Psychosocial determinants of healthy sleep habits in adults with type 1 and type 2 diabetes.

IF 2.4 Q2 PSYCHOLOGY, CLINICAL Health Psychology and Behavioral Medicine Pub Date : 2023-12-22 eCollection Date: 2024-01-01 DOI:10.1080/21642850.2023.2296464

Lydi-Anne Vézina-Im, Stéphane Turcotte, Anne-Frédérique Turcotte, Dominique Beaulieu, François Boudreau, Christine Morin

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Abstract

Background: Many adults with type 1 (T1D) and type 2 diabetes (T2D) have inadequate sleep increasing their risk of hyperglycemia and developing complications. The objective was to identify psychosocial determinants of healthy sleep habits (HSH) among adults with T1D and T2D.

Methods: The two HSH were: avoiding screen use in bed and having sleep regularity. Adults (≥18 years) with T1D and T2D were invited to complete an anonymous online survey. The questionnaires were based on the Reasoned Action Approach and formative qualitative research previously conducted in 56 adults with T1D and T2D. Habit was included as an additional variable for screen use in bed.

Results: In total, 320 adults with diabetes (T1D: 39%; T2D: 61%) completed the questionnaires (screen use in bed: 174; sleep timing: 146). Close to 75% of participants reported screen use in bed and close to 90% reported sleep timing variability in the last month. Perceived behavioral control (PBC) to avoid screen use in bed (β = -0.4486, p < 0.0001), habit of using screens in bed (β = 0.4002; p < 0.0001), and age (β = -0.0202; p = 0.0086) were determinants of screen use in bed, and this model explained 71% of the variance. PBC for sleep regularity (β = -0.2909; p = 0.0004) and being female (β = 0.5057; p = 0.0069) were determinants of sleep timing variability, and this model explained 28% of the variance. The most important beliefs associated with each HSH were identified to obtain information to design targeted interventions.

Conclusions: Few adults with diabetes have HSH. Screen use in bed was strongly influenced by habit and the results suggest that both HSH are not easy to adopt among adults with diabetes. Younger adults with diabetes should be prioritized for screen use in bed, while females with diabetes should be prioritized for sleep timing variability. Adults with diabetes should have access to behavior change interventions to encourage them to adopt HSH.

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1 型和 2 型糖尿病成人健康睡眠习惯的社会心理决定因素。

背景：许多 1 型糖尿病（T1D）和 2 型糖尿病（T2D）成人患者睡眠不足，增加了他们患高血糖和并发症的风险。本研究旨在确定 T1D 和 T2D 成人健康睡眠习惯（HSH）的社会心理决定因素：两个健康睡眠习惯是：避免在床上使用屏幕和保持睡眠规律。邀请患有 T1D 和 T2D 的成年人（≥18 岁）完成匿名在线调查。调查问卷基于 "合理行动法 "和之前对 56 名患有 T1D 和 T2D 的成年人进行的形成性定性研究。习惯被列为床上使用屏幕的附加变量：共有 320 名成人糖尿病患者（T1D：39%；T2D：61%）完成了问卷调查（床上使用屏幕：174 人；睡眠时间：146 人）。近 75% 的参与者报告了床上使用屏幕的情况，近 90% 的参与者报告了上个月睡眠时间的变化情况。避免在床上使用屏幕的感知行为控制（PBC）（β = -0.4486，p β = 0.4002；p β = -0.0202；p = 0.0086）是在床上使用屏幕的决定因素，该模型解释了 71% 的方差。睡眠规律的 PBC（β = -0.2909; p = 0.0004）和女性的 PBC（β = 0.5057; p = 0.0069）是睡眠时间变化的决定因素，该模型解释了 28% 的方差。我们确定了与每种HSH相关的最重要的信念，以便为设计有针对性的干预措施提供信息：结论：很少有成年糖尿病患者患有 HSH。在床上使用屏幕受习惯的影响很大，结果表明，这两种 "在床上使用屏幕的习惯 "在成年糖尿病患者中不易采用。年轻的成年糖尿病患者应优先考虑在床上使用屏幕，而女性糖尿病患者应优先考虑睡眠时间的可变性。成人糖尿病患者应获得行为改变干预措施，以鼓励他们采用HSH。

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来源期刊

Health Psychology and Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

3.70%

发文量

审稿时长

24 weeks

期刊介绍： Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.