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Sleep Initiation and Maintenance Disorders: HELP
Articles by Claudette Taylor
Based on 1 article published since 2009
(Why 1 article?)
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Between 2009 and 2019, Claudette Taylor wrote the following article about Sleep Initiation and Maintenance Disorders.
 
+ Citations + Abstracts
1 Guideline A Pan-Canadian practice guideline: prevention, screening, assessment, and treatment of sleep disturbances in adults with cancer. 2013

Howell, Doris / Oliver, Thomas K / Keller-Olaman, Sue / Davidson, Judith / Garland, Sheila / Samuels, Charles / Savard, Josée / Harris, Cheryl / Aubin, Michèle / Olson, Karin / Sussman, Jonathan / Macfarlane, James / Taylor, Claudette / Anonymous3410759. ·University Health Network (Princess Margaret Hospital), 610 University Avenue PMH, Room 15-617, Toronto, ON, Canada, doris.howell@uhn.on.ca. ·Support Care Cancer · Pubmed #23708820.

ABSTRACT: PURPOSE: This study aims to provide recommendations on the optimal strategies and interventions for the prevention, screening, assessment, and management of cancer-related sleep disturbance (insomnia and insomnia syndrome) in adult cancer populations. METHODS: A systematic search of the published health literature was conducted to identify randomized controlled trials, clinical practice guidelines, systematic reviews, and other guidance documents. The Sleep Disturbance Expert Panel [comprised of nurses, psychologists, primary care physicians, oncologists, physicians specialized in sleep disturbances, researchers, and guideline methodologists] reviewed, discussed, and approved the final version of the guideline. Health care professionals across Canada were asked to provide feedback through an external review process. RESULTS: Three clinical practice guidelines and 12 randomized controlled trials were identified as the evidence base. Overall, despite the paucity of evidence, the evidence and expert consensus suggest that it is important to screen and assess adult cancer patients for sleep disturbances using standardized screening tools on a routine basis. While prevention of sleep disturbance is the desired objective, cognitive behavioral therapies are effective in improving sleep outcomes. As part of the external review with 16 health care providers, 81 % indicated that they agreed with the recommendations as written. CONCLUSIONS: Sleep difficulty is a prevalent problem in cancer populations that needs greater recognition by health professionals. Prevention, screening, assessment, and treatment strategies supported by the best available evidence are critical. Recommendations and care path algorithms for practice are offered.