Enabling better health and self-care at scale with digital sleep medicine

这个数字健康催化剂项目的目的是找到最好的方式，为失眠(持续性睡眠不良)的人提供服用安眠药以外的替代方案。这一点很重要，因为大多数人和他们的医生更喜欢自助方法，而且存在一个非常有效的自助解决方案。它被称为认知行为疗法(简称CBT)。问题是CBT通常是由治疗师提供的，而且由于每年有1200万NHS医生为失眠开出处方，亲自进行CBT是一个巨大的挑战。该项目旨在缩小这一治疗缺口，让失眠症患者立即获得CBT。这是可以实现的，因为“Sleepio”是一种网络和移动的“数字”CBT计划，临床研究证明可以有效地解决睡眠问题，改善日常功能。开发Sleepio的大健康公司将通过牛津学术健康科学网络(AHSN)与NHS合作，发现使Sleepio可用的最佳方法。我们将寻找全科医生如何开Sleepio而不是药片的例子，以及人们可能通过网站或员工福利计划等方式更直接地获得Sleepio的方法。一旦我们找到了最成功的方法，我们将开发一个“实施工具包”，一种蓝图计划。然后，这可以比在这个初始演示项目中实现的更广泛地使用。全国各地都有AHSN，因此他们有可能在他们所在的地区‘采用’工具包。在研究这些实用性的同时，该项目还将探索‘调试’的最佳方法。委托是NHS就服务合同达成协议的方式，并确保其花费的公共资金获得最佳价值。当谈到调试数字自助解决方案时，NHS正在进入一个相对较新的领域。事实上，这是数字催化剂基金最初提供的原因之一。因此，这个项目将是世界领先的，它将为NHS提供和支付成本效益高的数字解决方案铺平道路，如Sleepio。找到了为持续性睡眠不良推出安全有效的数字解决方案的方法后，这些同样的方法可以作为考虑数字CBT如何帮助解决其他常见心理健康问题的基础。

"The purpose of this Digital Health Catalyst project is to find the best way of providing people who have insomnia (persistent poor sleep) with an alternative to taking sleeping pills. This is important because most people and their doctors would prefer a self-help approach, and a very effective self-help solution exists. It's called Cognitive Behavioural Therapy (CBT for short). The problem is that CBT is usually provided by a therapist, and because there are 12 million NHS prescriptions written by doctors each year for insomnia, in person CBT is a huge challenge.This project aims to close this treatment gap and give people with insomnia immediate access to CBT. This is achievable because 'Sleepio' is a web and mobile 'digital' CBT programme, proven in clinical studies to effectively solve sleep problems and improve day-to-day functioning.Big Health, the company that developed Sleepio, will work with the NHS through the Oxford Academic Health Sciences Network (AHSN) to discover the best way to make Sleepio available. We will look for examples at how GPs might prescribe Sleepio instead of pills, and ways that people might get more direct access to Sleepio e.g. through a website or through an employee wellbeing scheme. Once we have found the most successful approach, we will develop an 'implementation toolkit', a kind of blueprint plan. This can then be used more widely than can be achieved in this initial demonstration project. There are AHSNs throughout the country, so there is the prospect of them 'adopting' the toolkit in their areas.At the same time as looking at these practicalities, the project will also be exploring the best approach to 'commissioning'. Commissioning is how the NHS forms agreements about service contracts, and ensures best value for the public money it spends. When it comes to commissioning digital self-help solutions the NHS is entering a relatively new realm. This in fact is one of the reasons that this Digital Catalyst funding has been made available in the first place. Therefore this project will be a world-leading first that will pave the way for the NHS to provide and pay for cost-effective digital solutions such as Sleepio.Having found methods to introduce a safe and effective digital solution for persistent poor sleep, these same approaches can be used as a foundation to consider how digital CBT could help with other common mental health problems."