ReviewBMC family practice2020
Clinician and patient barriers to the recognition of insomnia in family practice: a narrative summary of reported literature analysed using the theoretical domains framework.
Review in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- A novel application of stellate ganglion block to improve sleep: a systematic review and meta-analysis.Frontiers in psychiatry · 2026Pooled it
- Barriers and facilitators to clinical behaviour change by primary care practitioners: a theory-informed systematic review of reviews using the Theoretical Domains Framework and Behaviour Change Wheel.Systematic reviews · 2022Pooled it
- Trial
- Comparison of Insomnia Risk between Spironolactone and Esaxerenone in Individuals with Hypertension.JMA journal · 2026Article
- Primary Care Prescribing Patterns for Benzodiazepines and Z-Drugs, and Evidence Gaps Concerning Hydroxyzine and Seasonality: A Systematic Review.Clinics and practice · 2026Review
- Assessment of sleep in older people within comprehensive geriatric assessments: a scoping review.Age and ageing · 2026Article
- Physicians' awareness of non-pharmacological therapies for insomnia in the Czech Republic.Croatian medical journal · 2026Article
- Mental health and the knowledge and attitude towards insomnia among medical staff in China: a cross-sectional study.BMJ open · 2026Article
- Cognitive-attitudinal factors predict CBT-I enrollment willingness in Chinese sleep clinic patients: a knowledge-attitudes-practices survey.Frontiers in psychiatry · 2026Article
- A modified Delphi consensus to reframe and prioritise the management of chronic insomnia in UK primary care.BMJ open · 2025Article
- The Efficacy of Melatonergic Receptor Agonists Used in Clinical Practice in Insomnia Treatment: Melatonin, Tasimelteon, Ramelteon, Agomelatine, and Selected Herbs.Molecules (Basel, Switzerland) · 2025Review
- The optimal system of care for the management of delayed sleep onset in adult ADHD in the UK: a modified Delphi consensus.Frontiers in psychiatry · 2025Article
- Piloting a brief digital behavioral intervention for adolescent sleep.Sleep science and practice · 2025Article
- Knowledge, attitude, and practice of chronic insomnia management among general practitioners in China: a cross-sectional survey.BMC primary care · 2024Article
- Navigating sleep on the silk route: insights and implications of sleep medicine training in Asia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Assessment and management of chronic insomnia disorder: an algorithm for primary care physicians.BMC primary care · 2024Article
- Irrational Use of Medications among Adults with Insomnia: An Observational Study at a Sleep Clinic in Mexico.Pharmacy (Basel, Switzerland) · 2024Article
- Clinical and financial significance of insomnia within a large payor-provider health system.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Detection of Insomnia and Its Relationship with Cognitive Impairment, Depression, and Quality of Life in Older Community-Dwelling Mexicans.Diagnostics (Basel, Switzerland) · 2023Article
- Wake Up America: National Survey of Patients' and Physicians' Views and Attitudes on Insomnia Care.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsomnia is a common sleep complaint, with 10% of adults in the general population experiencing insomnia disorder, defined as lasting longer than three months in DSM-5. Up to 50% of patients attending family practice experience insomnia, however despite this, symptoms of insomnia are not often screened for, or discussed within this setting. We aimed to examine barriers to the assessment and diagnosis of insomnia in family practice from both the clinician and patient perspective.
methodsThe present article identified research that has examined barriers to assessing insomnia from the clinician's and the client's perspectives following MEDLINE and Google Scholar searches, and then classified these barriers using the theoretical domains framework.
resultsThe most common barriers from the clinician's perspective were related to Knowledge, Skills, and the Environmental Context. From the patient perspective, barriers identified included their Beliefs about the consequences of Insomnia, Social Influences, and Behavioural Regulation of Symptoms.
conclusionsUtilising this theoretical framework, we discuss options for bridging the gap between the identification and subsequent management of insomnia within the family practice setting. To assist clinicians and those in community health care to overcome the Knowledge and Skills barriers identified, this article provides existing relevant clinical criteria that can be utilised to make a valid diagnosis of insomnia.
Indexed as
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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.