BACKGROUND: Poor sleep is a frequent complaint of persons with HIV infection. OBJECTIVES: To pilot test a tailored sleep promotion intervention protocol based on principles of sleep hygiene in a convenience sample of 30 HIV seropositive women. METHODS: At baseline and 1 week after implementing the intervention, sleep was assessed by self-report measures and wrist actigraphy. Objective sleep measures include total sleep time, number of awakenings, and sleep efficiency, as well as level of daytime activity, 24-hr activity rhythm, and amount of sleep during the day. RESULTS: Prior to the intervention, women averaged 6.4 hr (SD = 1.99) of sleep, and 67% (n = 20) of the sample napped more than 30 min per day. After allowing 1 week to implement sleep hygiene principles to promote healthy sleep behaviors, there was a significant improvement in their perception of sleep and a significant change in their 24-hr activity rhythm. This involved more activity and less napping during the day. DISCUSSION: Although there was minimal change in objective measures of nighttime sleep for the group as a whole, those with initiation insomnia and maintenance insomnia benefited most from the intervention. These findings support the utility of a tailored sleep promotion intervention for women who are HIV positive to address their unique form of sleep disturbance.
RCT Entities:
BACKGROUND: Poor sleep is a frequent complaint of persons with HIV infection. OBJECTIVES: To pilot test a tailored sleep promotion intervention protocol based on principles of sleep hygiene in a convenience sample of 30 HIV seropositive women. METHODS: At baseline and 1 week after implementing the intervention, sleep was assessed by self-report measures and wrist actigraphy. Objective sleep measures include total sleep time, number of awakenings, and sleep efficiency, as well as level of daytime activity, 24-hr activity rhythm, and amount of sleep during the day. RESULTS: Prior to the intervention, women averaged 6.4 hr (SD = 1.99) of sleep, and 67% (n = 20) of the sample napped more than 30 min per day. After allowing 1 week to implement sleep hygiene principles to promote healthy sleep behaviors, there was a significant improvement in their perception of sleep and a significant change in their 24-hr activity rhythm. This involved more activity and less napping during the day. DISCUSSION: Although there was minimal change in objective measures of nighttime sleep for the group as a whole, those with initiation insomnia and maintenance insomnia benefited most from the intervention. These findings support the utility of a tailored sleep promotion intervention for women who are HIV positive to address their unique form of sleep disturbance.
Authors: Martin J Downing; Steven T Houang; Roberta Scheinmann; Irene S Yoon; Mary Ann Chiasson; Sabina Hirshfield Journal: Sleep Health Date: 2016-09-19
Authors: Leah A Irish; Christopher E Kline; Heather E Gunn; Daniel J Buysse; Martica H Hall Journal: Sleep Med Rev Date: 2014-10-16 Impact factor: 11.609
Authors: Wei-Ti Chen; Cheng-Shi Shiu; Joyce P Yang; Shih-Yu Lee; Tony Szu-Hsien Lee; Jane M Simoni; Mei-Juan Bao; Hong-Zhou Lu Journal: J AIDS Clin Res Date: 2013-06-18
Authors: Allison R Webel; Shirley M Moore; Chris T Longenecker; Jackson Currie; Christine Horvat Davey; Joseph Perazzo; Abdus Sattar; Richard A Josephson Journal: J Acquir Immune Defic Syndr Date: 2018-05-01 Impact factor: 3.731