一项针对老年人失眠的数字认知行为疗法的随机对照试验
Lee M Ritterband1, Kelly M Shaffer2, Frances P Thorndike3
1Center for Behavioral Health & Technology, Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA. LEER@virginia.edu.
NPJ digital medicine
|July 18, 2025
概括
失眠的数字认知行为疗法 (CBT-I) 在老年人中显著改善了睡眠. 互联网干预SHUTI OASIS,有或没有支持,超越了患者教育,提供了可访问的失眠治疗.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 数字健康数字健康
背景情况:
- 患有失眠的老年人无法获得一线治疗,例如失眠认知行为疗法 (CBT-I).
- 需要为老年人群提供可访问和有效的失眠干预措施.
研究的目的:
- 为了评估睡眠健康使用互联网对患有失眠和失眠的老年人 (SHUTi OASIS) 的有效性,数字CBT-I干预.
- 为了比较SHUTi OASIS (单独和有阶段支持) 与在线患者教育在失眠的老年人.
主要方法:
- 一个三臂随机对照试验,涉及311名年龄在55-95岁之间的失眠患者.
- 参与者被随机分配到单独使用SHUTI OASIS (n=105),使用SHUTI OASIS并提供逐步支持 (n=102) 或在线患者教育 (n=104).
- 结果,包括失眠严重程度和睡眠参数,在治疗后,6个月和12个月被评估.
主要成果:
- 与患者教育组相比,SHUTI OASIS两组在所有随访点上都显示出失眠严重程度的显著改善.
- 在SHUTI OASIS组中观察到临床意义上的失眠反应和缓解率更高.
- 二次结果,包括睡眠开始延迟,睡眠开始后醒来,睡眠效率和疲劳,通过SHUTi OASIS显著改善.
结论:
- 数字CBT-I,如SHUTi OASIS,在治疗老年人的失眠方面是有效的.
- 基于互联网的干预措施表明,有潜力为这一群体扩大获得基于证据的失眠护理的机会.
- 舒蒂绿洲为与失眠作斗争的老年人提供了一种可行和有效的替代方案.
相关概念视频
01:27Insomnia
131
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
131
01:19Management of Insomnia
323
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
323
02:07Blind Procedures
12.1K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
12.1K