01794nas a2200289   4500000000100000008004100001653001000042653001100052653001100063653000900074653001000083653002500093653003100118653002000149653002800169653004700197100002100244700002000265700001700285700002000302700001800322245011000340300000900450490000700459520102400466022001401490       2018                            d10aAdult10aFemale10aHumans10aMale10aSleep10aQualitative Research10aSurveys and Questionnaires10aDecision Making10aHypnotics and Sedatives10aSleep Initiation and Maintenance Disorders1 aM Y Cheung Janet1 aBartlett Delwyn1 aArmour Carol1 aLaba Tracey-Lea1 aSaini Bandana00aTo Drug or Not to Drug: A Qualitative Study of Patients' Decision-Making Processes for Managing Insomnia.  a1-260 v163 a<p>Treatment preferences play a key role in dictating sleep health outcomes. However, patients' treatment beliefs, attitudes, and experiences that inform preference conceptualization remain an unknown phenomenon. Therefore, this study aims to explore patient perceptions toward pharmacotherapy and the nonpharmacological management of insomnia. Fifty-one patients with insomnia were recruited from specialist clinics and general community settings. Participants completed a brief questionnaire followed by an in-depth semistructured interview that was digitally recorded, transcribed verbatim, and subjected to Framework Analysis to identify emergent themes. Three key themes were identified: Resolving Insomnia, Self-Imposed Treatment Boundaries, and Treatment Uptake. Patients' illness, treatment, and psychosocial beliefs and experiences are closely linked to treatment choice. Being attuned to these influences during the clinical encounter can facilitate treatment selection that is meaningful for the patient.</p>  a1540-2010