格式是不是很重要? 在医疗保健系统中实施的对失眠的数字和提供者主导的认知行为疗法的自然主义研究
Alexandra C Reed1, Daniel G Rogers1,2, Gregory S Berlin3
1VA Connecticut Healthcare System, West Haven, CT, USA.
Behavioral sleep medicine
|August 14, 2024
概括
失眠的数字认知行为疗法 (CBTi) 和提供者领导的CBTi显示出类似的失眠症状改善. 提供两种格式可能会增加不同患者群体获得护理的机会.
科学领域:
- 行为科学 行为科学
- 睡眠医学 睡眠医学
- 数字健康数字健康
背景情况:
- 失眠是一种普遍和损害性疾病.
- 失眠的认知行为疗法 (CBTi) 是一线治疗.
- 数字CBTi计划提高了获得自我指导护理的机会.
研究的目的:
- 检查个人所涉及的数字或提供者领导的CBTi的治疗参与和临床结果.
- 为了比较患者特征,参与度,完成率和数字和提供者领导的CBTi格式之间的失眠严重程度.
- 评估在医疗保健环境中同时部署数字和提供者主导的CBTi.
主要方法:
- 在退伍军人卫生管理局 (VHA) 设施进行了一项为期两年的研究.
- 患者被转介到数字CBTi与电话指导或传统的提供者领导的CBTi.
- 患者特征,参与,完成和失眠严重程度的比较.
主要成果:
- 139个人转到数字CBTi,340人转到提供商主导的CBTi,14人转到两者.
- 被指向数字CBTi的个体年龄较大,不太严重的失眠.
- 尽管数字CBTi的参与度和完成率较低,但失眠症状变化在各组之间是相似的.
结论:
- 这是第一个在医疗保健环境中同时评估数字和提供者领导的CBTi的研究.
- 数字CBTi参与度低于提供商主导的CBTi.
- 提供两种格式可以扩大不同患者群体的护理机会,同时实现类似的结果.
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