Dyas, Jane and Apekey, Tanefa and Tilling, Michelle and Orner, Roderick and Middleton, Hugh and Siriwardena, A Niroshan (2010) Patients’ and clinicians’ experiences of consultations in primary care for sleep problems and insomnia: a focus group study. British Journal of General Practice, 60 (574). pp. 329-333. ISSN 0960-1643

PDF Dyas_Patients_and_clinicians_experiences_of_sleep_BJGP_2010.pdf - Whole Document Restricted to Repository staff only until 2099. Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (252Kb)

Abstract

Background Insomnia affects around one-third of adults in the UK. Many sufferers seek help from primary care. Aim To explore patients’ and primary care practitioners’ expectations, experiences, and outcomes of consultations for sleep difficulties, as a basis for improving the treatment of insomnia in primary care. Design of study A qualitative phenomenological approach. Method Separate focus groups for GPs and nurse prescribers and patients recruited from eight general practices that were in a quality improvement collaborative. Constant comparative analysis was used. Results Emergent themes from 14 focus groups comparing participating patients (n = 30) and practitioners (n = 15), provided insights on presentation, beliefs, expectations, and management of sleep problems. Patients initially tried to resolve insomnia themselves; consulting was often a last resort. Patients felt they needed to convince practitioners that their sleep difficulties were serious. They described insomnia in terms of the impact it was having on their life, whereas clinicians tended to focus on underlying causes. By the time patients consulted, many expected a prescription. Clinicians often assumed this was what patients wanted, and felt this would hamper patients’ ability to take non-drug treatments seriously. Clinicians expected patients who were already on sleeping tablets to be resistant to stopping them, whereas patients were often open to alternatives. Conclusion Better management of insomnia should take into account the perceptions and interactions of patients and practitioners. Practitioners need to empathise, listen, elicit patients’ beliefs and expectations, assess sleep better, and offer a range of treatments, including cognitive and behavioural therapies, tailored to individual needs. Practitioner education should incorporate understanding of patients’ decision-making processes, the clinicians’ role during the consultation, and how to negotiate and deliver strategies for resolving sleep problems.

Item Type:	Article
Additional Information:	Background Insomnia affects around one-third of adults in the UK. Many sufferers seek help from primary care. Aim To explore patients’ and primary care practitioners’ expectations, experiences, and outcomes of consultations for sleep difficulties, as a basis for improving the treatment of insomnia in primary care. Design of study A qualitative phenomenological approach. Method Separate focus groups for GPs and nurse prescribers and patients recruited from eight general practices that were in a quality improvement collaborative. Constant comparative analysis was used. Results Emergent themes from 14 focus groups comparing participating patients (n = 30) and practitioners (n = 15), provided insights on presentation, beliefs, expectations, and management of sleep problems. Patients initially tried to resolve insomnia themselves; consulting was often a last resort. Patients felt they needed to convince practitioners that their sleep difficulties were serious. They described insomnia in terms of the impact it was having on their life, whereas clinicians tended to focus on underlying causes. By the time patients consulted, many expected a prescription. Clinicians often assumed this was what patients wanted, and felt this would hamper patients’ ability to take non-drug treatments seriously. Clinicians expected patients who were already on sleeping tablets to be resistant to stopping them, whereas patients were often open to alternatives. Conclusion Better management of insomnia should take into account the perceptions and interactions of patients and practitioners. Practitioners need to empathise, listen, elicit patients’ beliefs and expectations, assess sleep better, and offer a range of treatments, including cognitive and behavioural therapies, tailored to individual needs. Practitioner education should incorporate understanding of patients’ decision-making processes, the clinicians’ role during the consultation, and how to negotiate and deliver strategies for resolving sleep problems.
Keywords:	attitudes, beliefs, family physician, focus groups, insomnia, nurse practitioner, primary care, qualitative research, therapeutics
Subjects:	A Medicine and Dentistry > A300 Clinical Medicine
Divisions:	College of Social Sciences > Faculty of Health & Social Sciences > Lincoln School of Health & Social Care
Depositing User:	Niro Siriwardena
Date Deposited:	27 Apr 2010 07:48
Last Modified:	13 Mar 2013 08:36
URI:	http://eprints.lincoln.ac.uk/id/eprint/2362

Actions (login required)

View Item