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A short course of lectures
«Sleep in the military»





Department of the Navy/Marine Corps Operational Policies/ProgramsWhat Are the Barriers to Achieving Healthy Sleep for Servicemembers?Department of the Air Force Medical Policies/ProgramsLack of Knowledge About the Risks of Sleep Medication UseSleep-Related Policies/Programs in Operational Environments U.S. Department of Defense Operational Policies/ProgramsEducate Line Leaders on Creating Sleep PlansDiscussionNightmaresWhat Are the Evidence-Based Interventions to Treat Sleep Disorders Among Servicemembers?Lack of Servicemember and Unit Leader Knowledge About Sleep HealthPerceived Unit ReadinessPrevalence of Sleep Symptoms and Sleep-Related Behaviors Overall and by SubgroupPolicy ReviewFOUR. Review of Sleep Policies and ProgramsU.S. Department of Defense Medical Policies/ProgramsFuture Directions for Military Sleep StudiesWhat Are the Current Policies and Programs Related to Sleep in the Military?Continue to Research Evidenced-Based Practices for Advancing Healthy Sleep in Military SettingsService-Specific Prevention Policies/ProgramsSleep Survey Development and Administration to Servicemembers in the Deployment Life StudyPrevalence of Sleep Problems, by SubgroupPharmacologic Interventions to Treat NightmaresRisk Factors for Sleep Problems in the Post-Deployment PeriodCognitive-Behavioral Therapy for InsomniaEnhance Dissemination of Evidence-Based TreatmentsResistance to Treatment SeekingApproachSleep-Related Medical Policies/ProgramsDepartment of the Army Training Policies/ProgramsSleep May Be Viewed as a Luxury Rather Than a Biological NeedStable Demographic FactorsPrimary Outcome MeasuresLack of a Centralized Resource on Sleep HealthApproachDepartment of the Air Force Operational Policies/ProgramsOrganization of This ReportWhat Actions Can Be Taken to Promote Sleep Health Among Servicemembers?FindingsFinal WordsParticipantsWhat Are the Correlates and Consequences of Sleep Problems Among Servicemembers in the Post-Deployment Period?Department of the Air Force Training Policies/ProgramsLiterature Review ApproachTWO. Epidemiology of Sleep Problems in the MilitaryKey Informant DiscussionsFund/Conduct Longitudinal Research on Sleep and Downstream Effects on Operational Readiness and ResilienceWhat Are the Current Programs and Policies Related to Sleep in the Military?Knowledge Barriers to Sleep HealthIncrease Servicemember and Line Leader Education About Healthy Sleep BehaviorsDoD Prevention Policies/ProgramsImprove Continuity of Care of Sleep Disorder TreatmentsDiscussionMental Health ProblemsSIX. Barriers to Achieving Healthy Sleep Among ServicemembersMethodsLack of Emphasis on Sleep ScreeningFinal WordsPrevalence of Sleep Problems in Full SampleDiscussionInsomniaGeneral Military CharacteristicsDepartment of the Army Operational Policies/ProgramsUnit- and Deployment-Specific FactorsAssociations Between Sleep Symptoms and Sleep-Related Behaviors and Outcomes Among Previously Deployed ServicemembersSample CharacteristicsEducate Families on Signs and Symptoms of Sleep DisturbancesFIVE. Evidence-Based Interventions to Treat Sleep Disturbances Among ServicemembersDiagnosed Sleep DisordersDevelop a Clinical Practice Guideline for Sleep DisordersDevelop Provider Education Programs on Preventing, Identifying, and Treating Sleep DisordersDaytime Sleepiness and FatigueSleep Survey Added to the Deployment Life StudyApproachPhysical Health ProblemsObstructive Sleep ApneaProbable DepressionImagery Rehearsal Therapy for NightmaresCovariatesTechnological Developments in Treatment DeliveryPharmacotherapy to Treat Sleep DisturbancesImprove Screening for Sleep Disturbances in Primary Care SettingsPhysical HealthExpert Working GroupDisseminate Positive Messaging About Sleep as an Operational Imperative to Increase Awareness and Reduce Cultural BarriersDepartment of the Navy/Marine Corps Medical Policies/ProgramsEnvironmental BarriersDiscussionSleep-Related Prevention Policies/ProgramsSuicidalityMedical and Treatment Systems Barriers to Promoting Sleep HealthOperational Barriers to Sleep HealthStrengths and LimitationsPrioritize Sleep in Reintegration PoliciesOperational ReadinessTHREE. Assessing Sleep Disturbances and Consequences Among Post-Deployed ServicemembersOutcomes and CovariatesIncrease the Use of Technology for Assessing and Clinically Managing Sleep DisordersDeployment Life Study OverviewLink Sleep-Related Information to Data on MishapsOperational and Military Support FactorsPrefaceRecommendations for Clinical Management of Sleep Disorders and Promotion of Sleep HealthCreate Standardized Operational and Training Policies Across DoD to Increase Sleep Duration and Quality and Reduce Fatigue-Related ImpairmentAcknowledgmentsUnaddressed Gaps in the LiteratureU.S. Department of Veterans Affairs Medical Policies/ProgramsContinuity of Care ChallengesDepartment of the Navy/Marine Corps Training Policies/ProgramsCombined Treatment ModalitiesResearch ObjectivePrevalence and Types of Specific Sleep Problems in the Post-Deployment PeriodAssociations Between Sleep Measures and Outcomes Among Previously Deployed ServicemembersComplementary and Alternative MedicineBalancing Sleep Policies with Operational DemandsApproach Primary Data Collection and Sleep Survey AnalysisCAM Application to Military Populations and Evidence of EffectivenessSymptoms of Sleep ProblemsCultural Attitudes Toward Sleep Appear to Vary Across Occupational Specialties and SettingsEvidence-Based Behavioral Treatments for Sleep Disorders Among ServicemembersWhat Are the Evidence-Based Interventions to Treat Sleep Disorders Among Servicemembers?Revise Existing Training and Operational Policies to Align with Current Clinical Guidelines About Optimal Sleep DurationPoor Sleep QualitySleep-Related Policies/Programs in Training EnvironmentsDepression, Anxiety, PTSD, and Substance-Use DisordersRecommendations to Prevent Sleep ProblemsRecommendations to Improve Sleep in Training and Operational ContextsCultural Barriers to Sleep HealthProbable PTSDWhat Are the Barriers to Achieving Healthy Sleep for Servicemembers?Recommendations to Increase the Identification and Diagnosis of Sleep ProblemsSleep Clinic and Provider ShortagesDiscussionPharmacologic Interventions to Treat InsomniaLiterature ReviewIRT Application to Military Populations and Evidence of EffectivenessManpower LimitationsRecommendationsDepartment of the Army Medical Policies/ProgramsAnalytic Plan for the Sleep SurveyCorrelates and Consequences of Sleep Problems in the Post-Deployment PeriodHealth BehaviorsCBT-I Application to Military Populations and Evidence of EffectivenessQualitative Data AnalysisA Conceptual Model of Post-Deployment Sleep ProblemsApplications of Combined Treatment Modalities to Military Populations and Evidence of Effectiveness
 
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