lrc sleep efcog

Slide1: 

Sleep Interventions for Corporate Occupational Health Dr. Larry Clevenger, Director Sandia National Laboratories Health, Benefits and Employee Services

Outline: 

Outline Sleepy Nation Types and prevalence of sleep disturbances Problems related to sleep disorders Sandia’s Sleep Solutions Program How to manage the risk

A Nation of Sleepy People: 

A Nation of Sleepy People One in five adults report getting insufficient sleep Problems falling asleep or daytime sleepiness affect 35 to 40 percent of the population More than 50 million Americans suffer from a chronic sleep disorder

Common Sleep Disorders: 

Sleep Deprivation Insomnia Sleep Apnea Restless Leg Syndrome (RLS) Common Sleep Disorders

Nature of Sleep Disturbance: 

Sleep disturbance is a complex process which often involves both psychological and physical components Additionally, the tendency for sleep deprivation and disturbances is often a result of our culture and environment Nature of Sleep Disturbance

Physical Components: 

Physical Components Oxygen Levels Nasal Airflow Allergies Co-morbidities Neurological conditions

Psychological Components: 

Learned Behaviors Beliefs and Attitudes Emotional Distress General Stress Personality Styles Psychological Disorders Psychological Components

Environmental/Cultural Factors: 

Environmental/Cultural Factors Sleeping is a waste of time Too much to do and not enough time Sleep is overrated I’ll get plenty of sleep when I’m dead I get more work done because I have more awake time

How much sleep do we need?: 

How much sleep do we need?

Impairment of alcohol vs. sleep loss: 

Impairment of alcohol vs. sleep loss In New Mexico it is illegal to drive with the breath alcohol concentration of .08

Consequences of Sleep Deprivation: 

Accidents\near misses Depression High blood pressure Cardiovascular risk Diabetes Weight management Quality of life Lost Productivity Consequences of Sleep Deprivation

Accidents related to sleep deprivation: 

Accidents related to sleep deprivation Chernobyl Three-mile island Comair Flight 5191 Exxon Valdez

Accidents related to sleep deprivation: 

Accidents related to sleep deprivation Driver sleepiness is related to one in five serious car crash injuries

Sleep Solutions Program : 

Sleep Solutions Program Annual guest speaker Directorate buy-in/promos Four-week insomnia class Individual consultations and sleep assessments Organizational presentations on sleep disturbances Limited case management

Insomnia Class: 

Provides information on: Common sleep disturbances Sleep hygiene Stimulus control therapy Relaxation techniques Cognitive behavior therapy Medications, diagnosis and treatment for sleep disturbances Insomnia Class

Most helpful behavior changes: 

Most helpful behavior changes Survey says: Not watching the clock Get up at the same time everyday Don’t lose sleep over losing sleep

Quality of sleep: 

Improvement from 4.9 to 3.8 p < .001 N = 50 Quality of sleep Ranked 1- 8 Extremely Good Very Good Good Adequate Fair Poor Very Poor Extremely Poor

Insomnia Sleep Index: 

Insomnia Sleep Index Bastien CH, Vallieres A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001; 2:297-307. Describes proclivity toward insomnia Improvement from 12.95 to 8.75 N = 44 where < 10 is non-clinical insomnia p < .001

Epworth: 

Epworth self-administered questionnaire provides a measurement of the subject's general level of daytime sleepiness Improvement from 11.4 to 9.2 N=44 Where > 10 is excessive daytime sleepiness p < .001 Johns, Murray W. (1991) "A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale" Sleep 1991 (14): 540-5.

What should we do?: 

What should we do? Regular screening Encourage work/rest guidelines Teach management about the danger signs Recognize sleep disturbances as a treatable disorder Make it easy to access resources Socialize impact with other health and safety professionals Screen in the case of select near miss and occupational events