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Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

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CBTIweb implementation outcomes: one-year follow up.

Sophie Wardle-Pinkston1, Daniel J Taylor1, Tao Lin2,3

  • 1Department of Psychology, University of Arizona, Tucson, AZ, USA.

Cognitive Behaviour Therapy
|January 14, 2025
PubMed
Summary

Online training for Cognitive Behavioral Therapy for Insomnia (CBTI) improved provider knowledge and self-efficacy. Most trained providers successfully implemented CBTI, despite some challenges with patient buy-in and supervision.

Keywords:
Insomniaaccessibilitydisseminationimplementationproviderstreatment

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Area of Science:

  • Psychiatry
  • Behavioral Science
  • Health Services Research

Background:

  • Insomnia is a prevalent and impactful disorder frequently missed or inadequately treated.
  • Cognitive Behavioral Therapy for Insomnia (CBTI) is the primary treatment, yet provider scarcity limits access.
  • CBTIweb, an online training platform, was developed to overcome provider accessibility barriers.

Purpose of the Study:

  • To assess knowledge retention and implementation of CBTI among providers one year after completing the CBTIweb training.
  • To identify barriers and facilitators influencing CBTI adoption in clinical practice.
  • To evaluate the acceptability, feasibility, and appropriateness of CBTI.

Main Methods:

  • An online survey was distributed to 569 providers who finished CBTIweb training.
  • The survey assessed knowledge retention, CBTI utilization, barriers, facilitators, and intervention perceptions.
  • Data analysis included descriptive statistics and examination of associations between self-efficacy and CBTI use.

Main Results:

  • A significant majority of surveyed providers retained knowledge from the CBTIweb training.
  • Provider self-efficacy in delivering CBTI positively correlated with its use in patient care.
  • Key barriers included patient engagement and access to supervision, while patient/therapist materials were helpful facilitators.
  • CBTI demonstrated high acceptability (93.1%), agreeableness (94.3%), and feasibility (88.1%).

Conclusions:

  • The CBTIweb platform effectively enhances provider knowledge and self-efficacy for delivering CBTI.
  • While challenges exist, CBTI is highly acceptable, feasible, and appropriate for widespread implementation.
  • Further strategies are needed to address patient buy-in and provider support networks to optimize CBTI delivery.