不眠症の患者をデジタル治療薬 (Sleepio) に紹介するよう一般医を奨励する: 繰り返し施策による介入の可行性研究
Ohoud Alkhaldi1, Brian McMillan2, John Ainsworth1,3
1Division of Informatics, Imaging and Data Sciences, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Vaughan House, Portsmouth St, Manchester, M13 9GB, United Kingdom, 44 7415085174.
JMIR formative research
|August 25, 2025
まとめ
スコットランドの全般医は,標的を絞った介入の後,不眠症に対するSleepioの推奨に自信を示しました. 紹介率は大きく変化しなかったが,この研究は,プライマリケアにおけるデジタル治療の可能性を強調している.
科学分野:
- デジタルヘルスの介入
- 主要保健医療
- 睡眠薬
背景:
- 国立健康・ケア・エクセレンス研究所は 睡眠障害のデジタル治療法であるSleepioを 伝統的な治療法に代わるものとして推奨しています
- Sleepioのようなデジタルセラピュティクスに対する一般医の紹介行動を理解することは限られている.
研究 の 目的:
- スコットランドの不眠症の患者にとって,スリーピオの紹介を増加させるための介入の可行性を評価する.
- この介入がGPの信頼と紹介率に与える影響を評価する.
主な方法:
- スコットランドのプライマリーケアにおける一般医を対象とした可行性研究で,プライマリーケア・リサーチ・ネットワークを通じて採用された.
- 行動変化ホイール (BCW) に基づいた介入設計で,GPの指向と介入の半ばのリマインダーが含まれています.
- 2ヶ月間にわたって2週間ごとにSleepioの紹介; 2次結果:Sleepioの有効性と推奨に対するGPの信頼の変化.
主要な成果:
- 16人の全般医が研究を完了し,68. 8%が女性で,平均年齢は42歳でした.
- 2ヶ月間で紹介された患者数は合計で96人となり,8週目までに平均紹介率は22. 4%から45%に増加しました.
- 参照率の統計的に有意な差はありませんが,Sleepioを推奨するGPの信頼性は有意に増加しました (P<. 001).
結論:
- この介入は,不眠症の患者をSleepioに推薦するGPを支援する際の実現可能性を示した.
- Sleepioの推奨に対するGPの信頼感の有意な改善が観察されました.
- GPの紹介行動に対する持続的な影響を評価するには,より長い期間でのさらなる大規模な研究が必要です.
関連する概念動画
01:19Management of Insomnia
320
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
320
01:27Insomnia
124
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
124
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
241
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
241
01:13Insufficient Sleep and Sleep Deprivation
210
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
210
01:24Substance Use Disorders Affecting Sleep
217
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
217
01:23Sedatives and Hypnotics: Overview
638
Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
638