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A short course of lectures
«Sleep in the military»





What Are the Barriers to Achieving Healthy Sleep for Servicemembers?Literature Review ApproachApproach DiscussionRevise Existing Training and Operational Policies to Align with Current Clinical Guidelines About Optimal Sleep DurationContinuity of Care ChallengesPharmacotherapy to Treat Sleep DisturbancesFuture Directions for Military Sleep StudiesWhat Are the Current Programs and Policies Related to Sleep in the Military?Combined Treatment ModalitiesTechnological Developments in Treatment DeliveryProbable DepressionOutcomes and CovariatesPrefaceDeployment Life Study OverviewWhat Are the Barriers to Achieving Healthy Sleep for Servicemembers?Symptoms of Sleep ProblemsSleep-Related Policies/Programs in Operational Environments U.S. Department of Defense Operational Policies/ProgramsDevelop Provider Education Programs on Preventing, Identifying, and Treating Sleep DisordersDoD Prevention Policies/ProgramsLack of Servicemember and Unit Leader Knowledge About Sleep HealthCBT-I Application to Military Populations and Evidence of EffectivenessPrimary Data Collection and Sleep Survey AnalysisProbable PTSDSleep Survey Development and Administration to Servicemembers in the Deployment Life StudyObstructive Sleep ApneaTHREE. Assessing Sleep Disturbances and Consequences Among Post-Deployed ServicemembersRecommendations to Increase the Identification and Diagnosis of Sleep ProblemsMedical and Treatment Systems Barriers to Promoting Sleep HealthWhat Are the Evidence-Based Interventions to Treat Sleep Disorders Among Servicemembers?Perceived Unit ReadinessRisk Factors for Sleep Problems in the Post-Deployment PeriodDepartment of the Air Force Operational Policies/ProgramsCognitive-Behavioral Therapy for InsomniaPrevalence and Types of Specific Sleep Problems in the Post-Deployment PeriodSuicidalityPrevalence of Sleep Problems in Full SampleOperational ReadinessFOUR. Review of Sleep Policies and ProgramsIncrease Servicemember and Line Leader Education About Healthy Sleep BehaviorsResistance to Treatment SeekingWhat Are the Current Policies and Programs Related to Sleep in the Military?Sleep-Related Policies/Programs in Training EnvironmentsDepression, Anxiety, PTSD, and Substance-Use DisordersEducate Families on Signs and Symptoms of Sleep DisturbancesParticipantsAnalytic Plan for the Sleep SurveyDepartment of the Army Operational Policies/ProgramsComplementary and Alternative MedicineImagery Rehearsal Therapy for NightmaresEducate Line Leaders on Creating Sleep PlansSleep-Related Prevention Policies/ProgramsDepartment of the Air Force Training Policies/ProgramsPrioritize Sleep in Reintegration PoliciesEnhance Dissemination of Evidence-Based TreatmentsLink Sleep-Related Information to Data on MishapsPrevalence of Sleep Problems, by SubgroupSIX. Barriers to Achieving Healthy Sleep Among ServicemembersKey Informant DiscussionsDevelop a Clinical Practice Guideline for Sleep DisordersLack of a Centralized Resource on Sleep HealthDaytime Sleepiness and FatigueA Conceptual Model of Post-Deployment Sleep ProblemsService-Specific Prevention Policies/ProgramsOperational Barriers to Sleep HealthPolicy ReviewRecommendations for Clinical Management of Sleep Disorders and Promotion of Sleep HealthRecommendations to Prevent Sleep ProblemsRecommendationsPrevalence of Sleep Symptoms and Sleep-Related Behaviors Overall and by SubgroupHealth BehaviorsCorrelates and Consequences of Sleep Problems in the Post-Deployment PeriodSleep Clinic and Provider ShortagesImprove Screening for Sleep Disturbances in Primary Care SettingsWhat Are the Evidence-Based Interventions to Treat Sleep Disorders Among Servicemembers?Physical Health ProblemsNightmaresSleep-Related Medical Policies/ProgramsCovariatesMethodsBalancing Sleep Policies with Operational DemandsEvidence-Based Behavioral Treatments for Sleep Disorders Among ServicemembersDepartment of the Navy/Marine Corps Training Policies/ProgramsAssociations Between Sleep Symptoms and Sleep-Related Behaviors and Outcomes Among Previously Deployed ServicemembersAssociations Between Sleep Measures and Outcomes Among Previously Deployed ServicemembersWhat Actions Can Be Taken to Promote Sleep Health Among Servicemembers?DiscussionDiscussionLack of Emphasis on Sleep ScreeningDepartment of the Air Force Medical Policies/ProgramsQualitative Data AnalysisDisseminate Positive Messaging About Sleep as an Operational Imperative to Increase Awareness and Reduce Cultural BarriersAcknowledgmentsResearch ObjectiveSleep May Be Viewed as a Luxury Rather Than a Biological NeedSleep Survey Added to the Deployment Life StudyTWO. Epidemiology of Sleep Problems in the MilitaryFinal WordsMental Health ProblemsSample CharacteristicsStrengths and LimitationsLiterature ReviewDepartment of the Army Medical Policies/ProgramsDiscussionCultural Barriers to Sleep HealthContinue to Research Evidenced-Based Practices for Advancing Healthy Sleep in Military SettingsIRT Application to Military Populations and Evidence of EffectivenessEnvironmental BarriersPoor Sleep QualityFund/Conduct Longitudinal Research on Sleep and Downstream Effects on Operational Readiness and ResilienceDiagnosed Sleep DisordersRecommendations to Improve Sleep in Training and Operational ContextsInsomniaIncrease the Use of Technology for Assessing and Clinically Managing Sleep DisordersFindingsDepartment of the Navy/Marine Corps Operational Policies/ProgramsApproachCAM Application to Military Populations and Evidence of EffectivenessUnit- and Deployment-Specific FactorsFinal WordsApproachU.S. Department of Defense Medical Policies/ProgramsPhysical HealthDepartment of the Navy/Marine Corps Medical Policies/ProgramsLack of Knowledge About the Risks of Sleep Medication UseFIVE. Evidence-Based Interventions to Treat Sleep Disturbances Among ServicemembersImprove Continuity of Care of Sleep Disorder TreatmentsDiscussionPharmacologic Interventions to Treat NightmaresOperational and Military Support FactorsManpower LimitationsWhat Are the Correlates and Consequences of Sleep Problems Among Servicemembers in the Post-Deployment Period?Organization of This ReportKnowledge Barriers to Sleep HealthApplications of Combined Treatment Modalities to Military Populations and Evidence of EffectivenessCultural Attitudes Toward Sleep Appear to Vary Across Occupational Specialties and SettingsPharmacologic Interventions to Treat InsomniaExpert Working GroupApproachGeneral Military CharacteristicsDepartment of the Army Training Policies/ProgramsPrimary Outcome MeasuresCreate Standardized Operational and Training Policies Across DoD to Increase Sleep Duration and Quality and Reduce Fatigue-Related ImpairmentU.S. Department of Veterans Affairs Medical Policies/ProgramsUnaddressed Gaps in the LiteratureStable Demographic Factors
 
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