). …”

Section: Access To Treatment For Insomniamentioning

confidence: 99%

Let's Talk About Psychosis

Steele¹,

Chadwick²

2018

Clinical Schizophrenia & Related Psychoses

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“…Research has shown that sleep education may function as a first-line intervention in a stepped-care model for individuals who want to improve their sleep, but are unlikely to reach threshold for, or seek, more substantial clinical treatment (Irish, Kline, Gunn, Buysse, & Hall, 2015;Morin, LeBlanc, et al, 2006;Stinson et al, 2006). In the last few years, CBT has become an important treatment option within mental health care services, including the Improving Access to Psychological Therapies (IAPT) initiative in the UK.…”

Section: Practical Information and Techniquesmentioning

confidence: 99%

Participant Experiences of Attending a Community CBT Workshop for Insomnia: A Qualitative Six-Year Follow-Up

Barnes

Lawrence

Khondoker

et al. 2017

Behavioral Sleep Medicine

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Objective/Background: Our aim was to qualitatively explore the experiences of people who attended a one-day sleep workshop six years previously. Participants: Of the 95 people who originally attended the workshop and a three-month follow-up, 14 individuals (mean age = 63.6 years) participated. Methods: Semi-structured interviews were used to explore: participants' experiences of insomnia since the workshop, memories of the techniques and information provided and the perceived impact of the workshop on their lives. Qualitative data were analyzed using the principles of Framework Analysis. Results: Interviews produced rich accounts of attributions of changes in sleep, the application of taught strategies and general experiences of the workshop. Conclusions: This research highlights which aspects of a large-scale intervention may be most helpful for individuals experiencing sleep difficulties and what factors may contribute to changes in sleep over time.

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Barriers to Treatment Seeking in Primary Insomnia in the United Kingdom: A Cross-Sectional Perspective

Cited by 84 publications

References 0 publications

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Let's Talk About Psychosis

Participant Experiences of Attending a Community CBT Workshop for Insomnia: A Qualitative Six-Year Follow-Up

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