Case Western Reserve University, Cleveland, OH, USA.
Yale University, West Haven, CT, USA.
Clin Nurs Res. 2023 Mar;32(3):560-570. doi: 10.1177/10547738231154133. Epub 2023 Feb 14.
The purpose of this study was to explore perceptions of the first dose of a cognitive behavioral sleep self-management intervention (CB-sleep) among young adults aged 18 to 25 years with type 1 diabetes (T1D). We used a qualitative descriptive approach to conduct in-depth semi-structured focused interviews with a purposive sample of 16 young adults with T1D, transitioning from adolescence to early adulthood. Interviews were audio-recorded, transcribed verbatim, and analyzed using qualitative content analysis. Participants described their sleep knowledge (previous, new, and additional), sleep health goals, along with barriers and facilitators of the CB-sleep intervention. Based on these results, we suggest CB-sleep is a useful modality with the potential to support sleep self-management in young adults with T1D during this complex life transition. Furthermore, CB-sleep could be incorporated into an existing diabetes self-management education and support program after pilot testing and determining efficacy to improve sleep and glycemic health.
本研究旨在探讨 18 至 25 岁 1 型糖尿病 (T1D) 年轻患者对认知行为睡眠自我管理干预 (CB-sleep) 首剂的认知。我们采用定性描述方法，对 16 名从青少年过渡到成年早期的 T1D 年轻患者进行了深入的半结构化焦点访谈。访谈进行了录音，并逐字转录，采用定性内容分析进行了分析。参与者描述了他们的睡眠知识 (以前的、新的和额外的)、睡眠健康目标，以及 CB-sleep 干预的障碍和促进因素。基于这些结果，我们认为 CB-sleep 是一种有用的方式，有可能在这个复杂的生活过渡期间支持 T1D 年轻患者的睡眠自我管理。此外，在进行试点测试并确定改善睡眠和血糖健康的疗效后，CB-sleep 可以纳入现有的糖尿病自我管理教育和支持计划。
