Evidence map›Paper›PMID 40307672›Full record

ArticleMedical care2025

"Sleep Is Not Getting the Attention It Deserves": A Qualitative Study of Patient and Provider Views on Sleep Management in the Veterans Health Administration.

Allison E Gaffey, Kristin M Mattocks, Henry K Yaggi, Valerie Marteeny, Lorrie Walker, Cynthia A Brandt, Sally G Haskell, Lori A Bastian, Matthew M Burg

Abstract read
In one paragraph

Article in Medical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

9 authors.

Allison E GaffeyVA Connecticut Healthcare System, West Haven, CT.ORCID 0000-0002-2960-2772
Kristin M MattocksVA Central Western Massachusetts, Leeds, MA.
Henry K YaggiVA Connecticut Healthcare System, West Haven, CT.
Valerie MarteenyVA Central Western Massachusetts, Leeds, MA.
Lorrie WalkerVA Central Western Massachusetts, Leeds, MA.
Cynthia A BrandtVA Connecticut Healthcare System, West Haven, CT.
Sally G HaskellVA Connecticut Healthcare System, West Haven, CT.
Lori A BastianVA Connecticut Healthcare System, West Haven, CT.
Matthew M BurgVA Connecticut Healthcare System, West Haven, CT.

Funding

Social Vulnerability, Sleep, and Early Hypertension Risk in Younger AdultsK23HL168233 · NHLBI · YALE UNIVERSITY · PI Allison Gaffey · 2023 to 2026
$517k
NHLBI NIH HHS K23 HL168233
6 · The paper itself

Abstract

backgroundUnique characteristics and service exposures of the post-9/11 cohort of U.S. Veterans can influence their sleep health and associated comorbidities. The objectives of this study were to learn about men and women post-9/11 Veterans' and "front line" VA providers' knowledge about sleep and experiences with Veterans Health Administration (VA) sleep management. RESEARCH

designOne sample included post-9/11 Veterans who received VA care (n=23; 60% women; Mage: 45 y). To complement those views, primary care and mental health providers were recruited from VA medical centers (n=27). Semistructured qualitative interviews were conducted using Microsoft Teams. Questions pertained to sleep knowledge, care practices, and perceived barriers to sleep-related VA care. Interview data were synthesized with content analysis and inductive coding to characterize major themes.

resultsFour main themes emerged: (1) Sleep is viewed as foundational but Veterans and providers often have limited related knowledge and more routine education is needed. (2) Men and women have distinct sleep management needs. Relative to men, women are more likely to advocate for sleep assessment and for behavioral versus pharmacological treatment. (3) Sleep management practices vary considerably between clinics and providers. (4) Veterans and their providers each experience unique barriers to sleep management.

conclusionsPost-9/11 Veterans and providers view sleep as critical. Yet, VA sleep management needs to be more uniform. Providers are motivated to assess sleep but require standardized education and low-burden opportunities to incorporate sleep into their practice, perhaps with mental health screening. Ultimately, more specialized care is required to meet the responsibility of Veterans' sleep health.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeSleepSleep Wake DisordersVeteransAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchUnited StatesUnited States Department of Veterans Affairshealth servicesqualitativesexsleepVeterans

Identifiers

PMID40307672
PMCPMC13040448

What OpenQuestion holds

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Registered trials

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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.