A randomized controlled pilot study of CBT-I Coach: Feasibility, acceptability, and potential impact of a mobile phone application for patients in cognitive behavioral therapy for insomnia

A randomized controlled pilot study of CBT-I Coach: Feasibility, acceptability, and potential impact of a mobile phone application for patients in cognitive behavioral therapy for insomnia
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DOI:
10.1177/1460458216656472
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发表时间:
2018-03-01
影响因子:
3
通讯作者:
Polusny, Melissa A.
Polusny, Melissa A.
中科院分区:
医学3区
文献类型:
--
作者:
Koffel, Erin;Kuhn, Eric;Polusny, Melissa A.

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利用移动的电话应用程序(app)来增强传统心理治疗的兴趣越来越大。此前的研究表明,应用程序可能有助于患者完成失眠认知行为疗法(CBT-I)任务,并可能增加依从性。这项随机临床试验试点研究(n=18)旨在检查可行性,可接受性,以及对与CBT-I教练使用相关的依从性和睡眠结果的潜在影响。所有参与者都参与了CBT-I,其中一组接受应用程序作为补充,另一组接受非应用程序。我们发现,患者始终按照预期使用该应用程序,特别是睡眠日记和提醒功能。他们报告说,使用该产品是高度可接受的。重要的是,该应用程序并没有损害或破坏认知行为疗法对失眠的益处,两组患者在治疗后的睡眠结果都有显着改善。
There has been growing interest in utilizing mobile phone applications (apps) to enhance traditional psychotherapy. Previous research has suggested that apps may facilitate patients' completion of cognitive behavioral therapy for insomnia (CBT-I) tasks and potentially increase adherence. This randomized clinical trial pilot study (n=18) sought to examine the feasibility, acceptability, and potential impact on adherence and sleep outcomes related to CBT-I Coach use. All participants were engaged in CBT-I, with one group receiving the app as a supplement and one non-app group. We found that patients consistently used the app as intended, particularly the sleep diary and reminder functions. They reported that it was highly acceptable to use. Importantly, the app did not compromise or undermine benefits of cognitive behavioral therapy for insomnia and patients in both groups had significantly improved sleep outcomes following treatment.