Veterans' experiences with and perspectives on insomnia treatment: A qualitative study.
Veterans' experiences with and perspectives on insomnia treatment: A qualitative study.
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DOI：
10.1037/ser0000494
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发表时间：
2022-02
影响因子：
2.3
通讯作者：
Chinman, Matthew J.
中科院分区：
文献类型：
--
作者：
Bramoweth, Adam D.;Rodriguez, Keri L.;Klima, Gloria J.;Appelt, Cathleen J.;Chinman, Matthew J.
对退伍军人进行定性访谈，了解他们对失眠及其治疗的经历和看法，重点关注失眠认知行为疗法（CBT-I）和失眠简短行为疗法（BBTI）。退伍军人对这种普遍疾病的理解缺乏知识，但他们的经历和看法可以影响治疗的提供和治疗的结果。退伍军人事务部（VA）可以通过考虑和回应来自退伍军人利益相关者的这些有价值的信息来改善失眠护理。20名患有失眠症的退伍军人接受了采访，询问了他们的失眠症经历、治疗方法和护理偏好。访谈录音由2名编码器采用内容分析方法独立分析，差异通过协商一致解决。20名退伍军人以男性（85%）、老年（60.4±9.0岁）、白人（60%）居多。失眠的经验和治疗的观点集中在(a)失眠症状，(b)共病症状，(c)寻求治疗，(d)干预经验，(e)干预偏好和期望，以及(f)患者属性。护理的障碍包括缺乏治疗知识和缺乏适合退伍军人分娩偏好的选择。这些结果提供了退伍军人对失眠治疗的经验和观点，这对支持、发展和实施干预措施至关重要。注重提高对失眠治疗的认识和期望，并提供多种交付选择，有可能提高对高质量失眠护理的利用和获取。
Qualitative interviews were conducted with veterans to understand their experiences and perceptions about insomnia and its treatment, with a focus on cognitive–behavioral therapy for insomnia (CBT-I) and brief behavioral treatment for insomnia (BBTI). There is a lack of knowledge about veterans’ understanding of this prevalent disorder, yet their experiences and perceptions can influence treatment delivery and treatment outcomes. The Department of Veterans Affairs (VA) can improve insomnia care by considering and responding to this valuable information from veteran stakeholders. Twenty veterans with an insomnia diagnosis or complaint were interviewed about their experiences with insomnia, its treatment, and their preferences for care. Transcripts from the audio-recorded interviews were independently analyzed by 2 coders using content analysis, and discrepancies were resolved through negotiated consensus. The 20 veterans were mostly male (85%), older (60.4 years ± 9.0), and white (60%). Experiences with insomnia and perspectives regarding treatment focused on (a) insomnia symptoms, (b) comorbid symptoms, (c) seeking treatment, (d) intervention experiences, (e) intervention preferences and expectations, and (f) patient attributes. Barriers to care included a lack of knowledge about treatment and a lack of options that fit veterans’ preference for delivery. These results provide insight into veterans’ experiences with and perspectives on insomnia treatment that is crucial to the support, development, and implementation of interventions. A focus on increasing knowledge of, and expectations for, insomnia treatments as well as offering multiple delivery options has the potential to improve utilization and access to quality insomnia care.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1111/hex.12388
发表时间：
2016-08
期刊：
Health expectations : an international journal of public participation in health care and health policy
影响因子：
--
作者：
Cheung JM;Bartlett DJ;Armour CL;Ellis JG;Saini B
通讯作者：
Saini B
影响因子：
2.9
作者：
Mah L;Upshur RE
通讯作者：
Upshur RE
影响因子：
3.1
作者：
Kyle, Simon D.;Espie, Colin A.;Morgan, Kevin
通讯作者：
Morgan, Kevin
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.