National expansion of sleep telemedicine for veterans: The Telesleep program

Kathleen F. Sarmiento, Robert L. Folmer, Carl J. Stepnowsky, Mary A. Whooley, Eilis A. Boudreau, Samuel T. Kuna, Charles W. Atwood, Connor J. Smith, W. Claibe Yarbrough

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Study Objectives: (1) Review the prevalence and comorbidity of sleep disorders among United States military personnel and veterans. (2) Describe the status of sleep care services at Veterans Health Administration (VHA) facilities. (3) Characterize the demand for sleep care among veterans and the availability of sleep care across the VHA. (4) Describe the VA TeleSleep Program that was developed to address this demand. Methods: PubMed and Medline databases (National Center for Biotechnology Information, United States National Library of Medicine) were searched for terms related to sleep disorders and sleep care in United States military and veteran populations. Information related to the status of sleep care services at VHA facilities was provided by clinical staff members at each location. Additional data were obtained from the VA Corporate Data Warehouse. Results: Among United States military personnel, medical encounters for insomnia increased 372% between 2005–2014; encounters for obstructive sleep apnea (OSA) increased 517% during the same period. The age-adjusted prevalence of sleep disorder diagnoses among veterans increased nearly 6-fold between 2000–2010; the prevalence of OSA more than doubled in this population from 2005–2014. Conclusions: Most VA sleep programs are understaffed for their workload and have lengthy wait times for appointments. The VA Office of Rural Health determined that the dilemma of limited VHA sleep health care availability and accessibility might be solved, at least in part, by implementing a comprehensive telehealth program in VA medical facilities. The VA TeleSleep Program is an expansion of telemedicine services to address this need, especially for veterans in rural or remote regions.

Original languageEnglish (US)
Pages (from-to)1355-1364
Number of pages10
JournalJournal of Clinical Sleep Medicine
Volume15
Issue number9
DOIs
StatePublished - Sep 15 2019

Fingerprint

Telemedicine
Veterans
Sleep
Veterans Health
United States Department of Veterans Affairs
Health Facilities
Military Personnel
Obstructive Sleep Apnea
National Library of Medicine (U.S.)
Information Centers
Rural Health
Sleep Initiation and Maintenance Disorders
Biotechnology
Workload
PubMed
Population
Comorbidity
Appointments and Schedules
Databases
Delivery of Health Care

Keywords

  • Rural
  • Sleep
  • Telehealth
  • Telemedicine
  • Veterans Affairs
  • Veterans Health Administration

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

Cite this

Sarmiento, K. F., Folmer, R. L., Stepnowsky, C. J., Whooley, M. A., Boudreau, E. A., Kuna, S. T., ... Claibe Yarbrough, W. (2019). National expansion of sleep telemedicine for veterans: The Telesleep program. Journal of Clinical Sleep Medicine, 15(9), 1355-1364. https://doi.org/10.5664/jcsm.7934

National expansion of sleep telemedicine for veterans : The Telesleep program. / Sarmiento, Kathleen F.; Folmer, Robert L.; Stepnowsky, Carl J.; Whooley, Mary A.; Boudreau, Eilis A.; Kuna, Samuel T.; Atwood, Charles W.; Smith, Connor J.; Claibe Yarbrough, W.

In: Journal of Clinical Sleep Medicine, Vol. 15, No. 9, 15.09.2019, p. 1355-1364.

Research output: Contribution to journalArticle

Sarmiento, KF, Folmer, RL, Stepnowsky, CJ, Whooley, MA, Boudreau, EA, Kuna, ST, Atwood, CW, Smith, CJ & Claibe Yarbrough, W 2019, 'National expansion of sleep telemedicine for veterans: The Telesleep program', Journal of Clinical Sleep Medicine, vol. 15, no. 9, pp. 1355-1364. https://doi.org/10.5664/jcsm.7934
Sarmiento, Kathleen F. ; Folmer, Robert L. ; Stepnowsky, Carl J. ; Whooley, Mary A. ; Boudreau, Eilis A. ; Kuna, Samuel T. ; Atwood, Charles W. ; Smith, Connor J. ; Claibe Yarbrough, W. / National expansion of sleep telemedicine for veterans : The Telesleep program. In: Journal of Clinical Sleep Medicine. 2019 ; Vol. 15, No. 9. pp. 1355-1364.
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abstract = "Study Objectives: (1) Review the prevalence and comorbidity of sleep disorders among United States military personnel and veterans. (2) Describe the status of sleep care services at Veterans Health Administration (VHA) facilities. (3) Characterize the demand for sleep care among veterans and the availability of sleep care across the VHA. (4) Describe the VA TeleSleep Program that was developed to address this demand. Methods: PubMed and Medline databases (National Center for Biotechnology Information, United States National Library of Medicine) were searched for terms related to sleep disorders and sleep care in United States military and veteran populations. Information related to the status of sleep care services at VHA facilities was provided by clinical staff members at each location. Additional data were obtained from the VA Corporate Data Warehouse. Results: Among United States military personnel, medical encounters for insomnia increased 372{\%} between 2005–2014; encounters for obstructive sleep apnea (OSA) increased 517{\%} during the same period. The age-adjusted prevalence of sleep disorder diagnoses among veterans increased nearly 6-fold between 2000–2010; the prevalence of OSA more than doubled in this population from 2005–2014. Conclusions: Most VA sleep programs are understaffed for their workload and have lengthy wait times for appointments. The VA Office of Rural Health determined that the dilemma of limited VHA sleep health care availability and accessibility might be solved, at least in part, by implementing a comprehensive telehealth program in VA medical facilities. The VA TeleSleep Program is an expansion of telemedicine services to address this need, especially for veterans in rural or remote regions.",
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