{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:55:12Z","timestamp":1777852512531,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T00:00:00Z","timestamp":1680566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Holist Nurs"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>The purpose of this evidence-based project (EBP) was to determine if an evidence-based sleep health and wellness intervention improved sleep in veterans self-reporting a history of insomnia. Insomnia can negatively affect an individual's physical and psychological well-being, as well as increase health-care costs and decrease the overall quality of life. The intervention utilized a combination of insomnia treatments, delivered to two American Legion veteran participant groups: an Alabama American Legion Retreat and individuals at an American Legion Post site. The holistic-focused modalities used in this intervention included Cognitive Behavioral Therapy for Insomnia (CBT-I) techniques, sleep hygiene principles, and Complementary and Alternative Medicine (CAM) methods. The measurement tool, the Insomnia Severity Index (ISI), indicated statistically significant changes in the severity of participants\u2019 self-reported insomnia. Based upon the research evidence and results of the pre- and post-test ISI, a more permanent, ongoing sleep health and wellness intervention is feasible and would have numerous beneficial effects for the veteran's management of insomnia symptoms. Future efforts include implementing sleep hygiene, CAM interventions, and holistic nursing-supported education interventions at other sites and venues within the Alabama American Legion, as well as maintaining long-term community partnerships with veteran groups such as the Alabama American Legion.<\/jats:p>","DOI":"10.1177\/08980101231162432","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T02:25:55Z","timestamp":1680661555000},"page":"335-346","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Insomnia in the Veteran Population: A Sleep Health and Wellness Intervention"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9429-8888","authenticated-orcid":false,"given":"Joy E.","family":"DeBellis","sequence":"first","affiliation":[{"name":"College of Nursing, Auburn University, Auburn, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathy Jo","family":"Ellison","sequence":"additional","affiliation":[{"name":"College of Nursing, Auburn University, Auburn, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Libba","family":"McMillan","sequence":"additional","affiliation":[{"name":"College of Nursing, Auburn University, Auburn, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Sr","given":"John","family":"Duffey","sequence":"additional","affiliation":[{"name":"College of Nursing, Auburn University, Auburn, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"bibr1-08980101231162432","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14304"},{"key":"bibr2-08980101231162432","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.5972"},{"key":"bibr3-08980101231162432","unstructured":"American Holistic Nurses Association (AHNA) (2022). https:\/\/www.ahna.org\/."},{"key":"bibr4-08980101231162432","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr5-08980101231162432","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(00)00065-4"},{"key":"bibr6-08980101231162432","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2017.1282042"},{"key":"bibr7-08980101231162432","unstructured":"Defense and Veterans Brain Injury Center (2018). https:\/\/health.mil\/Military-Health-Topics\/Centers-of-Excellence\/Traumatic-Brain-Injury-Center-of-Excellence."},{"key":"bibr8-08980101231162432","unstructured":"Department of Defense (2014).\n                      Management of sleep disturbances following concussion\/mild traumatic brain injury: Guidance for primary care management in deployed and non-deployed settings [Clinical Recommendations].\n                      https:\/\/www.army.mil\/article\/128861\/New_clinical_recommendations_to_treat_sleep_problems_following_a_concussion_released\/."},{"key":"bibr9-08980101231162432","doi-asserted-by":"publisher","DOI":"10.3810\/pgm.2014.09.2802"},{"key":"bibr10-08980101231162432","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.4552"},{"issue":"12","key":"bibr11-08980101231162432","volume":"52","author":"Elwy A. 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