Evidence map›Paper›PMID 28960164›Full record

Trial reportClinical gerontologist

Cognitive Expectancies for Hypnotic Use among Older Adult Veterans with Chronic Insomnia.

Constance H Fung, Jennifer L Martin, Karen Josephson, Lavinia Fiorentino, Joseph M Dzierzewski, Stella Jouldjian, Yeonsu Song, Juan Carlos Rodriguez Tapia, Michael N Mitchell, Cathy A Alessi

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00781963 (Implementing Sleep Interventions for Older Veterans), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00781963 nacompletednot on this map

Implementing Sleep Interventions for Older Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2010 to 2013Enrolled519ConditionsInsomniaArmsManual-based cognitive behavioral therapy for insomnia, Non-directive sleep education
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Constance H Funga Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Jennifer L Martina Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Karen Josephsona Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Lavinia Fiorentinoc School of Medicine , University of California , San Diego, San Diego , California , USA.
Joseph M Dzierzewskia Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Stella Jouldjiana Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Yeonsu Songb David Geffen School of Medicine at UCLA , Los Angeles , California , USA.
Juan Carlos Rodriguez Tapiae Department of Medicine , Pontificia Universidad Catolica de Chile , Santiago , Chile.
Michael N Mitchella Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Cathy A Alessia Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
VA Greater Los Angeles Healthcare System · USGeriatric Research Education and Clinical Center · USUniversity of California, Los Angeles · USPontificia Universidad Católica de Chile · CLUniversity of California, San Diego · USVirginia Commonwealth University · US

Funding

A Dyadic Telehealth Program to Support Alzheimer’s Disease Patients and Their Caregivers During COVID-19K23AG055668 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SONG, YEONSU · 2017 to 2022
$1.1M
Cognitive and inflammatory consequences of sleep disorders in older adultsK23AG049955 · NIA · VIRGINIA COMMONWEALTH UNIVERSITY · PI DZIERZEWSKI, JOSEPH MICHAEL · 2016 to 2020
$794k
Improving Older Adults' Decision Making For Obstructive Sleep Apnea TreatmentK23AG045937 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FUNG, CONSTANCE · 2013 to 2017
$786k
Treatment of Insomnia in Older Veterans: Identifying Obstacles to Best PracticesI01HX000235 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI ALESSI, CATHY A · 2011 to 2011
–
HSRD VA I01 HX000235NIA NIH HHS K23 AG045937NIA NIH HHS K23 AG049955NIA NIH HHS K23 AG055668
6 · The paper itself

Abstract

objectivesTo examine relationships between cognitive expectancies about sleep and hypnotics and use of medications commonly used for insomnia (hypnotics).

methodsWe analyzed baseline data from older veterans who met diagnostic criteria for insomnia and were enrolled in a trial comparing CBTI delivered by a supervised, sleep educator to an attention control condition (N = 159; 97% male, mean age 72 years). We classified individuals as hypnotic users (N = 23) vs. non-users (N = 135) based upon medication diaries. Associations between hypnotic status and Dysfunctional Beliefs and Attitudes about Sleep-16 (DBAS) total score (0-10, higher = worse) and two DBAS medication item scores (Item 1: "…better off taking a sleeping pill rather than having a poor night's sleep;" Item 2: "Medication… probably the only solution to sleeplessness"; 0-10, higher = worse) were examined in logistic regression models.

resultsHigher scores on the DBAS medication items (both odds ratios = 1.3; p-values < .001) were significantly associated with hypnotic use. DBAS-16 total score was not associated with hypnotic use.

conclusionCognitive expectancy (dysfunctional beliefs) about hypnotics was associated with hypnotic use in older adults with chronic insomnia disorder. CLINICAL IMPLICATIONS: Strategies that specifically target dysfunctional beliefs about hypnotics are needed and may impact hypnotic use in older adults.

Indexed as

Health Knowledge, Attitudes, PracticeAgedCognitive Behavioral TherapyCross-Sectional StudiesFemaleHumansHypnotics and SedativesMaleSleep Aids, PharmaceuticalSleep Initiation and Maintenance DisordersVeteransHypnotics and SedativesSleep Aids, PharmaceuticalMedicationsolder adultssleep

Identifiers

PMID28960164
PMCPMC5775935
OpenAlexW2739330058

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.