Patient Perceptions of Treatment Delivery Platforms for Cognitive Behavioral Therapy for Insomnia
Patient Perceptions of Treatment Delivery Platforms for Cognitive Behavioral Therapy for Insomnia
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DOI：
10.1080/15402002.2017.1293539
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发表时间：
2019-01-02
影响因子：
3.1
通讯作者：
Saini, Bandana
中科院分区：
文献类型：
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作者：
Cheung, Janet M. Y.;Bartlett, Delwyn J.;Saini, Bandana
目的：阶梯式护理已经引起了简短的CBT-I计划和交付格式的扩散。这包括由专职保健专业人员提供的干预措施和通过互联网以电子方式提供的干预措施。本文旨在探讨（简称）CBT-I的电子和面对面（FTF）交付平台之间的患者感知。参与者：来自专业睡眠或心理诊所的失眠患者和来自澳大利亚悉尼普通社区的失眠患者。方法：对失眠患者进行了半结构化访谈，通过一系列问题和一项选择任务来探索患者对不同CBT-I治疗提供平台的看法（例如，感知的优势和劣势或与任一平台合作的意愿）。访谈被逐字转录，并使用框架分析进行分析。参与者还完成了一系列临床情绪和失眠测量。结果如下：51个访谈进行了失眠患者从专家睡眠或心理诊所（n = 22）和一般社区（n = 29）。定性数据集的综合显示了与患者对电子和FTF CBT-I交付的观点相关的三个主题：疗效概念，对治疗的担忧和按我的条件治疗。参与者选择参与任何一个平台也受到各种因素的影响，包括治疗效果，个人承诺，生活方式以及对睡眠和失眠的信念。结论：明确患者治疗的优先顺序并减轻对使用电子治疗平台的潜在担忧是将eCBT-I推广到主流实践的重要步骤。
Objective: Stepped care has given rise to the proliferation of abbreviated CBT-I programs and delivery formats. This includes interventions delivered by allied health professionals and those delivered electronically through the Internet. This article aims to explore patient perceptions between electronic and face-to-face (FTF) delivery platforms for (abbreviated) CBT-I. Participants: Patients with insomnia from specialist sleep or psychology clinics and those from the general community in Sydney, Australia. Method: Semistructured interviews were conducted with patients with insomnia, guided by a schedule of questions and a choice task to explore patient perceptions of the different CBT-I treatment delivery platforms (e.g., perceived advantages and disadvantages or willingness to engage with either platform). Interviews were transcribed verbatim and analyzed using Framework Analysis. Participants also completed a battery of clinical mood and insomnia measures. Results: Fifty-one interviews were conducted with patients with insomnia from specialist sleep or psychology clinics (n = 22) and the general community (n = 29). Synthesis of the qualitative data set revealed three themes pertinent to the patients' perspective toward electronic and FTF CBT-I delivery: Concepts of Efficacy, Concerns About Treatment, and Treatment on My Terms. Participants' choice to engage with either platform was also informed by diverse factors including perceived efficacy of treatment, personal commitments, lifestyle, and beliefs about sleep and insomnia. Conclusion: Clarifying patient treatment priorities and allaying potential concerns about engaging with an electronic treatment platform represent important steps for disseminating eCBT-I into mainstream practice.