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Published on: February 13, 2020
Physiotherapists experiences with cognitive behavioural therapy for insomnia (CBT-I) training: Mixed methods study
Michelle Wang1, Jillian Eyles2, Samantha Bunzli3,4
1Musculoskeletal Research Hub, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2050, Australia.
Osteoarthritis and Cartilage Open
|July 13, 2026
Summary
Physiotherapists gained confidence in delivering Cognitive Behavioural Therapy for Insomnia (CBT-I) after training. Addressing implementation barriers like stakeholder engagement is key for widespread adoption of CBT-I in physiotherapy.
Area of Science:
- Healthcare Professions
- Behavioral Science
- Sleep Medicine
Background:
- Cognitive Behavioural Therapy for Insomnia (CBT-I) is an effective treatment for insomnia.
- Integrating CBT-I into physiotherapy practice requires understanding physiotherapists' training experiences.
- Factors influencing the implementation and upscaling of CBT-I training for physiotherapists are not well understood.
Purpose of the Study:
- To explore physiotherapists' experiences with CBT-I training.
- To identify factors influencing the implementation and upscaling of CBT-I training for physiotherapists.
Main Methods:
- A mixed-methods approach was used, involving questionnaires (EDUCATOOL, DIBQ) and semi-structured interviews.
- Twelve physiotherapists who completed a CBT-I training program participated.
- Data were analyzed thematically and mapped to the Theoretical Domains Framework.
Main Results:
- Physiotherapists reported high satisfaction with the CBT-I training (median EDUCATOOL score 92.38/100).
- High confidence in delivering CBT-I was reported, linked to readiness and positive training design.
- Barriers included stakeholder engagement and practical feasibility issues (billing, delivery).
Conclusions:
- Physiotherapists felt confident delivering CBT-I post-training.
- Addressing systemic and practical barriers is crucial for successful upscaling of CBT-I in physiotherapy.
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