title: To Drug or Not to Drug: A Qualitative Study of Patients' Decision-Making Processes for Managing Insomnia.
abstract: Treatment preferences play a key role in dictating sleep health outcomes. However, patients' treatment beliefs, attitudes, and experiences that inform preference conceptualization remain an unknown phenomenon. Therefore, this study aims to explore patient perceptions toward pharmacotherapy and the nonpharmacological management of insomnia. Fifty-one patients with insomnia were recruited from specialist clinics and general community settings. Participants completed a brief questionnaire followed by an in-depth semistructured interview that was digitally recorded, transcribed verbatim, and subjected to Framework Analysis to identify emergent themes. Three key themes were identified: Resolving Insomnia, Self-Imposed Treatment Boundaries, and Treatment Uptake. Patients' illness, treatment, and psychosocial beliefs and experiences are closely linked to treatment choice. Being attuned to these influences during the clinical encounter can facilitate treatment selection that is meaningful for the patient.
authors.affiliation: a Faculty of Pharmacy , The University of Sydney , Sydney , NSW , Australia.|b Sleep and Circadian Research Group, The Woolcock Institute of Medical Research , Sydney , NSW , Australia.
authors.forename: Janet M Y
authors.initials: JMY
authors.lastname: Cheung
authors.affiliation: b Sleep and Circadian Research Group, The Woolcock Institute of Medical Research , Sydney , NSW , Australia.
authors.forename: Delwyn J
authors.initials: DJ
authors.lastname: Bartlett
authors.affiliation: c Clinical Management Group, The Woolcock Institute of Medical Research , Sydney , NSW , Australia.|d Sydney Local Health District , Sydney , NSW , Australia.
authors.forename: Carol L
authors.initials: CL
authors.lastname: Armour
authors.affiliation: e The George Institute for Global Health , Sydney , NSW , Australia.
authors.forename: Tracey-Lea
authors.initials: TL
authors.lastname: Laba
authors.affiliation: a Faculty of Pharmacy , The University of Sydney , Sydney , NSW , Australia.|b Sleep and Circadian Research Group, The Woolcock Institute of Medical Research , Sydney , NSW , Australia.
authors.forename: Bandana
authors.initials: B
authors.lastname: Saini
mesh_terms: D000328:Adult; D003657:Decision Making; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D008297:Male; D036301:Qualitative Research; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000188:drug therapy / Q000523:psychology* / Q000628:therapy*; D011795:Surveys and Questionnaires
chemical_list: D006993:Hypnotics and Sedatives