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A Qualitative Exploration of Sleep Habits and Intervention Needs Among Youth with Cystic Fibrosis
Authors:Canter  Kimberly S.  Strang  Abigail  Franklin  Melanie  Wilks  Sophie  Geiser  Dana  Okonak  Katherine  Deatrick  Janet A.  Chidekel  Aaron
Affiliation:1.Nemours Center for Healthcare Delivery Science, Nemours Children’s Health System, Wilmington, DE, USA
;2.Department of Pediatrics, Thomas Jefferson University, Philadelphia, PA, USA
;3.Division of Pulmonology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA
;4.Division of Behavioral Health, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA
;5.Washington & Lee University, Lexington, VA, USA
;6.Department of Family and Community Nursing, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
;
Abstract:

Evidence suggests that individuals with Cystic Fibrosis (CF) experience difficulties with sleep architecture and hygiene, although research is limited. There are currently no behavioral sleep interventions for youth with CF. The current study used qualitative methods to understand sleep needs and concerns among youth with CF, as well as to obtain feedback about potentially useful behavioral sleep intervention strategies. Semi-structured interviews were conducted with youth with CF between the ages of 11–17 and their parents. Themes were extracted from the data and will be used to inform the development of a brief behavioral sleep intervention for youth with CF. Youth and their parents described several CF-specific sleep concerns, often related to respiratory symptoms, and a number of strategies used to manage these concerns. They also described concerns that apply to the general population, including pervasive use of technology around bedtime. Many evidence-based behavioral sleep intervention strategies are acceptable to youth with CF, although modifications are appropriate to reduce time burden and address CF-specific needs. Youth with CF experience a number of disease-specific and more generalized sleep concerns which are likely amenable to behavioral intervention. Results from this study will be used to inform the development of a brief behavioral sleep intervention for youth with CF.

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