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Long-Term Impact of Military-Relevant Brain Injury Consortium Chronic Effects of Neurotrauma Consortium

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Factors Influencing Adherence to Insomnia and Obstructive Sleep Apnea Treatments among Veterans with Mild Traumatic Brain Injury

Kinney AR, Brenner LA, Nance M, Mignogna J, Cobb AD, Forster JE, Ulmer CS, Nakase-Richardson R, Bahraini NH. (2024). Factors Influencing Adherence to Insomnia and Obstructive Sleep Apnea Treatments among Veterans with Mild Traumatic Brain Injury. Behavioral sleep medicine, 1–18. Advance online publication. https://doi.org/10.1080/15402002.2024.2322517. PMID: 38420915.

Main Question

Among Veterans with mTBI, what factors influence adherence to insomnia and obstructive sleep apnea treatment plans?

Study Findings

Barriers to sleep disorder treatment adherence were negative appraisal of treatment benefit, side effects, cognitive challenges, limited availability of care, and economic instability. Facilitators of sleep disorder treatment adherence were positive appraisal of treatment benefit, flexible treatment delivery format, access to adherence support, and social support.

Practical Uses

Barriers and facilitators of sleep disorder treatment adherence are similar to other medical and mental health conditions. Clinicians should consider motivational Interviewing and other sleep disorder guideline strategies to best engage Veterans with mTBI in treatment planning and implementation.

For more information on assessing and managing sleep disorders

In an effort to provide the latest findings to our consumers as quickly as possible, some of these studies, while fully peer reviewed, have not been presented or published either electronically or in print. Findings are presented for informational purposes only and should not be cited or referenced until they are formally published or presented.

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The U.S. Army Medical Research Acquisition Activity, 839 Chandler Street, Fort Detrick MD 21702-5014 is the awarding and administering acquisition office. This work was supported by the Assistant Secretary of Defense for Health Affairs endorsed by the Department of Defense, through the Psychological Health/Traumatic Brain Injury Research Program Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC) Award/W81XWH-18-PH/TBIRP-LIMBIC under Awards No. W81XWH1920067 and W81XWH-13-2-0095, and by the U.S. Department of Veterans Affairs Awards No. I01 CX002097, I01 CX002096, I01 HX003155, I01 RX003444, I01 RX003443, I01 RX003442, I01 CX001135, I01 CX001246, I01 RX001774, I01 RX 001135, I01 RX 002076, I01 RX 001880, I01 RX 002172, I01 RX 002173, I01 RX 002171, I01 RX 002174, and I01 RX 002170. Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Department of Defense. / Created by VCU University Relations

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