Nurse Managed Cognitive Behavioral Therapy for Insomnia in People with COPD

护士管理的认知行为疗法治疗慢性阻塞性肺病患者的失眠

• 批准号: 7450124
• 负责人: MARY C KAPELLA
• 金额: $ 9.54万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-15 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7450124
• 关键词: American; Behavioral; Belief; Breathing; Chest; Chronic; Chronic Insomnia; Chronic Obstructive Airway Disease; Cognition; Cognitive; Cognitive Therapy; Comorbid Insomnia; Daily; Data; Depressed mood; Diagnostic tests; Discipline of Nursing; Dyspnea; Elderly; Emotional; Excessive Daytime Sleepiness; Fatigue; Gases; Goals; Health Personnel; Intervention; Investigation; Knowledge; Lung diseases; Measures; Mentored Research Scientist Development Award; Monitor; Moods; Muscle; Numbers; Nurses; Obstruction; Outcome; Oxygen; Patient Self-Report; Patients; Perception; Performance; Persons; Phase; Phase I Clinical Trials; Phase II Clinical Trials; Physiology; Placebos; Polysomnography; Prevention; Procedures; Publishing; Purpose; Quality of life; Randomized Controlled Trials; Reporting; Research; Research Priority; Role; Sleep; Sleeplessness; Societies; Symptoms; Testing; Thinking; Training; Week; Wellness Program; actigraphy; biobehavior; career; conditioning; experience; functional decline; improved; innovation; programs; research study; respiratory; skills; stress management; symptom management; theories

DESCRIPTION (provided by applicant): The aim of this Mentored Research Scientist Development Award (K01) is to provide the applicant with the skills and knowledge necessary to develop and test cognitive behavioral therapy interventions to promote symptom management and optimal function in people with chronic obstructive pulmonary disease (COPD). Specific career objectives are to: (1) study sleep-related physiology, insomnia and sleep-related behavioral theories; (2) gain an understanding of basic sleep-related monitoring procedures, diagnostic tests and biobehavioral outcomes, including polysomnography, actigraphy and sleep logs; and (3) develop expertise in cognitive behavioral therapy for insomnia and conduct a preliminary study of cognitive behavioral therapy in people with COPD. A two-phase research study is proposed. In Phase 1 of the study, the cognitive behavioral therapy intervention for insomnia will be implemented in a small (n = 5) group of people with moderate to severe COPD and insomnia. The intervention will be pilot-tested to determine feasibility and acceptability, and the intervention will be refined as needed. In Phase 2 of the study, a two-group randomized controlled study (n = 20) will be conducted to test the effects of the cognitive behavioral therapy for insomnia intervention on sleep quality, fatigue, mood and functional performance. It is hypothesized that people with COPD receiving cognitive behavioral therapy for insomnia will demonstrate significant improvements in sleep quality, fatigue, mood and functional performance as compared to people with COPD who receive a wellness program. This research will yield valuable information regarding effective interventions aimed at mitigating problems such as poor sleep quality, fatigue and reduced ability to perform valued daily activities. This information will be used to increase the likelihood of long-term successful outcomes such as the ability to maintain productive roles in society for people with COPD.

该指导研究科学家发展奖（K 01）的目的是为申请人提供开发和测试认知行为治疗干预措施所需的技能和知识，以促进慢性阻塞性肺疾病（COPD）患者的症状管理和最佳功能。具体的职业目标是：（1）研究睡眠相关生理学，失眠和睡眠相关行为理论;（2）了解基本的睡眠相关监测程序，诊断测试和生物行为结果，包括多导睡眠图，活动记录和睡眠日志;（3）发展失眠认知行为治疗的专业知识，并对COPD患者进行认知行为治疗的初步研究。建议进行两阶段的研究。在研究的第1阶段，失眠的认知行为治疗干预将在一小群（n = 5）患有中度至重度COPD和失眠的人群中实施。将对干预措施进行试点测试，以确定可行性和可接受性，并将根据需要对干预措施进行完善。在研究的第2阶段，将进行一项两组随机对照研究（n = 20），以测试失眠干预的认知行为疗法对睡眠质量、疲劳、情绪和功能表现的影响。据推测，与接受健康计划的COPD患者相比，接受失眠认知行为治疗的COPD患者将在睡眠质量、疲劳、情绪和功能表现方面表现出显着改善。这项研究将提供有关有效干预措施的有价值的信息，这些干预措施旨在缓解睡眠质量差、疲劳和执行有价值的日常活动能力下降等问题。这些信息将用于增加长期成功结局的可能性，例如COPD患者在社会中保持生产性角色的能力。