Validation of the Three-Item Insomnia Severity Index Short Form in Young Adult Cancer Survivors: Comparison with a Structured Diagnostic Interview

Evaluation of a Brief Three-Item Insomnia Severity Index (ISI-3) Among Healthcare Workers

OBJECTIVES

Sleep disorder is a growing public health concern that requires attentive assessment and treatment. However, the length of assessment tools for sleep disorders, including insomnia, hinders their use in both research and clinical settings. Brief assessment measures expedite assessment time, reducing respondent burden, and save resources, especially in resource-limited settings.

METHODS

This study investigated the validity and reliability of a short three-item insomnia scale, the Insomnia Severity Index-3 (ISI-3) and established two cutoff scores in a sample of 238 healthcare providers in Oman (45.8% physicians and 54.2% nurses).

RESULTS

The ISI-3 demonstrated good convergent and divergent validity. The receiver operator characteristic recommended two cutoff scores of > 4 (a sensitivity of 0.87.3 and a specificity of 0.96.4) and > 6 (a sensitivity of 0.96.9 and a specificity of 0.97.1).

CONCLUSIONS

The ISI-3 is a good assessment index of insomnia, especially when the utilization of the full insomnia index is unfeasible.

When Cancer Centers Snooze, Patients Lose: It is Time to Make Insomnia a Priority for Survivors

Insomnia is a big problem for cancer survivors. Prioritizing evaluation and treatment is essential!

Cancer survivorship programs at the Dana-Farber Cancer Institute

PURPOSE

We sought to present the current status of survivorship programs at Dana-Farber Cancer Institute which include the David B. Perini, Jr. Quality of Life Clinic for survivors of childhood cancer, Stop and Shop Neuro-Oncology Outcomes Clinic for pediatric brain tumor survivors, and Adult Survivorship Program for adult cancer survivors including those diagnosed as adults (age 18 years and older) and adult survivors of childhood cancer, in an effort to share best practices as well as challenges.

METHODS

Description of programs and discussion.

RESULTS

Our institutional programs are detailed regarding their history and the multidisciplinary approach and both consultative and long-term care delivery models for pediatric and adult cancer survivors, with the goal of meeting the spectrum of survivorship care needs, from diagnosis and management of long-term effects of cancer-directed therapy and surveillance for subsequent cancer, to healthy lifestyle promotion and psychosocial support. Program investigators conduct research to understand the risks and unmet needs of cancer survivors, and to develop and test interventions to improve care delivery and medical and psychosocial outcomes. There are also educational initiatives detailed.

CONCLUSIONS

Survivorship programs at Dana-Farber are designed to optimize care and outcomes for cancer survivors including conducting quality improvement initiatives and research to further understand and meet the clinical needs of the large, heterogenous, and growing population cancer survivors into the future.

IMPLICATIONS FOR CANCER SURVIVORS

Programs like ours as well as those ongoing and planned aim to improve the comprehensive care of diverse cancer survivors.

Turkish adaptation of the nursing student academic resilience inventory: A validity and reliability study

BACKGROUND

Due to the stressful nature of nursing education, it is stated that academic resilience is an important skill for students. However, there is no measurement tool to determine nursing students' academic resilience in our country.

OBJECTIVES

This study was conducted to adapt the nursing student academic resilience inventory to Turkish and determine its validity and reliability.

DESIGN

A descriptive, cross-sectional, and methodological design was used.

SETTING

The study was conducted with nursing students between May 2022 and June 2022.

PARTICIPANTS

The study included 250 s, third, and fourth-year nursing students.

METHODS

The data were collected using a personal information form, the nursing student academic resilience inventory and the resilience scale for nurses.

RESULTS

The inventory showed a 6-factor structure, namely optimism, communication, self-esteem/evaluation, self-awareness, trustworthiness, and self-regulation and consisted of 24 items. In confirmatory factor analysis, all factor loads were found to be >0.30. The fit indexes of the inventory were χ2/df = 2.294, GFI = 0.848, IFI = 0.853, CFI = 0.850, RMSEA = 0.072, and SRMR = 0.067. Cronbach's alpha of the total inventory was 0.887.

CONCLUSIONS

The Turkish version of the nursing student academic resilience inventory was shown to be a valid and reliable measurement tool.

A Novel Screening, Brief Intervention, and Referral to Treatment (SBIRT) Based Model for Mental Health in Occupational Health Implemented on Smartphone and Web-Based Platforms: Development Study With Results From an Epidemiologic Survey

BACKGROUND

While the importance of mental health is well-recognized in the field of occupational health, implementation of effective strategies in the workplace has been limited by gaps in infrastructure, program comprehensiveness, coverage, and adherence. The authors developed a Screening, Brief Intervention, and Referral to Treatment (SBIRT) model based occupational mental health intervention, and implemented in a web-based format with a smartphone application.

METHODS

The SBIRT-based intervention was developed by a multidisciplinary team, including occupational health physicians, nurses, psychiatrists, and software developers. The following mental health areas were included, based on outcomes of an epidemiological survey conducted: insomnia, depression, anxiety, problematic alcohol use, and suicidal risk. The viability of the two-step evaluation process utilizing a combination of the brief version and the full-length version of the questionnaire was examined using responses from the survey. The intervention was adjusted according to the survey results and expert opinions.

RESULTS

The epidemiological survey included 346 employees who completed the long-form version of mental health scales. These data were the used to confirm the diagnostic value of using a combination of short-form and long-form version of the scales for screening in the SBIRT model. The model uses a smartphone application for screening, provision of psychoeducation, and for surveillance. The universal methods of the model ensure it can be implemented by all occupational managers, regardless of their specialization in mental health. In addition to the two-step screening procedure to identify employees at-risk for mental health problems, the model includes a stepped care approach, based on risk stratification, to promote mental health education, management, and follow-up for continuous care.

CONCLUSION

The SBIRT model-based intervention provides an easy-to-implement approach for the management of mental health in the workplace. Further studies are required to examine the effectiveness and feasibility of the model.