nach oben

Somnologie

Erschienen in:

26.04.2017 | Original contribution

Development, implementation, and evaluation of a sleep coaching program for the German armed forces

An Overview

verfasst von: Heidi Danker-Hopfe, Jens Kowalski, Michael Stein, Stefan Röttger, Dr. Cornelia Sauter

Erschienen in: Somnologie | Ausgabe 1/2018

Einloggen, um Zugang zu erhalten

Abstract

Background

The prevalence of sleep problems in soldiers is higher than in the general population and impaired sleep prior to deployment increases the risk for developing new mental disorders after return from deployment. To prevent development of sleep disorders and concomitant psychiatric problems, early preventive strategies provided within occupational health management (OHM) programs are needed.

Objective

A sleep coaching program was developed and evaluated and is currently implemented as a preventive tool to improve sleep quality in the German armed forces. A four-step approach to development, evaluation, and dissemination of sleep coaching is presented.

Methods

In a first step, a sleep coaching program was developed and offered in a pilot phase of the OHM program of the German armed forces. In a next step, the sleep coaching program was comprehensively evaluated by ambulatory polysomnography and sleep-related questionnaires in a crossover waiting list study. In a third step, psychologists of the German armed forces will be trained to provide the sleep coaching program within the OHM program. The last step comprises development of an internet-based sleep coaching program to improve accessibility and availability.

Results

Sleep coaching is an effective tool for improving sleep quality in military personnel. In a pilot phase, measures of wellbeing, self-care behavior, and self-care awareness were positively influenced in participants of the sleep coaching program. In a second study, objective and subjective sleep quality improved significantly after participating in the sleep coaching program.

Conclusion

Sleep coaching is a preventive intervention method to improve sleep quality and increase health resilience by providing helpful strategies in case of (subjectively) impaired sleep.

Akerstedt T, Lekander M, Petersen H, Kecklund G, Axelsson J (2014) Sleep polysomnography and reported stress across 6 weeks. Ind Health 52:36–42CrossRefPubMed

Akerstedt T, Perski A, Kecklund G (2017) Sleep, occupational stress, and burnout. In: Kryger M, Roth T, Dement WC (eds) Principles and practice of sleep medicine. Elesevier, Philadelphia, pp 736–741CrossRef

American Academy of Sleep Medicine (2014) International classification of sleep disorders, 3rd edn. American Academy of Sleep Medicine, Darien

Ammendolia C, Cote P, Cancelliere C, Cassidy JD, Hartvigsen J, Boyle E, Soklaridis S, Stern P, Amick B 3rd (2016) Healthy and productive workers: using intervention mapping to design a workplace health promotion and wellness program to improve presenteeism. BMC Public Health 16:1190CrossRefPubMedPubMedCentral

Bastien CH, Vallieres A, Morin CM (2001) Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2:297–307CrossRefPubMed

Brähler E, Mühlan H, Albani C, Schmidt S (2007) Teststatistische Prüfung und Normierung der deutschen Versionen des EUROHIS-QOL Lebensqualität-Index und des WHO-5 Wohlbefindens-Index. Diagnostica 53:83–96CrossRef

Bramoweth AD, Germain A (2013) Deployment-related insomnia in military personnel and veterans. Curr Psychiatry Rep 15:401CrossRefPubMed

Buxton OM, Lee S, Beverly C, Berkman LF, Moen P, Kelly EL, Hammer LB, Almeida DM (2016) Work-family conflict and employee sleep: evidence from IT workers in the work, family and health study. Sleep 39:1871–1882CrossRefPubMedPubMedCentral

Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213CrossRefPubMed

10.

Danker-Hopfe H, Sauter C, Zimmermann P, Wesemann U, Kowalski JT (2016) Schlaf vor, während und nach einem Auslandseinsatz in Afghanistan. Somnologie (Berl) 20:45

11.

Danker-Hopfe H, Sauter C, Kowalski JT, Kropp S, Ströhle A, Wesemann U, Zimmermann PL (2017) Sleep quality of German soldiers before, during and after deployment in Afghanistan – a prospective study. J Sleep Res. doi:10.1111/jsr.12522 PubMed

12.

DGSM (2007) Fachinformationen: Fragebögen – Abend- und Morgenprotokoll. Deutsche Gesellschaft für Schlafforschung und Schlafmedizin. http://www.dgsm.de/fachinformationen_frageboegen_schlaftagebuecher.php?language=german. Accessed 20 Dez 2016

13.

Gehrman P, Seelig AD, Jacobson IG, Boyko EJ, Hooper TI, Gackstetter GD, Ulmer CS, Smith TC (2013) Predeployment sleep duration and insomnia symptoms as risk factors for new-onset mental health disorders following military deployment. Sleep 36:1009–1018CrossRefPubMedPubMedCentral

14.

