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An Exploratory Analysis of Sociodemo...

Gharzeddine, Rida.

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An Exploratory Analysis of Sociodemographic, Clinical, and Lifestyle Factors Associated with Insomnia Symptoms and the Relationship Between Insomnia Symptoms and Medication Adherence Among Individuals with Heart Failure.

Record Type:	Electronic resources : Monograph/item
Title/Author:	An Exploratory Analysis of Sociodemographic, Clinical, and Lifestyle Factors Associated with Insomnia Symptoms and the Relationship Between Insomnia Symptoms and Medication Adherence Among Individuals with Heart Failure./
Author:	Gharzeddine, Rida.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	203 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-07, Section: B.
Contained By:	Dissertations Abstracts International82-07B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28262091
ISBN:	9798557025775

An Exploratory Analysis of Sociodemographic, Clinical, and Lifestyle Factors Associated with Insomnia Symptoms and the Relationship Between Insomnia Symptoms and Medication Adherence Among Individuals with Heart Failure.
Gharzeddine, Rida.

An Exploratory Analysis of Sociodemographic, Clinical, and Lifestyle Factors Associated with Insomnia Symptoms and the Relationship Between Insomnia Symptoms and Medication Adherence Among Individuals with Heart Failure. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 203 p.

Source: Dissertations Abstracts International, Volume: 82-07, Section: B.

Thesis (Ph.D.)--New York University, 2020.

This item must not be sold to any third party vendors.

Background/Objective: Insomnia symptoms are common in persons with heart failure (HF) and characterized by untoward outcomes. Insomnia symptoms are not clearly understood in persons with HF as this literature is not yet fully developed. The purpose of this study was to investigate the association of insomnia symptoms with sociodemographic, clinical, and lifestyle factors and explore the direct and indirect associations between insomnia symptoms and medication adherence. Methods: This study was guided by the Neurocognitive model of insomnia and the Riegel and Weaver's conceptual model. A cross-sectional data analysis on the Health and Retirement Study (HRS) wave 2016 was conducted. Parametric and non-parametric bivariate and multivariate statistical tests were used in the analysis. Results: All sociodemographic, clinical, and lifestyle factors had significant bivariate associations with at least one of the insomnia symptoms (i.e. difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS), ad early morning awakening (EMA)). In the multivariate analysis adjusted for all covariates, only age, comorbidity, depressive symptoms, dyspnea, pain, and alcohol consumption maintained their association with at least one insomnia symptom. Sex and DIS had a borderline significant association (p=0.053) in the adjusted model. HF significantly predicted DIS (OR=1.23, p <0.05) in the adjusted model. EMA and DIS but not DMS had significant bivariate and multivariate associations with cognitive performance. All insomnia symptoms had a bivariate association with medication adherence; however, none was maintained in the multivariate analysis. Mediation analysis revealed that DIS, DMS, and EMA had significant indirect effects on medication adherence. Conclusion: Insomnia symptoms were associated with various sociodemographic, clinical, and lifestyle factors and had indirect effects on medication adherence. Comorbidities and HF symptoms may mediate the associations between several sociodemographic factors and insomnia symptoms. The sympathetic stimulation in HF could be contributing to DIS. Insomnia symptoms may be associated with different sleep durations as DMS was not associated with cognition. Depressive symptoms, fatigue, and cognitive performance mediated the association between insomnia symptoms and medication adherence.

ISBN: 9798557025775Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Insomnia symptoms

An Exploratory Analysis of Sociodemographic, Clinical, and Lifestyle Factors Associated with Insomnia Symptoms and the Relationship Between Insomnia Symptoms and Medication Adherence Among Individuals with Heart Failure.
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520 $a Background/Objective: Insomnia symptoms are common in persons with heart failure (HF) and characterized by untoward outcomes. Insomnia symptoms are not clearly understood in persons with HF as this literature is not yet fully developed. The purpose of this study was to investigate the association of insomnia symptoms with sociodemographic, clinical, and lifestyle factors and explore the direct and indirect associations between insomnia symptoms and medication adherence. Methods: This study was guided by the Neurocognitive model of insomnia and the Riegel and Weaver's conceptual model. A cross-sectional data analysis on the Health and Retirement Study (HRS) wave 2016 was conducted. Parametric and non-parametric bivariate and multivariate statistical tests were used in the analysis. Results: All sociodemographic, clinical, and lifestyle factors had significant bivariate associations with at least one of the insomnia symptoms (i.e. difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS), ad early morning awakening (EMA)). In the multivariate analysis adjusted for all covariates, only age, comorbidity, depressive symptoms, dyspnea, pain, and alcohol consumption maintained their association with at least one insomnia symptom. Sex and DIS had a borderline significant association (p=0.053) in the adjusted model. HF significantly predicted DIS (OR=1.23, p <0.05) in the adjusted model. EMA and DIS but not DMS had significant bivariate and multivariate associations with cognitive performance. All insomnia symptoms had a bivariate association with medication adherence; however, none was maintained in the multivariate analysis. Mediation analysis revealed that DIS, DMS, and EMA had significant indirect effects on medication adherence. Conclusion: Insomnia symptoms were associated with various sociodemographic, clinical, and lifestyle factors and had indirect effects on medication adherence. Comorbidities and HF symptoms may mediate the associations between several sociodemographic factors and insomnia symptoms. The sympathetic stimulation in HF could be contributing to DIS. Insomnia symptoms may be associated with different sleep durations as DMS was not associated with cognition. Depressive symptoms, fatigue, and cognitive performance mediated the association between insomnia symptoms and medication adherence.
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