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. 2021 Dec;43(12):1169-1176.
doi: 10.1177/01939459211037046. Epub 2021 Aug 5.

Exploring Sleep Health in Young Adults with Type 1 Diabetes

Stephanie Griggs  1 , Margaret Grey  2 , Valerie Boebel Toly  1 , Ronald L Hickman Jr  1
Affiliations

Exploring Sleep Health in Young Adults with Type 1 Diabetes

Stephanie Griggs et al. West J Nurs Res. 2021 Dec.

Abstract

The purpose of this qualitative descriptive study was to describe the sleep health goals in 35 young adults age 18-30 years with type 1 diabetes (T1D). We reviewed clinician sleep reports generated from wrist-worn actigraphs with participants during an in-depth semistructured telephone interview. Interviews were audio-recorded then transcribed verbatim. We performed a constant comparison method for content analysis using NVivoTM. The following two overarching health goals are identified: (a) promoting sleep (quantity, quality, hygiene, bedtime/waketime) and (b) improving diabetes self-management (time in range, sleep and glucose monitoring, and diet). Young adults in the study readily generated goals after visualizing their sleep reports. Sleep data visualization and debriefing is an effective strategy to elicit health goals for young adults with T1D. Supporting young adults with T1D to achieve their health goals for sleep promotion and diabetes self-management is a promising direction for improved sleep and consequently the attainment of glycemic targets.

Keywords: Type 1 diabetes; sleep; sleep health goals; young adults.

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Conflict of interest statement

Declarations of interest: None.

Figures

Figure 1.
Figure 1.. Clinician Sleep Report Sample
Key: total sleep time (actual time asleep); onset latency (how long it takes to fall asleep); sleep efficiency (percentage of time asleep); WASO: wake after sleep onset (periods of wakefulness occurring after defined sleep onset); #awak (number of awakenings)
See this image and copyright information in PMC

References

    1. Al Khatib HK, Hall WL, Creedon A, Ooi E, Masri T, Harding SV, McGowan L, Darzi J, & Pot GK (2017). The feasibility of lengthening sleep in habitually short sleepers and its effect on dietary intake, energy balance, and metabolic risk factors: a randomised controlled trial. Proceedings of the Nutrition Society, 76(OCE4). 10.1017/S0029665117002944 - DOI
    1. Banarer S, & Cryer PE (2003). Sleep-related hypoglycemia-associated autonomic failure in type 1 diabetes: reduced awakening from sleep during hypoglycemia. Diabetes, 52(5), 1195–1203. 10.2337/diabetes.52.5.1195 - DOI - PubMed
    1. Bandura A (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. 10.1037//0033-295x.84.2.191 - DOI - PubMed
    1. Barber LK, & Cucalon MS (2017). Modifying the Sleep Treatment Education Program for Students to include technology use (STEPS-TECH): intervention effects on objective and subjective sleep outcomes. Stress & Health, 33(5), 684–690. 10.1002/smi.2746 - DOI - PubMed
    1. Barnard K, James J, Kerr D, Adolfsson P, Runion A, & Serbedzija G (2016). Impact of chronic sleep disturbance for people living with t1 diabetes. Journal of Diabetes Science and Technology, 10(3), 762–767. 10.1177/1932296815619181 - DOI - PMC - PubMed

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