Germain A, Buysse DJ, Nofzinger E (2008) Sleep-specific mechanisms underlying posttraumatic stress disorder: integrative review and neurobiological hypotheses. Sleep Med Rev 12:185–195CrossRefPubMed

15.

Gregory P, Morgan K, Lynall A (2012) Improving sleep management in people with Parkinson’s. Br J Community Nurs 17:14–20CrossRefPubMed

16.

Hagg SA, Toren K, Lindberg E (2015) Role of sleep disturbances in occupational accidents among women. Scand J Work Environ Health 41:368–376CrossRefPubMed

17.

Heinrich A, Knappe S, Trautmann S, Schönfeld S, Hauffa R, Wittchen HU (2015) Sleeping problems of German soldiers and the role of deployment-related traumatic events (in German). Z Klin Psychol Psychother 44:121–130CrossRef

18.

Holzinger B, Klösch G (2013) Schlafcoaching: wer wach sein will, muss schlafen. Goldegg, Berlin

19.

Horne JA, Ostberg O (1976) A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol 4:97–110PubMed

20.

Hui SK, Grandner MA (2015) Associations between poor sleep quality and stages of change of multiple health behaviors among participants of employee wellness program. Prev Med Rep 2:292–299CrossRefPubMedPubMedCentral

21.

Hui SK, Grandner MA (2015) Trouble sleeping associated with lower work performance and greater health care costs: longitudinal data from Kansas State Employee Wellness Program. J Occup Environ Med 57:1031–1038CrossRefPubMedPubMedCentral

22.

Iber C, Ancoli-Israel S, Chesson A, Quan SF (2007) The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. American Academy of Sleep Medicine, Westchester

23.

Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14:540–545CrossRefPubMed

24.

Kirkpatrick DL (1959) Techniques for evaluating training programs. J Am Soc Train Dir 13(3):21–26

25.

Koffel EA, Koffel JB, Gehrman PR (2015) A meta-analysis of group cognitive behavioral therapy for insomnia. Sleep Med Rev 19:6–16CrossRefPubMed

26.

Kompier MA, Taris TW, van Veldhoven M (2012) Tossing and turning – insomnia in relation to occupational stress, rumination, fatigue, and well-being. Scand J Work Environ Health 38:238–246CrossRefPubMed

27.

Lichstein KL, Tylor DJ, McCrae CS, Petrov ME (2017) Insomnia: epidemiology and risk factors. In: Kryger MRT, Dement WC (eds) Principles and practice of sleep medicine, 6th edn. Elsevier, Philadelphia, pp 761–768CrossRef

28.

McKnight-Eily LR, Liu Y, Wheaton AG, Croft JB, Perry GS, Okoro CA, Strine T (2011) Unhealthy sleep-related behaviors – 12 states, 2009. Centers for disease, control and prevention. MMWR Morb Mortal Wkly Rep 60:233–238

29.

McLay RN, Klam WP, Volkert SL (2010) Insomnia is the most commonly reported symptom and predicts other symptoms of post-traumatic stress disorder in U.S. service members returning from military deployments. Mil Med 175:759–762CrossRefPubMed

30.

Mysliwiec V, Gill J, Lee H, Baxter T, Pierce R, Barr TL, Krakow B, Roth BJ (2013) Sleep disorders in US military personnel: a high rate of comorbid insomnia and obstructive sleep apnea. Chest 144:549–557CrossRefPubMedPubMedCentral

31.

Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP (1999) Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 131:485–491CrossRefPubMed

32.

Pereira D, Elfering A (2014) Social stressors at work and sleep during weekends: the mediating role of psychological detachment. J Occup Health Psychol 19:85–95CrossRefPubMed

33.

Pereira D, Bucher S, Elfering A (2016) Daily impaired detachment and short-term effects of impaired sleep quality on next-day commuting near-accidents – an ambulatory diary study. Ergonomics 59:1121–1131CrossRefPubMed

34.

Riethmeister V, Brouwer S, van der Klink J, Bultmann U (2016) Work, eat and sleep: towards a healthy ageing at work program offshore. BMC Public Health 16:134CrossRefPubMedPubMedCentral

35.

Röttger S, Maier J, Krex-Brinkmann L, Kowalski JT, Danker-Hopfe H, Sauter C, Stein M (2017) Sleep coaching: An effective measure for workplace health promotion. (submitted)

36.

Röttger S, Stein M, Sauter C, Danker-Hopfe H, Kowalski JT (2016) Evaluation eines Schlafcoaching-Programms im Rahmen der Einführung des Betrieblichen Gesundheitsmanagements (BGM) in die Bundeswehr. Somnologie (Berl) 20:44

37.

Salo P, Ala-Mursula L, Rod NH, Tucker P, Pentti J, Kivimaki M, Vahtera J (2014) Work time control and sleep disturbances: prospective cohort study of Finnish public sector employees. Sleep 37:1217–1225PubMedPubMedCentral

38.

