Pandey A, Littlewood K, Cooper, L.,Pandey A. (2018, June). Pragmatic approaches for integrating Healthy Sleep hygiene to promote chronic disease Management. SLEEP, Volume 41. Published Abstract at the Meeting of the American Academy of Sleep Medicine and the Sleep Research Society, Baltimore, MD.
Up to one third of patients with Type 2 Diabetes Melitus (DM) suffer from concomitant sleep disorders, as compared with 8.2% of controls without DM. Although more than half of the patients with DM are likely to report being poor sleepers, and that sleep quality correlates well with other diabetic quality of life scores, many DM Self Management Programs don’t include tailored customized sleep hygiene education. The Sleep Integrated with Diabetes Education (SLIDE) Trail tests whether including four brief healthy sleep hygiene sessions to existing traditional Diabetes Self Management Education Program improves healthy sleep, motivation for change, and biopsychosocial outcomes for 50 patients with DM who are under and uninsured . This study uses descriptive and repeated measures anova analysis to determine outcomes. Fifty patients with T2DM (mean HbA1c = 8.79 ± 2.42) participating in a DSME Program at a southern urban community non profit hospital were randomly assigned to DSME classes or DSME classes + four 15-minute presentations (video and powerpoint) highlighting healthy sleep hygiene practices. The majority of these patients were obese (mean BMI=38.56±8.20). Only 11% reported normal sleep, with 41% reporting short sleep (<6 hours) and 7% long sleep (>8 hours). SLIDE participants improved sleep quantity [+2.3 hour tx mean change vs -1.2 hours control mean change; F(49,1)=6.23, p<.001] and less hospital visits [-1.1 less visits for tx vs. +1.9 more visits; F=(49,1)=5.22, p<.001]. Both groups improved diabetes maintenance with no difference in HbA1c between groups. Integrating a culturally tailored brief healthy sleep hygiene sessions with existing traditional diabetes self management education programs can improve sleep quantity and reduce hospital visits for under and uninsured patients with T2DM experiencing health disparities. Future studies could replicate this pragmatic approach to enhance existing DSME education programs and promote healthy sleep practices for patients with DM.