An examination of australian general practitioners' knowledge, attitudes and practices in relation to sleep disorders

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Abstract

Sleep disorders represent an under-recognised public health problem and are reported to be underdiagnosed in general practices. Aims: To examine general practitioners (GPs) attitude, knowledge and practice behaviour and identify barriers to detection, diagnosis and treatment of sleep disorders encountered in the Australian primary care setting. Method: Using mixed methods, quantitative data from the Dartmouth Sleep Knowledge Questionnaire (DSKQ) were analysed using MS Excel 2007. Qualitative data were obtained from one focus group and eight interviews. Data were thematically analysed. Results: 15 GPs participated; seven in a focus group and eight in interviews. Scores from DSKQ suggest gaps in GPs knowledge. Qualitative analysis revealed that patients frequently presented with sleep disorders underpinned by mental health disorders. GPs agreed that prescribing pharmacological interventions was undesirable and behavioural interventions were preferred. Barriers included limited training for GPs, lack of resources, patient expectations and willingness to engage in lifestyle changes, and consultation time constraints. Discussion: Greater flexibility to investigate sleep related problems within the standard consultation and improved access to educational activities could assist GPs. Patient factors, such as adherence to management strategies, are paramount to successful management of sleep disorders; however, these obstacles to clinical practice may be difficult to overcome. Conclusion: Providing education for GPs about sleep disorders, greater flexibility within consultations may improve patient care and patient engagement in management strategies may assist, yet a critical success factor in disease management includes patient engagement in management strategies.
Original languageEnglish
Pages (from-to)16 - 23
Number of pages8
JournalMalaysian Family Physician
Volume7
Issue number1
Publication statusPublished - 2012

Cite this

@article{d1754d696035467da47300d908ac2982,
title = "An examination of australian general practitioners' knowledge, attitudes and practices in relation to sleep disorders",
abstract = "Sleep disorders represent an under-recognised public health problem and are reported to be underdiagnosed in general practices. Aims: To examine general practitioners (GPs) attitude, knowledge and practice behaviour and identify barriers to detection, diagnosis and treatment of sleep disorders encountered in the Australian primary care setting. Method: Using mixed methods, quantitative data from the Dartmouth Sleep Knowledge Questionnaire (DSKQ) were analysed using MS Excel 2007. Qualitative data were obtained from one focus group and eight interviews. Data were thematically analysed. Results: 15 GPs participated; seven in a focus group and eight in interviews. Scores from DSKQ suggest gaps in GPs knowledge. Qualitative analysis revealed that patients frequently presented with sleep disorders underpinned by mental health disorders. GPs agreed that prescribing pharmacological interventions was undesirable and behavioural interventions were preferred. Barriers included limited training for GPs, lack of resources, patient expectations and willingness to engage in lifestyle changes, and consultation time constraints. Discussion: Greater flexibility to investigate sleep related problems within the standard consultation and improved access to educational activities could assist GPs. Patient factors, such as adherence to management strategies, are paramount to successful management of sleep disorders; however, these obstacles to clinical practice may be difficult to overcome. Conclusion: Providing education for GPs about sleep disorders, greater flexibility within consultations may improve patient care and patient engagement in management strategies may assist, yet a critical success factor in disease management includes patient engagement in management strategies.",
author = "Hassed, {Craig Stephen} and Josefine Antoniades and Jones, {Kay Margaret} and Rajaratnam, {Shanthakumar M W} and Kiropoulos, {Litza Anthoula} and Naughton, {Matthew T} and Leon Piterman",
year = "2012",
language = "English",
volume = "7",
pages = "16 -- 23",
journal = "Malaysian Family Physician",
issn = "1985-207X",
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}

TY - JOUR

T1 - An examination of australian general practitioners' knowledge, attitudes and practices in relation to sleep disorders

AU - Hassed, Craig Stephen

AU - Antoniades, Josefine

AU - Jones, Kay Margaret

AU - Rajaratnam, Shanthakumar M W

AU - Kiropoulos, Litza Anthoula

AU - Naughton, Matthew T

AU - Piterman, Leon

PY - 2012

Y1 - 2012

N2 - Sleep disorders represent an under-recognised public health problem and are reported to be underdiagnosed in general practices. Aims: To examine general practitioners (GPs) attitude, knowledge and practice behaviour and identify barriers to detection, diagnosis and treatment of sleep disorders encountered in the Australian primary care setting. Method: Using mixed methods, quantitative data from the Dartmouth Sleep Knowledge Questionnaire (DSKQ) were analysed using MS Excel 2007. Qualitative data were obtained from one focus group and eight interviews. Data were thematically analysed. Results: 15 GPs participated; seven in a focus group and eight in interviews. Scores from DSKQ suggest gaps in GPs knowledge. Qualitative analysis revealed that patients frequently presented with sleep disorders underpinned by mental health disorders. GPs agreed that prescribing pharmacological interventions was undesirable and behavioural interventions were preferred. Barriers included limited training for GPs, lack of resources, patient expectations and willingness to engage in lifestyle changes, and consultation time constraints. Discussion: Greater flexibility to investigate sleep related problems within the standard consultation and improved access to educational activities could assist GPs. Patient factors, such as adherence to management strategies, are paramount to successful management of sleep disorders; however, these obstacles to clinical practice may be difficult to overcome. Conclusion: Providing education for GPs about sleep disorders, greater flexibility within consultations may improve patient care and patient engagement in management strategies may assist, yet a critical success factor in disease management includes patient engagement in management strategies.

AB - Sleep disorders represent an under-recognised public health problem and are reported to be underdiagnosed in general practices. Aims: To examine general practitioners (GPs) attitude, knowledge and practice behaviour and identify barriers to detection, diagnosis and treatment of sleep disorders encountered in the Australian primary care setting. Method: Using mixed methods, quantitative data from the Dartmouth Sleep Knowledge Questionnaire (DSKQ) were analysed using MS Excel 2007. Qualitative data were obtained from one focus group and eight interviews. Data were thematically analysed. Results: 15 GPs participated; seven in a focus group and eight in interviews. Scores from DSKQ suggest gaps in GPs knowledge. Qualitative analysis revealed that patients frequently presented with sleep disorders underpinned by mental health disorders. GPs agreed that prescribing pharmacological interventions was undesirable and behavioural interventions were preferred. Barriers included limited training for GPs, lack of resources, patient expectations and willingness to engage in lifestyle changes, and consultation time constraints. Discussion: Greater flexibility to investigate sleep related problems within the standard consultation and improved access to educational activities could assist GPs. Patient factors, such as adherence to management strategies, are paramount to successful management of sleep disorders; however, these obstacles to clinical practice may be difficult to overcome. Conclusion: Providing education for GPs about sleep disorders, greater flexibility within consultations may improve patient care and patient engagement in management strategies may assist, yet a critical success factor in disease management includes patient engagement in management strategies.

UR - http://www.e-mfp.org/2012v7n1/pdf/sleep-disorder.pdf

M3 - Article

VL - 7

SP - 16

EP - 23

JO - Malaysian Family Physician

JF - Malaysian Family Physician

SN - 1985-207X

IS - 1

ER -