1052 Pragmatic Approaches For Integrating Healthy Sleep Hygiene To Promote Chronic Disease Management

Abstract

Introduction: Up to one third of patients with Type 2 Diabetes Mellitus (T2DM) suffer from concomitant sleep disorders, as compared with 8.2% of controls without T2DM. Although more than half of the patients with T2DM are likely to report being poor sleepers, and that sleep quality correlates well with other diabetic quality of life scores, many T2DM Self Management Programs don't include tailored customized sleep hygiene education. Methods: The Sleep Integrated with Diabetes Education (SLIDE) Trail tests whether including four brief healthy sleep hygiene sessions to existing traditional Diabetes Self Management Education Program improves healthy sleep, motivation for change, and biopsychosocial outcomes for 50 patients with T2DM who are under and uninsured. This study uses descriptive and repeated measures anova analysis to determine outcomes. Results: Fifty patients with poorly controlled T2DM (mean HbA1c = 8.79 ± 2.42) participating in a DSME Program at an urban community non profit FL hospital were randomly assigned to DSME classes or DSME classes + four 15‐minute presentations (expert video and powerpoint) highlighting healthy sleep hygiene practices. The majority of these patients were obese (mean BMI=38.56 ± 8.20). Only 11% reported normal sleep, with 41% reporting short sleep (<6 hours) and 7% long sleep (>;8 hours). SLIDE participants improved sleep quantity [+2.3 hour tx mean change vs ‐1.2 hours control mean change; F(49,1)=6.23, p