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一个可扩展的认知行为疗法干预对围产期失眠:一个混合有效性-实施类型1随机对照试验的协议

Meagan E Crowther¹, Orly Atzmon¹, Christie J Bennett²

¹Turner Institute for Brain and Mental Health, School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.

|December 30, 2025

概括

这项研究评估了一个数字的认知行为治疗失眠 (CBT-I) 计划,用于围产期人口. 它评估了社区护理的有效性,成本效益和实施,以改善睡眠健康.

科学领域:

围产期心理健康问题
睡眠科学睡眠科学
实施科学实施科学

背景情况:

失眠在产前期很常见,影响母亲的心理健康和分娩结果.
失眠的认知行为疗法 (CBT-I) 是一种有效的非药物治疗失眠的方法.
数字CBT-I显示出希望,但它的社区产周护理实施需要调查.

研究的目的:

评估围产期护理中数字CBT-I计划 (健康睡眠计划) 的有效性和成本效益.
评估在社区环境中实施这个数字睡眠健康计划的可行性和可持续性.
为扩大干预措施以改善围产期睡眠健康提供证据.

主要方法:

一个双臂混合疗效实施随机对照试验 (RCT).
患有失眠 (失眠严重性指数>7) 的孕妇被随机分配到数字CBT-I或睡眠卫生教育中.
主要结局:孕期和产后终点的母亲失眠严重程度;次要:成本效益,使用TDF和P-RISM的实施障碍/支持者.

主要成果:

将收集关于孕期和产后终点母亲失眠症状严重性的初级结果数据.
成本效益分析将决定干预的经济价值.
将收集有关实施障碍和推动因素的定性数据.

结论:

这项研究将提供关键数据,以确定围产期人口数字睡眠计划的有效性,成本效益和实施潜力.
这些发现将有助于更广泛地采用可扩展的睡眠干预措施来解决围产期失眠问题.
这项研究旨在通过改善睡眠来改善母亲的心理健康和分娩结果.

关键词:

认知行为疗法是一种认知行为疗法.失眠是一种失眠.周产期的周产期在分娩后的分娩.怀孕怀孕怀孕怀孕睡眠睡眠睡眠睡眠睡眠卫生睡眠卫生

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