Knowledge and Attitudes of Primary Care Physicians Toward Sleep and Sleep Disorders

Klara K. Papp; Carolyn E. Penrod; Kingman P. Strohl

doi:10.1055/s-2002-34317

Sleep and Breathing, Table of Contents

Sleep Breath 2002; 06(3): 103-110
DOI: 10.1055/s-2002-34317

ORIGINAL ARTICLE

Knowledge and Attitudes of Primary Care Physicians Toward Sleep and Sleep Disorders

Klara K. Papp¹ , Carolyn E. Penrod² , Kingman P. Strohl³

¹Case Western Reserve University, School of Medicine, Department of Medicine, University Hospitals of Cleveland, and Geriatric Research Education and Clinical Center, Louis B. Stokes Cleveland VA Medical Center
²Case Western Reserve University School of Medicine, Cleveland, Ohio
³Division of Pulmonary and Critical Care Medicine, Case Western Reserve University, and the Louis B. Stokes Cleveland VA Medical Center, Cleveland, Ohio

Abstract

ABSTRACT

Purpose: To assess primary care physician (PCP) sleep knowledge and attitudes. Method: A sample of 580 PCPs practicing adult medicine in Northeast Ohio was selected, using a systematic random method (every 10th name on the American Medical Association mailing list). A three-part structured survey consisted of 30 attitude items and 33 multiple-choice test questions assessing knowledge, with some demographic questions. Repeat mailings were sent to nonrespondents 4 to 6 weeks apart from October 1999 through April 2000. Results: 46 surveys were undeliverable and 105 (20%) useable questionnaires were returned. Of respondents, 94% were board certified with 76% certified in more than one area. When asked to rate their knowledge of sleep disorders, none rated themselves as excellent, 10% rated themselves as good, 60% as fair, and 30% as poor. The factors rated highest in influencing current practices regarding sleep and sleep disorders were articles in journals, continuing medical education courses, and discussions with specialists. Knowledge average was 34% (3 to 94%). Though virtually all agreed that prevention counseling should be a part of patient care, fewer agreed that they spend more time counseling patients on the benefits of sleep than of diet or exercise. Conclusions: The majority of PCPs rated their own knowledge of sleep disorders as fair or poor. Knowledge testing and attitude assessment lend credence to these perceptions.

KEYWORDS

Sleep and sleep disorders - health promotion - medical curriculum - primary care physician survey

Full Text

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