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法，为失眠（持续睡眠不佳）的人提供服用安眠药的替代品。这一点很重要，因为大多数人和他们的医生更喜欢自助的方法，而且存在一种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1200万份由医生开出的失眠处方，亲自使用CBT是一个巨大的挑战。该项目旨在缩小这一治疗差距，让失眠症患者立即获得CBT治疗。这是可以实现的，因为“Sleepio”是一个网络和移动的“数字”CBT项目，在临床研究中被证明可以有效解决睡眠问题并改善日常功能。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，寻找使Sleepio可用的最佳方法。我们将寻找一些例子，比如全科医生如何开Sleepio而不是药片，以及人们如何通过网站或员工福利计划更直接地获得Sleepio。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，这可以比在这个最初的示范项目中实现的更广泛地使用。全国各地都有ahns，因此它们有可能在自己的地区“采用”该工具包。在考虑这些实用性的同时，该项目还将探索“调试”的最佳方法。委托是NHS如何就服务合同达成协议，并确保其花费的公共资金达到最佳价值。当谈到委托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，这也是Digital Catalyst最初提供资金的原因之一。因此，这个项目将是世界领先的第一个，将为NHS提供和支付具有成本效益的数字解决方案（如Sleepio）铺平道路。在找到了为持续睡眠不足引入安全有效的数字解决方案的方法后，这些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."