Christi S. Ulmer|Hayden B. Bosworth|Jean C. Beckham|Anne Germain|Amy S. Jeffreys|David Edelman|Stephanie Macy|Angela C. Kirby|Corrine I. Voils
Veterans Affairs Primary Care Provider Perceptions of Insomnia Treatment
Durham VA Health Care System|Health Services Research & Development|Duke University|Durham VA Health Care System|Health Services Research & Development|Duke University|Duke University|VA Mid-Atlantic Health Care Network|University of Pittsburgh|Durham VA Health Care System|Health Services Research & Development|Durham VA Health Care System|Health Services Research & Development|Duke Medical Center|Durham VA Health Care System|Health Services Research & Development|VA Mid-Atlantic Health Care Network|William S. Middleton Memorial Veterans Hospital|University of Wisconsin–Madison
insomnia widespread issue among united states adults rates insomnia among veterans even higher general population prior research examining primary care provider pcp perspectives insomnia treatment found sleep hygiene pharmacotherapy primary treatments offered pcps tend focus perceived causes insomnia rather insomnia neither patients providers satisfied insomnia treatment options although insomnia complaints typically first reported primary care providers little research focused perspectives regarding insomnia treatment among pcps working largest integrated health care system united statesthe veterans affairs va health care system study conducted examine va pcp perceptions availability insomnia treatments identify specific strategies offered pcps examine perceptions regarding importance treating insomnia role comorbid conditionsa survey conducted within va health care system primary care providers completed surveys electronicallya high percentage veterans modal response 20 39 seen va primary care settings report insomnia complaint provider almost half respondents consistently document insomnia medical record 46 endorsed sometimes rarely never pcps routinely advise sleep hygiene recommendations insomnia ie avoid stimulants bedtime 843 keep bedroom environment quiet dark comfortable 686 many uncertain cognitive behavioral therapy insomnia available facility 431findings point need systemslevel changes within health care systems including adoption evidencebased clinical practice standards insomnia pcp education processes maintain insomniaa commentary article appears issue page 937