ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Patients' and clinicians' experiences and perceptions of the primary care management of insomnia: qualitative study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials.Sleep medicine reviews · 2021Pooled it
- Qualitative studies of insomnia: Current state of knowledge in the field.Sleep medicine reviews · 2017Pooled it
- Physicians' awareness of non-pharmacological therapies for insomnia in the Czech Republic.Croatian medical journal · 2026Article
- Article
- Economic costs associated with insomnia in adults with subthreshold depression or major depressive disorder.BJPsych open · 2025Article
- Sleep should not be this difficult: An interpretive descriptive study of older adults' perspectives on behaviour change elements in Sleepwell and experiences with benzodiazepine discontinuation.Journal of sleep research · 2025Article
- The comorbidity of anxiety and depression symptoms in obsessive-compulsive disorder: a network analysis.Frontiers in psychiatry · 2025Article
- A scoping review of over-the-counter products for depression, anxiety and insomnia in older people.BMC complementary medicine and therapies · 2024Article
- Article
- Insomnia management in Dutch general practice: a routine care database study.Scandinavian journal of primary health care · 2023Article
- Examining the barriers and recommendations for integrating more equitable insomnia treatment options in primary care.Frontiers in sleep · 2023Article
- Mapping the insomnia patient journey in Europe and Canada.Frontiers in public health · 2023Article
- We know CBT-I works, now what?Faculty reviews · 2022Review
- Primary care management of chronic insomnia: a qualitative analysis of the attitudes and experiences of Australian general practitioners.BMC family practice · 2021Article
- Primary care provider evaluation and management of insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study.Frontiers in psychiatry · 2021Article
- Clinician and patient barriers to the recognition of insomnia in family practice: a narrative summary of reported literature analysed using the theoretical domains framework.BMC family practice · 2020Review
- Medicalisation, pharmaceuticalisation, or both? Exploring the medical management of sleeplessness as insomnia.Sociology of health & illness · 2019Article
- Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review.Journal of general internal medicine · 2018Review
- Teaching young GPs to cope with psychosocial consultations without prescribing: a durable impact of an e-module on determinants of benzodiazepines prescribing.BMC medical education · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsomnia is common leading to patients with sleep problems often presenting to primary care services including general practice, community pharmacies and community mental health teams. Little is known about how health professionals in primary care respond to patients with insomnia.
aimWe aimed to explore health professionals' and patients' experiences and perceptions of the management of insomnia in primary care.
designWe used a qualitative design and thematic approach.
settingPrimary care in Nottinghamshire and Lincolnshire.
methodWe undertook focus groups and one-to-one interviews with a purposive sample of health professionals and adults with insomnia.
resultsWe interviewed 28 patients and 23 health professionals. Practitioners focused on treating the cause of insomnia rather than the insomnia itself. They described providing stepped care for insomnia, but this focused on sleep hygiene which patients often disregarded, rather than cognitive behavioural therapy for insomnia (CBT-I). Practitioners were ambivalent towards hypnotic drugs but often colluded with patients to prescribe to avoid confrontation or express empathy. Patients sometimes took hypnotics in ways that were not intended, for example together with over-the-counter medication. Practitioners and patients were sometimes but not always concerned about addiction. Practitioners sometimes prescribed despite these concerns but at other times withdrew hypnotics abruptly without treating insomnia. Both patients and practitioners wanted more options and better training for the management of insomnia in primary care.
conclusionA better understanding of the current approaches and difficulties in the management of insomnia will help to inform more therapeutic options and health professional training.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.