Evidence map›Paper›PMID 40016081›Full record

ArticleSleep health2025

Content analysis of factors related to sleep health among American Indian peoples.

Roxanna King, Shelby Koch, Raven Burns, Cameron Cupp, Meghan Lindell, Sara London, Joseph Bunch, Amanda Fretts, Tauqeer Ali, Jason Umans and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

11 authors.

Roxanna KingWashington State University, Insititute for Research and Education to Advance Community Health (IREACH), Spokane, Washington, USA. Electronic address: rking@scf.cc.
Shelby KochWashington State University, Insititute for Research and Education to Advance Community Health (IREACH), Spokane, Washington, USA.
Raven BurnsWashington State University, Insititute for Research and Education to Advance Community Health (IREACH), Spokane, Washington, USA.
Cameron CuppWashington State University, Insititute for Research and Education to Advance Community Health (IREACH), Spokane, Washington, USA.
Meghan LindellWashington State University, Insititute for Research and Education to Advance Community Health (IREACH), Spokane, Washington, USA.
Sara LondonWashington State University, Insititute for Research and Education to Advance Community Health (IREACH), Spokane, Washington, USA.
Joseph BunchColorado State University, Department of Psychology, Fort Collins, Colorado, USA.
Amanda FrettsUniversity of Washington, Department of Epidemiology, Seattle, Washington, USA.
Tauqeer AliUniversity of Oklahoma Health Sciences Center, Department of Biostatistics and Epidemiology, Hudson College of Public Health, Oklahoma City, Oklahoma, USA.
Jason UmansMedstar Health Research Institute, Biomarker, Biochemistry, and Biorepository Core and of the Field Studies Division, Phoenix, Arizona, USA; Georgetown-Howard Universities, Center for Clinical and Translational Science, District of Columbia, USA.
Lonnie NelsonWashington State University, Insititute for Research and Education to Advance Community Health (IREACH), Spokane, Washington, USA.

Funding

The Strong Heart Study, Phase VU01HL041654 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI LEE, ELISA TAN · 1988 to 2013
$19.2M
STRONG HEART STUDY (SHS): OUHSC COORDINATING CENTER - TASK AREA B (B.1 AND B.3)75N92019D00027 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI ZHANG, YING · 2019 to 2025
$15.5M
CARDIOVASCULAR DISEASE IN THE PIMA INDIANSU01HL041642 · NHLBI · MEDSTAR RESEARCH INSTITUTE · PI HOWARD, BARBARA V · 1988 to 2013
$12.6M
STRONG HEART FAMILY STUDYU01HL065520 · NHLBI · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI COLE, SHELLEY A · 2000 to 2011
$8.9M
CARDIOVASCULAR DISEASE IN SIOUX INDIANSU01HL041652 · NHLBI · U.S. PHS INDIAN HEALTH SERVICE · PI BEST, LYLE G · 1988 to 2013
$7.9M
STRONG HEART STUDY (SHS)-MISSOURI BREAKS INDUSTRIES RESEARCH, INC.- FIELD CENTER (FC) TASK AREA B (B.1 AND B.3)75N92019D00029 · NHLBI · MISSOURI BREAKS RESEARCH, INC. · PI FRETTS, AMANDA MAE · 2019 to 2025
$7.5M
STRONG HEART STUDY (SHS)- UNIVERSITY OF OKLAHOMA-FIELD CENTER (FC), TASK AREA B.3, YEAR 375N92019D00028 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI ALI, TAUQEER · 2019 to 2025
$6.5M
STRONG HEART STUDY (SHS)- MEDSTAR HEALTH RESEARCH INSTITUTE (MHRI) FIELD CENTER -SUBTASK AREA B.2 PHASE VII EXAM AND EXAM CLOSEOUT.75N92019D00030 · NHLBI · MEDSTAR HEALTH RESEARCH INSTITUTE · PI UMANS, JASON G · 2019 to 2025
$5.2M
CVD in American Indians Study and Data Management Center and OK Field CenterR01HL109284 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI STONER, JULIE A · 2013 to 2018
$4.6M
CARDIOVASCULAR EVALUATION--STRONG HEART STUDY PHASE IVU01HL065521 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI DEVEREUX, RICHARD B · 2000 to 2013
$4.3M
Researcher Career Enhancement ProjectS06GM142122 · NIGMS · SOUTHCENTRAL FOUNDATION · PI MICHLIG, GEORGIA J · 2021 to 2024
$3.9M
CVD in American Indians Biomarker lab and Arizona Field CenterR01HL109319 · NHLBI · MEDSTAR HEALTH RESEARCH INSTITUTE · PI UMANS, JASON G · 2013 to 2017
$3.6M
NHLBI NIH HHS 75N92019D00027NHLBI NIH HHS 75N92019D00028NHLBI NIH HHS 75N92019D00029NHLBI NIH HHS 75N92019D00030NHLBI NIH HHS R01 HL109282NHLBI NIH HHS R01 HL109284NHLBI NIH HHS R01 HL109301NHLBI NIH HHS R01 HL109315NHLBI NIH HHS R01 HL109319NHLBI NIH HHS U01 HL041642NHLBI NIH HHS U01 HL041652NHLBI NIH HHS U01 HL041654NHLBI NIH HHS U01 HL065520NHLBI NIH HHS U01 HL065521NIGMS NIH HHS S06 GM142122NIMHD NIH HHS R01 MD014035
6 · The paper itself

Abstract

backgroundChronic sleep problems are commonly reported in American Indian (AI) peoples, however there is a lack of qualitative research examining the behavioral, psychological, sociocultural, and economic factors surrounding sleep health among AI peoples. This study aims to remedy that oversight by providing qualitative data on AI peoples sleep health.

objectivesTo explore the perceived barriers to and facilitators of healthy sleep in AI peoples and identify protective cultural factors associated with sleep for AI peoples.

settingFifty-nine American Indians aged 30-79 located across 3 geographic sites: Arizona, South Dakota, and Oklahoma.

methodsFocus groups were collected in November 2019 and individual interviews were conducted between May and November 2020. Conventional content analysis was used to examine the recurring and overlapping themes related to perceptions of barriers to and facilitators of healthy sleep.

resultsThe results yielded 11 barriers to healthy sleep and 12 facilitators of healthy sleep. Facilitators included protective cultural factors such as good dreams, cultural bedtime routine, praying, traditional knowledge, ceremonies and practices, and traditional remedies.

conclusionsThe findings suggest future sleep health interventions among AI peoples should focus on promoting the cultural factors that were identified as protective factors and improving the sleep environment. Culturally tailoring sleep health interventions is an important step forward in decolonizing research methodologies.

Indexed as

American Indian or Alaska NativeIndians, North AmericanSleepAdultAgedArizonaFemaleFocus GroupsHumansMaleMiddle AgedOklahomaQualitative ResearchSouth DakotaAmerican Indian peoplesCultural adaptationProtective cultural factorsQualitativeSleep heath

Identifiers

PMID40016081
PMCPMC12039894

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.