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Because primary care often does not routinely address sleep disturbance, early identification requires new methods. In partnership with five primary care clinics, at-risk adults were identified from electronic health records using prespecified comorbidities and sent a validated screener. The screener assessed schedule, nighttime disturbances, daytime consequences, overall quality, and prior provider conversations. Of 3,455 surveys, 446 were completed; one-quarter screened positive for chronic insomnia, yet only 38% had an EHR-documented diagnosis, with varied nighttime complaints and daytime impacts.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/novel-approaches-for-early-detection-of-chronic-insomnia-among-older-primary-care-patients-abstract-igaf1223101/425262/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/novel-approaches-for-early-detection-of-chronic-insomnia-among-older-primary-care-patients-abstract-igaf1223101/425262.png","ImageObject",300,407,{"name":92,"@type":93},"Ivy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"Why is early detection of chronic insomnia important in older adults?","Question",{"text":112,"@type":113},"Sleep disturbance is common and can lead to social, cognitive, and functional impairments when untreated. Early identification helps address gaps in primary care where sleep disturbance is not routinely addressed.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were older adults identified and screened for insomnia?",{"text":117,"@type":113},"Older adults at risk for insomnia were identified from electronic health records using prespecified comorbidities, then sent a validated sleep screener covering sleep schedule, nighttime disturbances, daytime consequences, overall sleep quality, and prior discussions with providers.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the results show about insomnia diagnosis in the EHR?",{"text":121,"@type":113},"One-quarter of respondents screened positive for chronic insomnia, but only 38% had an EHR-documented insomnia diagnosis, indicating underdiagnosis or variability in diagnostic recording.",{"name":123,"@type":110,"acceptedAnswer":124},"What screening preferences and recommendations were reported for primary care?",{"text":125,"@type":113},"Participants preferred completing the screener via a patient portal before an encounter, receiving tips on communicating sleep problems by distinguishing nighttime vs. daytime symptoms, and receiving age-friendly sleep recommendations.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},425262,1791094715,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":24,"preview_page_count":4},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","Innovation in Aging, 2025, Vol. 9, No. S2 917  \nAbstract citation ID: igaf122.3101  \nNOVEL APPROACHES FOR EARLY DETECTION OF CHRONIC INSOMNIA AMONG OLDER PRIMARY CARE PATIENTS  \nJaime Hughes1, Corey Obermiller2, Laura Jakiela1, Case Peters1, Lindsay Munn1, and Deepak Palakshappa1, 1. Wake Forest University School of Medicine, Winston-Salem, North  \n918 Innovation in Aging, 2025, Vol. 9, No. S2  \nCarolina, United States, 2. Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, United States  \nSleep disturbance is common among older adults, contributing to social, cognitive, and functional impairments when untreated. Given sleep disturbance is not routinely addressed within primary care, novel methods for its early identification are needed. In partnership with five primary care clinics belonging to a multistate healthcare system, older adults at risk for insomnia, defined by presence of prespecified comorbidities, were identified from the electronic health record and sent a validated sleep screener. Screener domains included sleep schedule, nighttime sleep disturbances, daytime consequences of poor sleep, overall sleep quality, and history of talking with a provider about sleep. Respondents meeting clinical criteria for insomnia were contacted for a telephone interview and invited to participate in additional research activities (interview, co-design, or CBTI treatment). Of 3455 surveys distributed, 446 older adults (mean age:  \n75(7.2) years, 37% Male, 67% White, 42% pre-frail, 23% poor health) returned a completed survey. One-quarter of respondents screened positive for chronic insomnia (N = 117); yet, only 44 (38%) had an EHR-documented insomnia diagnosis. When asked to describe their sleep in subsequent interviews (N = 94), older adults endorsed a range of symptoms including nighttime sleep complaints (N = 39 (40%), difficulty falling or staying asleep) and negative impacts on daytime function (N =54 (56%)).  \nThese findings indicate insomnia is prevalent yet underdiagnosed and variable in its symptom profile. Patients’ preferences for integrating insomnia screening into primary care included completing a screener via the patient portal prior to a scheduled encounter, tips on communicating sleep problems (e.g., nighttime vs. daytime symptoms), and age-friendly sleep recommendations.","cbCaipdMRNkJl9lp","https://ap.wps.com/l/cbCaipdMRNkJl9lp","pdf",54478,"English","# Abstract\n## Rationale and need for early identification\n## Study design and screening approach\n## Survey outcomes and diagnostic underdocumentation\n## Interview findings on symptom profiles\n## Implications for integrating screening in primary care","[{\"question\":\"Why is early detection of chronic insomnia important in older adults?\",\"answer\":\"Sleep disturbance is common and can lead to social, cognitive, and functional impairments when untreated. Early identification helps address gaps in primary care where sleep disturbance is not routinely addressed.\"},{\"question\":\"How were older adults identified and screened for insomnia?\",\"answer\":\"Older adults at risk for insomnia were identified from electronic health records using prespecified comorbidities, then sent a validated sleep screener covering sleep schedule, nighttime disturbances, daytime consequences, overall sleep quality, and prior discussions with providers.\"},{\"question\":\"What did the results show about insomnia diagnosis in the EHR?\",\"answer\":\"One-quarter of respondents screened positive for chronic insomnia, but only 38% had an EHR-documented insomnia diagnosis, indicating underdiagnosis or variability in diagnostic recording.\"},{\"question\":\"What screening preferences and recommendations were reported for primary care?\",\"answer\":\"Participants preferred completing the screener via a patient portal before an encounter, receiving tips on communicating sleep problems by distinguishing nighttime vs. daytime symptoms, and receiving age-friendly sleep recommendations.\"}]","NOVEL APPROACHES FOR EARLY DETECTION OF CHRONIC INSOMNIA AMONG OLDER PRIMARY CARE PATIENTS - Abstract - igaf122.3101 | PDF",1790636719]