How we developed the evidence


The Evidence

Patient and GP surveys

  • Inappropriate and long term prescribing
  • GPs motivated to improve sleep management

Interviews of patients and clinicians

  • Patients' and clinicians' perspectives of the consultation for insomnia



Practice collaboratives

  • Practices piloted tools and techniques and developed the new philosophy and processes for management of insomnia




The evidence presented in this package was developed by patients, nurses and GPs as part of the REST project. Patient and GP surveys showed widespread evidence of inappropriate, long term prescribing of hypnotics by GPs. GPs were unhappy with their current management of sleep problems and motivated to improve sleep management. Interviews of patients and clinicians helped us to understand patients' and clinicians' perspectives of the consultation for insomnia. We worked with a Quality Improvement Collaborative group of general practices where GPs and nurses piloted the tools and techniques and developed the new philosophy and process for management of insomnia.

References

Siriwardena AN, Qureshi Z, Dyas JV, Middleton H, Orner. Magic bullets for insomnia? Patients' use and experiences of hypnotics for sleep problems in primary care. Br J Gen Pract 2008:58: 417-422.
Siriwardena AN, Apekey T, Tilling M, Dyas JV, Middleton H, Orner R. General practitioners’ preferences for managing insomnia and opportunities for reducing hypnotic prescribing. J Eval Clin Prac 2010; 16: 731–737.
Dyas JV, Apekey TA, Tilling M, Orner R, Middleton H, Siriwardena AN. Patients' and clinicians' experiences of consultations in primary care for sleep problems and insomnia – a focus group study. Br J Gen Pract 2010; 60: 329-333.
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Here are some of the practitioners involved in the REST collaborative.