TY - JOUR KW - Adult KW - Female KW - Humans KW - Male KW - Sleep KW - Qualitative Research KW - Surveys and Questionnaires KW - Decision Making KW - Hypnotics and Sedatives KW - Sleep Initiation and Maintenance Disorders AU - M Y Cheung Janet AU - Bartlett Delwyn AU - Armour Carol AU - Laba Tracey-Lea AU - Saini Bandana AB -

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.

BT - Behav Sleep Med C1 - https://www.ncbi.nlm.nih.gov/pubmed/27191585?dopt=Abstract DO - 10.1080/15402002.2016.1163702 IS - 1 J2 - Behav Sleep Med LA - eng N2 -

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.

PY - 2018 SP - 1 EP - 26 T2 - Behav Sleep Med TI - To Drug or Not to Drug: A Qualitative Study of Patients' Decision-Making Processes for Managing Insomnia. VL - 16 SN - 1540-2010 ER -