Nursing Research

Skip Navigation LinksHome > September/October 2008 - Volume 57 - Issue 5 > Sleep Disturbances in Women With HIV or AIDS: Efficacy of a...
Nursing Research:
doi: 10.1097/01.NNR.0000313501.84604.2c

Sleep Disturbances in Women With HIV or AIDS: Efficacy of a Tailored Sleep Promotion Intervention

Hudson, Angela L.; Portillo, Carmen J.; Lee, Kathryn A.

Collapse Box


Background: Poor sleep is a frequent complaint of persons with HIV infection.

Objectives: To pilot test a tailored sleep promotion intervention protocol based on principles of sleep hygiene in a convenience sample of 30 HIV seropositive women.

Methods: At baseline and 1 week after implementing the intervention, sleep was assessed by self-report measures and wrist actigraphy. Objective sleep measures include total sleep time, number of awakenings, and sleep efficiency, as well as level of daytime activity, 24-hr activity rhythm, and amount of sleep during the day.

Results: Prior to the intervention, women averaged 6.4 hr (SD = 1.99) of sleep, and 67% (n = 20) of the sample napped more than 30 min per day. After allowing 1 week to implement sleep hygiene principles to promote healthy sleep behaviors, there was a significant improvement in their perception of sleep and a significant change in their 24-hr activity rhythm. This involved more activity and less napping during the day.

Discussion: Although there was minimal change in objective measures of nighttime sleep for the group as a whole, those with initiation insomnia and maintenance insomnia benefited most from the intervention. These findings support the utility of a tailored sleep promotion intervention for women who are HIV positive to address their unique form of sleep disturbance.

© 2008 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.