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智能手机应用程序为失眠提供认知行为治疗,与等候名单对照相比,为失眠障碍提供电话支持:一项随机临床试验

Markus Jansson-Fröjmark¹, Rikard Sunnhed¹

¹Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Stockholm, Sweden.

Journal of sleep research

|October 8, 2024

概括

与等候名单相比,智能手机应用程序为失眠提供认知行为疗法 (CBT-I) 与电话支持显著改善了失眠症状. 这种数字干预显示出高效率,坚持性和参与者满意度.

科学领域:

精神病学和行为科学精神病学和行为科学
数字健康数字健康
睡眠医学睡眠医学

背景情况:

以前的应用程序为失眠提供认知行为疗法 (CBT-I) 的试验缺乏对失眠障碍的严格查,并包括治疗师的支持.
需要评估基于应用程序的CBT-I的有效性,并为被诊断患有失眠障碍的人提供综合治疗师支持.

研究的目的:

调查智能手机应用程序提供的CBT-I的影响,包括每周的电话支持,与患有失眠障碍的参与者等候名单对照相比.

主要方法:

64名患有失眠障碍的参与者被随机分配到智能手机应用程序提供的CBT-I (n=32) 或等待列表 (n=32).
干预组每周收到六个应用程序模块,每周有15分钟的电话支持.
失眠症状和相关因素在治疗前,治疗后和3个月的随访期间进行了评估.

主要成果:

与等待名单相比,智能手机应用程序提供的CBT-I对主要结果产生了很大的影响 (d=2.26) 以及对大多数次要结果产生中等到很大的影响.
在CBT-I组中观察到治疗缓解者 (CBT-I:64.5-77.4% vs. WL:6.5-6.9%) 和响应者 (CBT-I:77.4-90.3% vs. WL:19.4-24.1%) 的比例明显较高.
这项干预与参与者的高满意度,坚持,低消耗率和最小的不良事件有关.

结论:

通过智能手机应用程序提供与电话支持的CBT-I是对失眠障碍的高度有效治疗方法,可以显著改善症状.
数字干预表明,在提供高患者参与度的可访问和有效的失眠治疗方面,有很大的潜力.
这种方法提供了一个有前途的模型,通过数字健康解决方案,可扩展和有效地管理失眠障碍.

关键词:

对于失眠的认知行为治疗.失眠是因为失眠.智能手机应用程序-交付的电话支持电话支持

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