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Patient Perceptions of Treatment Delivery Platforms for Cognitive Behavioral Therapy for Insomnia
Janet M Y Cheung1,2, Delwyn J Bartlett2, Carol L Armour3,4
1a Faculty of Pharmacy , University of Sydney , Sydney, Australia.
Behavioral Sleep Medicine
|March 22, 2017
Summary
Patients prefer either electronic or face-to-face Cognitive Behavioral Therapy for Insomnia (CBT-I) based on perceived efficacy, personal factors, and beliefs about sleep. Addressing patient priorities is key for widespread eCBT-I adoption.
Area of Science:
- Behavioral Science
- Sleep Medicine
- Digital Health
Background:
- Stepped care models have increased abbreviated Cognitive Behavioral Therapy for Insomnia (CBT-I) programs.
- Delivery formats now include allied health professionals and internet-based interventions.
Purpose of the Study:
- To explore patient perceptions of electronic versus face-to-face (FTF) delivery platforms for abbreviated CBT-I.
- To understand factors influencing patient choice between digital and traditional CBT-I.
Main Methods:
- Semistructured interviews were conducted with 51 patients experiencing insomnia.
- Framework Analysis was used to analyze qualitative data on perceptions of CBT-I delivery platforms.
- Participants also completed mood and insomnia assessments.
Main Results:
- Three key themes emerged: perceived efficacy, treatment concerns, and personalized treatment preferences.
- Patient choices were influenced by perceived treatment effectiveness, lifestyle, and personal beliefs about sleep.
- Diverse factors informed engagement with either electronic or FTF CBT-I.
Conclusions:
- Patient priorities and concerns regarding electronic CBT-I (eCBT-I) must be clarified for successful dissemination.
- Addressing these factors is crucial for integrating eCBT-I into mainstream healthcare practices.
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