Sammito S, Schlattmann A, Felfe J, Renner K‑H, Kowalski J, Stein M, Winkler G, Aens-Azevedo U, Krauth C, Latza U, Densow D, Erley OM, Rose D‑M (2015) Betriebliches Gesundheitsmanagement im Geschäftsbereich des Bundesminsiteriums der Verteidigung – wissenschaftliche Begleitung eines ehrgeiziges Projekts. Wehrmed Monatsschr 59:230–235

39.

Sauter C, Kowalski JT, Stein M, Danker-Hopfe H (2016) Machbarkeit und Evaluation eines vierwöchigen Schlaf-Coaching-Angebots. Somnologie (Berl) 20:44

40.

Schlack R, Hapke U, Maske U, Busch M, Cohrs S (2013) Frequency and distribution of sleep problems and insomnia in the adult population in Germany: results of the German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 56:740–748CrossRefPubMed

41.

Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 282:1737–1744CrossRefPubMed

42.

Stiasny-Kolster K, Möller JC, Heinzel-Gutenbrunner M, Baum E, Ries V, Oertel WH (2009) Validation of the restless legs syndrome screening questionnaire (RLSSQ). Somnologie (Berl) 13:37–42CrossRef

43.

Tamura N, Tanaka H (2016) Effects of a sleep education program with self-help treatment on sleeping patterns and daytime sleepiness in Japanese adolescents: a cluster randomized trial. Chronobiol Int 33:1073–1085CrossRefPubMed

44.

Taylor DJ, Pruiksma KE, Hale WJ, Kelly K, Maurer D, Peterson AL, Mintz J, Litz BT, Williamson DE, Consortium SS (2016) Prevalence, correlates, and predictors of insomnia in the US army prior to deployment. Sleep 39:1795–1806CrossRefPubMedPubMedCentral

45.

Techniker Krankenkasse (2016) Entspann dich, Deutschland – TK Stressstudie. https://www.tk.de/centaurus/servlet/contentblob/921466/Datei/177594/TK-Stressstudie%202016%20Pdf%20barrierefrei.pdfZugegriffen. Accessed 20 Dez 2016

46.

Trauer JM, Qian MY, Doyle JS, Rajaratnam SM, Cunnington D (2015) Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. Ann Intern Med 163:191–204CrossRefPubMed

47.

Urponen H, Vuori I, Hasan J, Partinen M (1988) Self-evaluations of factors promoting and disturbing sleep: an epidemiological survey in Finland. Soc Sci Med 26:443–450CrossRefPubMed

48.

Vila B, Samuels C, Wesenstein NJ (2017) Sleep problems in first responders and in deployed military personnel. In: Kryger M, Roth T, Dement WC (eds) Principles and practice of sleep medicine. Elesevier, Philadelphia, pp 726–735CrossRef

49.

Wheaton AG, Liu Y, Perry GS, Croft JB (2011) Unhealthy sleep-related behaviors – 12 States, 2009. Centers for Disease, Control and Prevention. MMWR Morb Mortal Wkly Rep 60:239–242

50.

Wittchen HU, Lachner G, Wunderlich U, Pfister H (1998) Test-retest reliability of the computerized DSM-IV version of the Munich-Composite International Diagnostic Interview (M-CIDI). Soc Psychiatry Psychiatr Epidemiol 33:568–578CrossRefPubMed

51.

Zachariae R, Lyby MS, Ritterband LM, O’Toole MS (2015) Efficacy of internet-delivered cognitive-behavioral therapy for insomnia – A systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev 30:1–10CrossRefPubMed

Titel: Development, implementation, and evaluation of a sleep coaching program for the German armed forces
An Overview
verfasst von: Heidi Danker-Hopfe
Jens Kowalski
Michael Stein
Stefan Röttger
Dr. Cornelia Sauter
Publikationsdatum: 26.04.2017
Verlag: Springer Medizin
Erschienen in: Somnologie / Ausgabe 1/2018
Print ISSN: 1432-9123
Elektronische ISSN: 1439-054X
DOI: https://doi.org/10.1007/s11818-017-0109-5

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

25.04.2024 | Hypotonie | Nachrichten

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Development, implementation, and evaluation of a sleep coaching program for the German armed forces

An Overview

Abstract

Background

Objective

Methods

Results

Conclusion

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Neurologie

Springer Medizin

Abstract

Background

Objective

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2018

Psychologische Schlafforschung

A German version of the Insomnia Severity Index

Sleep quality and self-regulation

Sleep disturbances and behavioural and emotional problems in preschool children with bilateral cerebral palsy

Arbeitsverhalten und Schlaf

Cheyne-Stokes-Atmung

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Neurologie