Skip to main content

Knowledge and Attitudes of Primary Care Physicians Toward Sleep and Sleep Disorders

Abstract

Purpose: To assess primary care physician (PCP) sleep knowledge and attitudes. Method: A sample of 580 PCPs practicing adult medicine in Northeast Ohio was selected, using a systematic random method (every 10th name on the American Medical Association mailing list). A three-part structured survey consisted of 30 attitude items and 33 multiple-choice test questions assessing knowledge, with some demographic questions. Repeat mailings were sent to nonrespondents 4 to 6 weeks apart from October 1999 through April 2000. Results: 46 surveys were undeliverable and 105 (20%) useable questionnaires were returned. Of respondents, 94% were board certified with 76% certified in more than one area. When asked to rate their knowledge of sleep disorders, none rated themselves as excellent, 10% rated themselves as good, 60% as fair, and 30% as poor. The factors rated highest in influencing current practices regarding sleep and sleep disorders were articles in journals, continuing medical education courses, and discussions with specialists. Knowledge average was 34% (3 to 94%). Though virtually all agreed that prevention counseling should be a part of patient care, fewer agreed that they spend more time counseling patients on the benefits of sleep than of diet or exercise. Conclusions: The majority of PCPs rated their own knowledge of sleep disorders as fair or poor. Knowledge testing and attitude assessment lend credence to these perceptions.

This is a preview of subscription content, access via your institution.

References

  1. Vgontzas AN, Kales A. Sleep and its disorders. Ann Rev Med 1999;50:387–400

    Google Scholar 

  2. Lyznicki JM, Doege TC, Davis RM, Williams MA. Sleepiness, driving, and motor vehicle crashes. Council on Scientific Affairs, American Medical Association. JAMA 1998;279:1908–1913

    Google Scholar 

  3. Brassington GS, King AC, Bliwise DL. Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64–99 years. J Am Geriatr Soc 2000;48:1234–1240

    Google Scholar 

  4. Orr WC, Stahl ML, Dement WC, Reddington D. Physician education in sleep disorders. J Med Educ 1980;55:367–369

    Google Scholar 

  5. Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 1997;20:705–706

    Google Scholar 

  6. Dement WC, Netzer NC. Primary care: is it the setting to address sleep disorders?. Sleep Breath 2000;4:1–6

    Google Scholar 

  7. Findley LJ, Surratt PM. Serious motor vehicle crashes: the cost of untreated sleep apnoea. Thorax 2001;56:505–505

    Google Scholar 

  8. Leung RS, Bradley TD. Sleep apnea and cardiovascular disease. Am J Respir Crit Care Med 2001;164:147–165

    Google Scholar 

  9. Strohl KP, Haponik EE, Sateia MJ, et al. The need for a knowledge system in sleep and chronobiology. Acad Med 2000;75:819–821

    Google Scholar 

  10. Boutaugh ML, Hull AL, Davis WK. An examination of diabetes educational assessment forms. Diabetes Educ 1982;7:29–34

    Google Scholar 

  11. Palchik NS, Laing TJ, Connell KJ, et al. Research priorities for arthritis professional education. Arthritis Rheum 1991;34:234–240

    Google Scholar 

  12. Coleman T, Wilson A. Anti-smoking advice in general practice consultations: general practitioners’ attitudes, reported practice and perceived problems. Br J Gen Pract 1996;46:87–91

    Google Scholar 

  13. Crosby FE, Ventura MR, Feldman MJ. Examination of a survey methodology: Dillman’s Total Design Method. Nurs Res 1989;38:56–58

    Google Scholar 

  14. Huston P. Reporting on surveys: information for authors and peer reviewers. Can Med Assoc J 1996;154:1695–1704

    Google Scholar 

  15. National Heart Lung and Blood Institute Working Group on Sleep Apnea Sleep apnea: is your patient at risk? Am Fam Physician 1996;53:247–253

    Google Scholar 

  16. Hull AL, Wasman J, Goodnough LT. Effects of a CME program on physicians’ transfusion practices. Acad Med 1989;64:681–685

    Google Scholar 

  17. Namen AM, Wymer A, Case D, Haponik EF. Performance of sleep histories in an ambulatory medicine clinic: impact of simple chart reminders. Chest 1999;116:1558–1563

    Google Scholar 

  18. Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA 1995;274:700–705

    Article  Google Scholar 

  19. Sibley JC, Sackett DL, Neufeld V, et al. A randomized trial of continuing medical education. N Engl J Med 1982;306:511–515

    Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Klara K. Papp Ph.D..

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Papp, K.K., Penrod, C.E. & Strohl, K.P. Knowledge and Attitudes of Primary Care Physicians Toward Sleep and Sleep Disorders. Sleep Breath 6, 103–109 (2002). https://doi.org/10.1007/s11325-002-0103-3

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11325-002-0103-3

Keywords

  • Sleep and sleep disorders
  • health promotion
  • medical curriculum
  • primary care physician survey