将失眠的数字行为疗法整合到初级保健中:一种混合方法可行性研究
Christopher J Gordon1,2, Janet M Y Cheung3, Zoe Menzel Schrire4
1Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Journal of sleep research
|November 13, 2024
概括
对失眠的数字认知行为疗法 (CBT-I) 显示出对初级保健的承诺. 一项可行性试验发现,SleepFix对患者和医疗保健专业人员来说是可以接受的,在失眠症状上有显著改善.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 实现初级保健的实施.
- 睡眠的药物 睡眠的药物
背景情况:
- 失眠的数字认知行为疗法 (CBT-I) 提供了可扩展性,但在初级保健中面临实施挑战.
- 将数字疗法纳入常规临床实践对于广泛采用至关重要.
研究的目的:
- 评估在初级保健中实施数字CBT-I (SleepFix) 的可行性和影响.
- 评估医疗保健专业人员对数字失眠治疗的态度和患者经验.
主要方法:
- 一个单臂可行性试验,涉及初级保健保健专业人员和失眠患者.
- SleepFix是一种数字睡眠限制疗法,由全科医生,社区药剂师和护士处方.
- 结果包括数字治疗吸收,患者/专业人士采访,以及对失眠症状,情绪和睡眠质量的验证措施.
主要成果:
- 在105名患者中,有50名患者 (47.6%的吸收率) 下载并使用SleepFix.
- 医疗保健专业人员对整合数字睡眠健康表示信心,患者认为该应用程序可以接受.
- 在第6周,失眠症状,情绪和睡眠质量显著改善 (p <0.05).
结论:
- 在初级保健中实现数字失眠治疗的现实世界是可行的.
- 这项研究为在初级保健机构中处方数字睡眠干预提供了潜在的框架.
- 数字CBT-I可以有效地改善睡眠结果,并且受到患者和临床医生的欢迎.
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