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

Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

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
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
23. September 2002 (online)

    Lizenzen und Reprints

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

REFERENCES

  • 1 Vgontzas A N, Kales A. Sleep and its disorders.  Ann Rev Med . 1999;  50 387-400
    CrossrefPubMedGoogle Scholar
  • 2 Lyznicki J M, Doege T C, Davis R M, Williams M A. Sleepiness, driving, and motor vehicle crashes. Council on Scientific Affairs, American Medical Association.  JAMA . 1998;  279 1908-1913
    CrossrefPubMedGoogle Scholar
  • 3 Brassington G S, King A C, Bliwise D L. Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64-99 years.  J Am Geriatr Soc . 2000;  48 1234-1240
    PubMedGoogle Scholar
  • 4 Orr W C, Stahl M L, Dement W C, Reddington D. Physician education in sleep disorders.  J Med Educ . 1980;  55 367-369
    PubMedGoogle Scholar
  • 5 Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women.  Sleep . 1997;  20 705-706
    PubMedGoogle Scholar
  • 6 Dement W C, Netzer N C. Primary care: is it the setting to address sleep disorders?.  Sleep Breath . 2000;  4 1-6
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 7 Findley L J, Surratt P M. Serious motor vehicle crashes: the cost of untreated sleep apnoea.  Thorax . 2001;  56 505
    CrossrefPubMedGoogle Scholar
  • 8 Leung R S, Bradley T D. Sleep apnea and cardiovascular disease.  Am J Respir Crit Care Med . 2001;  164 147-165
    PubMedGoogle Scholar
  • 9 Strohl K P, Haponik E E, Sateia M J. The need for a knowledge system in sleep and chronobiology.  Acad Med . 2000;  75 819-821
    PubMedGoogle Scholar
  • 10 Boutaugh M L, Hull A L, Davis W K. An examination of diabetes educational assessment forms.  Diabetes Educ . 1982;  7 29-34
    PubMedGoogle Scholar
  • 11 Palchik N S, Laing T J, Connell K J. Research priorities for arthritis professional education.  Arthritis Rheum . 1991;  34 234-240
    PubMedGoogle Scholar
  • 12 Coleman T, Wilson A. Anti-smoking advice in general practice consultations: general practitioners' attitudes, reported practice and perceived problems.  Br J Gen Pract . 1996;  46 87-91
    PubMedGoogle Scholar
  • 13 Crosby F E, Ventura M R, Feldman M J. Examination of a survey methodology: Dillman's Total Design Method.  Nurs Res . 1989;  38 56-58
    PubMedGoogle Scholar
  • 14 Huston P. Reporting on surveys: information for authors and peer reviewers.  Can Med Assoc J . 1996;  154 1695-1704
    PubMedGoogle Scholar
  • 15 National Heart Lung and Blood Institute Working Group on Sleep Apnea Sleep apnea: is your patient at risk?. Am Fam Physician 1996 53: 247-253
    Google Scholar
  • 16 Hull A L, Wasman J, Goodnough L T. Effects of a CME program on physicians' transfusion practices.  Acad Med . 1989;  64 681-685
    PubMedGoogle Scholar
  • 17 Namen A M, Wymer A, Case D, Haponik E F. Performance of sleep histories in an ambulatory medicine clinic: impact of simple chart reminders.  Chest . 1999;  116 1558-1563
    CrossrefPubMedGoogle Scholar
  • 18 Davis D A, Thomson M A, Oxman A D, Haynes R B. Changing physician performance. A systematic review of the effect of continuing medical education strategies.  JAMA . 1995;  274 700-705
    CrossrefPubMedGoogle Scholar
  • 19 Sibley J C, Sackett D L, Neufeld V. A randomized trial of continuing medical education.  N Engl J Med . 1982;  306 511-515
    PubMedGoogle Scholar