Display options
Cite
King S, Damarell R, Schuwirth L, et al. Knowledge to action: a scoping review of approaches to educate primary care providers in the identification and management of routine sleep disorders. J Clin Sleep Med. 2021;17(11):2307-2324doi: 10.5664/jcsm.9374.
King, S., Damarell, R., Schuwirth, L., Vakulin, A., Chai-Coetzer, C. L., & McEvoy, R. D. (2021). Knowledge to action: a scoping review of approaches to educate primary care providers in the identification and management of routine sleep disorders. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 17(11), 2307-2324. https://doi.org/10.5664/jcsm.9374
King, Svetlana, et al. "Knowledge to action: a scoping review of approaches to educate primary care providers in the identification and management of routine sleep disorders." Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine vol. 17,11 (2021): 2307-2324. doi: https://doi.org/10.5664/jcsm.9374
King S, Damarell R, Schuwirth L, Vakulin A, Chai-Coetzer CL, McEvoy RD. Knowledge to action: a scoping review of approaches to educate primary care providers in the identification and management of routine sleep disorders. J Clin Sleep Med. 2021 Nov 01;17(11):2307-2324. doi: 10.5664/jcsm.9374. PMID: 33983109; PMCID: PMC8636382.
Copy Download .nbib Format: NLM
Share it on

J Clin Sleep Med. 2021 Nov 01;17(11):2307-2324. doi: 10.5664/jcsm.9374.

Knowledge to action: a scoping review of approaches to educate primary care providers in the identification and management of routine sleep disorders.

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

Svetlana King, Raechel Damarell, Lambert Schuwirth, Andrew Vakulin, Ching Li Chai-Coetzer, R Doug McEvoy

Affiliations

  1. Prideaux Centre for Research in Health Professions Education, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
  2. College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
  3. Flinders Health and Medical Research Institute Sleep Health/Adelaide Institute of Sleep Health, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
  4. National Centre for Sleep Health Services Research: Adelaide, Australia.
  5. Respiratory and Sleep Services, Southern Adelaide Local Health Network, SA Health, Adelaide, Australia.

PMID: 33983109 PMCID: PMC8636382 DOI: 10.5664/jcsm.9374

Abstract

STUDY OBJECTIVES: The referral burden on health care systems for routine sleep disorders could be alleviated by educating primary care providers (PCPs) to diagnose and manage patients with sleep health issues. This requires effective professional education strategies and resources. This scoping review examined the literature on existing approaches to educate PCPs in sleep health management.

METHODS: A comprehensive literature search was conducted across 8 databases to identify citations describing the education of PCPs in diagnosing and managing sleep disorders, specifically insomnia and sleep apnea. A conceptual framework, developed from the knowledge-to-action cycle, was used to analyze citations from a knowledge translation perspective.

RESULTS: Searches identified 616 unique citations and after selection criteria were applied, 22 reports were included. Reports spanning 38 years were analyzed using components of the knowledge-to-action cycle to understand how educational interventions were designed, developed, implemented, and evaluated. Interventions involved didactic (32%), active (18%), and blended (41%) approaches, using face-to-face (27%), technology-mediated (45%), and multimodal (5%) delivery. Educational effectiveness was assessed in 73% of reports, most commonly using a pre/post questionnaire (41%).

CONCLUSIONS: While this scoping review has utility in describing existing educational interventions to upskill PCPs to diagnose and manage sleep disorders, the findings suggest that interventions are often developed without explicitly considering the evidence of best educational practice. Future interventional designs may achieve greater sustained effectiveness by considering characteristics of the target audience, the pedagogical approaches best suited to its needs, and any environmental drivers and barriers that might impede the translation of evidence into practice.

CITATION: King S, Damarell R, Schuwirth L, Vakulin A, Chai-Coetzer CL, McEvoy RD. Knowledge to action: a scoping review of approaches to educate primary care providers in the identification and management of routine sleep disorders.

© 2021 American Academy of Sleep Medicine.

Keywords: education; effectiveness; knowledge translation; pedagogy; primary care providers; scoping review; sleep disorder management

References

  1. Med Teach. 2011;33(3):188-99 - PubMed
  2. Acad Med. 1990 Oct;65(10):611-21 - PubMed
  3. PLoS Med. 2009 Jul 21;6(7):e1000097 - PubMed
  4. Chest. 2012 Nov;142(5):1097-1103 - PubMed
  5. J Exp Psychol Appl. 2013 Mar;19(1):14-29 - PubMed
  6. Psychol Bull. 1959 Mar;56(2):81-105 - PubMed
  7. Eur Arch Psychiatry Clin Neurosci. 2002 Jun;252(3):99-104 - PubMed
  8. Med Educ. 1988 Jul;22(4):279-86 - PubMed
  9. Pediatr Int. 2017 Mar;59(3):280-285 - PubMed
  10. Perspect Med Educ. 2018 Aug;7(4):256-263 - PubMed
  11. Ann Am Thorac Soc. 2017 Feb;14(2):267-274 - PubMed
  12. Med Educ. 2010 Jan;44(1):85-93 - PubMed
  13. Arch Intern Med. 1997 Feb 24;157(4):419-24 - PubMed
  14. Curr Med Res Opin. 2010 Dec;26 Suppl 2:S3-24; quiz S25-7 - PubMed
  15. Thorax. 2018 Dec;73(12):1152-1160 - PubMed
  16. J Am Assoc Nurse Pract. 2014 Nov;26(11):603-611 - PubMed
  17. Med Educ. 2005 Jan;39(1):98-106 - PubMed
  18. Sleep Health. 2020 Oct;6(5):636-650 - PubMed
  19. J Contin Educ Health Prof. 2008 Winter;28(1):14-9 - PubMed
  20. Stud Health Technol Inform. 2000;78:193-206 - PubMed
  21. BMC Fam Pract. 2009 Jan 26;10:9 - PubMed
  22. Br J Gen Pract. 2019 Aug 29;69(686):e657-e664 - PubMed
  23. Acad Med. 1998 Oct;73(10 Suppl):S1-5 - PubMed
  24. Am J Respir Crit Care Med. 2018 Sep 1;198(5):648-656 - PubMed
  25. Adv Health Sci Educ Theory Pract. 2011 May;16(2):253-76 - PubMed
  26. Acad Med. 2016 Dec;91(12):e20 - PubMed
  27. Sleep Med. 2005 Jan;6(1):55-61 - PubMed
  28. Bull World Health Organ. 2006 Aug;84(8):636-42 - PubMed
  29. Acad Med. 2010 May;85(5):894-901 - PubMed
  30. Fam Med. 2003 Sep;35(8):547-9 - PubMed
  31. Acad Med. 1996 Sep;71(9):988-1001 - PubMed
  32. Med Teach. 2017 Sep;39(9):999-1001 - PubMed
  33. Stud Health Technol Inform. 2000;78:161-92 - PubMed
  34. JAMA. 1979 Jun 1;241(22):2413-6 - PubMed
  35. Med Teach. 1999;21(6):553-62 - PubMed
  36. Adv Health Sci Educ Theory Pract. 2004;9(3):211-24 - PubMed
  37. BMC Res Notes. 2016 Jul 19;9:350 - PubMed
  38. CMAJ. 2009 Aug 4;181(3-4):165-8 - PubMed
  39. JAMA. 2013 Mar 13;309(10):997-1004 - PubMed
  40. Acad Med. 2013 Apr;88(4):442-8 - PubMed
  41. J Contin Educ Health Prof. 2006 Winter;26(1):13-24 - PubMed
  42. Health Promot Int. 2017 Apr 1;32(2):301-311 - PubMed

Publication Types