患者对治疗失眠的数字和治疗师领导的CBT的看法:一种定性研究
Nicole B Gumport1, Isabelle A Tully1, Joshua Tutek2
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, USA.
Behavioral sleep medicine
|August 3, 2024
概括
大多数老年人更喜欢治疗师领导的失眠认知行为疗法 (CBTI),但许多人对数字CBTI (dCBTI) 持开放态度. 便利性是dCBTI和远程医疗的关键优势,增加了获得失眠护理的机会.
科学领域:
- 老年学是一门学科.
- 医疗卫生技术 技术 技术
- 睡眠医学 睡眠医学
背景情况:
- 通过技术,可以改善对基于证据的失眠治疗的准入.
- 在中年和老年人中,对失眠自动化数字认知行为疗法 (dCBTI) 和远程医疗提供的CBTI的患者观点尚不清楚.
研究的目的:
- 探索患者参与临床试验的原因.
- 了解对dCBTI和治疗师领导的CBTI的偏好.
- 评估患者对dCBTI和远程医疗提供的CBTI的态度.
主要方法:
- 用一种定性方法对80名中年和老年人进行了研究.
- 参与者在接触CBTI之前完成了半结构化采访.
- 采访回复被编码,主题被诱导地提取.
主要成果:
- 62.5%的参与者更喜欢由治疗师主导的CBTI而不是dCBTI.
- 便利性是dCBTI和远程医疗 (分别由55和65名参与者报告) 的一个主要优势.
- 减少运输时间和流行病问题被认为是优势;缺乏人类联系和个性化是dCBTI的缺点. 技术障碍是最小的.
结论:
- 中年和老年人对dCBTI表示开放,尽管他们更喜欢由治疗师主导的治疗.
- 无论是dCBTI还是远程医疗提供的CBTI都被认为是方便的.
- 这些数字模式有望扩大获得失眠护理的机会.
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