ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 296
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Finding sleep in multimorbidity: A systematic review of
evidence on effective treatment modalities for insomnia in
people living with multimorbidity
Dr Olajumoke Ibrahim1, Bhautesh Jani2
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Ahmadu Bello University Teaching Hospital, Zaria, Nigeria, 2University of Glasgow
Background
Comorbid insomnia is a common presenting condition in medical clinics and primary care practice.
This is often managed with pharmacotherapy, with little success and higher healthcare costs.
Despite the high prevalence of insomnia in people living with multimorbidity, its management remains
challenging for primary care physicians as many of these patients have multiple symptoms, and
multiple comorbid conditions, and are taking multiple medications.
Aim
This study set out to systematically review the evidence on effective treatment modalities for
comorbid insomnia with a view to determining what interventions ultimately translate to better
therapeutic outcomes.
Methods
Published studies were identified via medical and allied health online databases (EMBASE, OVID,
MEDLINE, CINAHL, Cochrane database and PubMed). Data from 32 randomised control trials were
systematically extracted, collated and analysed. Those included were studies that examined the effects
of interventions for comorbid insomnia in adults, while studies without clear outcomes were excluded.
Results
In all, 4578 participants were reviewed (from 32 RCTs) with a mean age of 48.72 years. There was a
paucity of data from low-income regions, especially Africa. In developed countries, pharmacotherapy,
cognitive behavioural therapy (CBT-I) and herbal therapy were effective in treating comorbid insomnia
with moderate to large effect sizes.
Conclusion
While pharmacotherapy and CBT-I have been found to be efficacious in managing comorbid insomnia,
we advocate for more research in low- and middle-income countries.
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