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A short course of lectures
«Sleep in the military»





Department of the Air Force Operational Policies/ProgramsApproachCAM Application to Military Populations and Evidence of EffectivenessMedical and Treatment Systems Barriers to Promoting Sleep HealthProbable DepressionCultural Attitudes Toward Sleep Appear to Vary Across Occupational Specialties and SettingsRecommendations for Clinical Management of Sleep Disorders and Promotion of Sleep HealthDiscussionOutcomes and CovariatesApproach Deployment Life Study OverviewAssociations Between Sleep Symptoms and Sleep-Related Behaviors and Outcomes Among Previously Deployed ServicemembersDisseminate Positive Messaging About Sleep as an Operational Imperative to Increase Awareness and Reduce Cultural BarriersImprove Continuity of Care of Sleep Disorder TreatmentsRecommendations to Improve Sleep in Training and Operational ContextsKnowledge Barriers to Sleep HealthCombined Treatment ModalitiesPharmacologic Interventions to Treat NightmaresParticipantsWhat Are the Barriers to Achieving Healthy Sleep for Servicemembers?Literature ReviewSymptoms of Sleep ProblemsDepression, Anxiety, PTSD, and Substance-Use DisordersFIVE. Evidence-Based Interventions to Treat Sleep Disturbances Among ServicemembersResearch ObjectiveKey Informant DiscussionsHealth BehaviorsFOUR. Review of Sleep Policies and ProgramsDiscussionSample CharacteristicsPrevalence and Types of Specific Sleep Problems in the Post-Deployment PeriodLack of a Centralized Resource on Sleep HealthSIX. Barriers to Achieving Healthy Sleep Among ServicemembersU.S. Department of Defense Medical Policies/ProgramsWhat Actions Can Be Taken to Promote Sleep Health Among Servicemembers?Lack of Emphasis on Sleep ScreeningLack of Servicemember and Unit Leader Knowledge About Sleep HealthSleep-Related Policies/Programs in Operational Environments U.S. Department of Defense Operational Policies/ProgramsPrioritize Sleep in Reintegration PoliciesPhysical HealthIncrease the Use of Technology for Assessing and Clinically Managing Sleep DisordersTechnological Developments in Treatment DeliveryUnaddressed Gaps in the LiteratureWhat Are the Evidence-Based Interventions to Treat Sleep Disorders Among Servicemembers?Future Directions for Military Sleep StudiesSuicidalityA Conceptual Model of Post-Deployment Sleep ProblemsApplications of Combined Treatment Modalities to Military Populations and Evidence of EffectivenessPoor Sleep QualityU.S. Department of Veterans Affairs Medical Policies/ProgramsFindingsExpert Working GroupOrganization of This ReportDoD Prevention Policies/ProgramsApproachWhat Are the Current Programs and Policies Related to Sleep in the Military?Link Sleep-Related Information to Data on MishapsLack of Knowledge About the Risks of Sleep Medication UseMental Health ProblemsPhysical Health ProblemsWhat Are the Current Policies and Programs Related to Sleep in the Military?Recommendations to Prevent Sleep ProblemsCreate Standardized Operational and Training Policies Across DoD to Increase Sleep Duration and Quality and Reduce Fatigue-Related ImpairmentIncrease Servicemember and Line Leader Education About Healthy Sleep BehaviorsEvidence-Based Behavioral Treatments for Sleep Disorders Among ServicemembersDepartment of the Army Training Policies/ProgramsPerceived Unit ReadinessDepartment of the Army Medical Policies/ProgramsNightmaresSleep Clinic and Provider ShortagesCultural Barriers to Sleep HealthDevelop Provider Education Programs on Preventing, Identifying, and Treating Sleep DisordersSleep Survey Development and Administration to Servicemembers in the Deployment Life StudyEducate Line Leaders on Creating Sleep PlansWhat Are the Barriers to Achieving Healthy Sleep for Servicemembers?Strengths and LimitationsDiagnosed Sleep DisordersSleep Survey Added to the Deployment Life StudyOperational Barriers to Sleep HealthTWO. Epidemiology of Sleep Problems in the MilitaryOperational ReadinessSleep-Related Medical Policies/ProgramsInsomniaIRT Application to Military Populations and Evidence of EffectivenessUnit- and Deployment-Specific FactorsService-Specific Prevention Policies/ProgramsDiscussionPrimary Data Collection and Sleep Survey AnalysisDiscussionFinal WordsFund/Conduct Longitudinal Research on Sleep and Downstream Effects on Operational Readiness and ResilienceAssociations Between Sleep Measures and Outcomes Among Previously Deployed ServicemembersCorrelates and Consequences of Sleep Problems in the Post-Deployment PeriodLiterature Review ApproachDevelop a Clinical Practice Guideline for Sleep DisordersImagery Rehearsal Therapy for NightmaresRecommendations to Increase the Identification and Diagnosis of Sleep ProblemsDepartment of the Navy/Marine Corps Medical Policies/ProgramsRecommendationsQualitative Data AnalysisContinue to Research Evidenced-Based Practices for Advancing Healthy Sleep in Military SettingsDepartment of the Navy/Marine Corps Training Policies/ProgramsPrimary Outcome MeasuresDepartment of the Navy/Marine Corps Operational Policies/ProgramsCognitive-Behavioral Therapy for InsomniaContinuity of Care ChallengesDepartment of the Army Operational Policies/ProgramsWhat 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 DurationObstructive Sleep ApneaSleep May Be Viewed as a Luxury Rather Than a Biological NeedStable Demographic FactorsCovariatesFinal WordsPharmacologic Interventions to Treat InsomniaRisk Factors for Sleep Problems in the Post-Deployment PeriodMethodsImprove Screening for Sleep Disturbances in Primary Care SettingsAnalytic Plan for the Sleep SurveyAcknowledgmentsPharmacotherapy to Treat Sleep DisturbancesEducate Families on Signs and Symptoms of Sleep DisturbancesDepartment of the Air Force Training Policies/ProgramsEnhance Dissemination of Evidence-Based TreatmentsBalancing Sleep Policies with Operational DemandsOperational and Military Support FactorsCBT-I Application to Military Populations and Evidence of EffectivenessApproachGeneral Military CharacteristicsProbable PTSDTHREE. Assessing Sleep Disturbances and Consequences Among Post-Deployed ServicemembersComplementary and Alternative MedicineDiscussionPrefaceWhat Are the Correlates and Consequences of Sleep Problems Among Servicemembers in the Post-Deployment Period?Environmental BarriersPrevalence of Sleep Symptoms and Sleep-Related Behaviors Overall and by SubgroupSleep-Related Policies/Programs in Training EnvironmentsPolicy ReviewResistance to Treatment SeekingManpower LimitationsSleep-Related Prevention Policies/ProgramsDepartment of the Air Force Medical Policies/ProgramsDaytime Sleepiness and FatiguePrevalence of Sleep Problems, by SubgroupPrevalence of Sleep Problems in Full Sample
 
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