患者对促进者和障碍者的观点,以公平地参与数字CBT-I
Philip Cheng1, Sara Santarossa1, David Kalmbach1
1Henry Ford Health, Novi, Michigan, USA.
Sleep health
|August 25, 2023
概括
数字认知行为治疗失眠 (dCBT-I) 参与是其有效性的关键. 了解诸如连接和清晰内容之类的促进因素,以及缺乏人类支持之类的障碍,可以改善不同人群的dCBT-I.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 行为科学是一种行为科学.
- 睡眠的药物 睡眠的药物
背景情况:
- 针对失眠的数字认知行为疗法 (dCBT-I) 与面对面治疗相比,提供了可扩展性的优势.
- 然而,dCBT-I的有效性有限,只有一半的患者实现了缓解.
- 治疗参与是一个关键因素,但障碍不成比例地影响着资源不足的社区.
研究的目的:
- 为了确定促进者和障碍,患者参与数字认知行为治疗失眠的障碍.
- 为提高dCBT-I有效性和可扩展性的战略提供信息.
主要方法:
- 参与者退出调查的混合方法分析来自失眠的数字认知行为疗法计划.
- 治疗参与的定量措施和专题分析的开放式响应的定性编码.
主要成果:
- 关键的参与主题包括数字人对人元素,信息传递,用户自主性,应用程序功能和内容定制.
- 促进者:享受连接 (例如,治疗师的化身),清晰的内容和平稳的应用程序性能.
- 障碍:对人类支持的渴望,缺乏临床复杂性住宿的感知,以及实施挑战.
结论:
- 健康素养和技术素养显著影响了对失眠的数字认知行为治疗的参与.
- 定制干预措施和解决识字差距对于公平获取和有效性至关重要.
- 讨论了优化失眠数字认知行为疗法的建议.
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