Patient perceptions of digital and therapist-led CBT for insomnia: A qualitative study.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-11-01 Epub Date: 2024-08-03 DOI:10.1080/15402002.2024.2386611
Nicole B Gumport, Isabelle A Tully, Joshua Tutek, Jessica R Dietch, Donna M Zulman, Lisa G Rosas, Norah Simpson, Rachel Manber
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引用次数: 0

Abstract

Objectives: Technology has the potential to increase access to evidence-based insomnia treatment. Patient preferences/perceptions of automated digital cognitive behavior therapy for insomnia (CBTI) and telehealth-delivered CBTI remain largely unexplored among middle-aged and older adults. Using a qualitative approach, the current study describes patients' reasons for participating in the clinical trial, preferences for digital CBTI (dCBTI) versus therapist-led CBTI, patient attitudes toward dCBTI, and patient attitudes toward telehealth-delivered therapist-led CBTI.

Method: Middle-aged and older adults (N = 80) completed a semi-structured interview before CBTI exposure. Qualitative responses were coded, and themes were inductively extracted.

Results: Most (62.5%) of the participants expressed a preference for therapist-led CBTI to dCBTI. Convenience was the most commonly reported advantage of dCBTI (n = 55) and telehealth-delivered CBTI (n = 65). Decreasing transit time and pandemic-related health concerns were identified as advantages to dCBTI and telehealth-delivered CBTI. Lack of human connection and limited personalization were perceived as disadvantages of dCBTI. Only three participants reported technological barriers to dCBTI and telehealth-delivered CBTI.

Conclusion: Findings suggest that, despite an overall preference for therapist-led treatment, most middle-aged and older adults are open to dCBTI. As both dCBTI and telehealth-delivered CBTI are perceived as convenient, these modalities offer the potential to increase access to insomnia care.

患者对失眠症数字CBT和治疗师主导CBT的看法:一项定性研究。
目标:技术有可能增加获得循证失眠治疗的机会。在中老年人中,患者对自动数字失眠认知行为疗法(CBTI)和远程医疗提供的 CBTI 的偏好/看法在很大程度上仍未得到探讨。本研究采用定性方法,描述了患者参与临床试验的原因、对数字 CBTI(dCBTI)与治疗师主导型 CBTI 的偏好、患者对 dCBTI 的态度以及患者对远程医疗治疗师主导型 CBTI 的态度:中老年人(80 人)在接触 CBTI 之前完成了一次半结构化访谈。对定性回答进行编码,并归纳提取主题:大多数参与者(62.5%)表示更喜欢治疗师主导的 CBTI,而不是 dCBTI。方便是 dCBTI(55 人)和远程医疗提供的 CBTI(65 人)最常见的优点。dCBTI 和远程医疗提供的 CBTI 的优势还包括减少转运时间和与大流行相关的健康问题。缺乏人际联系和个性化有限被认为是 dCBTI 的缺点。只有三名参与者报告了 dCBTI 和远程医疗 CBTI 的技术障碍:研究结果表明,尽管总体上倾向于治疗师主导的治疗,但大多数中老年人对 dCBTI 持开放态度。由于人们认为 dCBTI 和远程医疗 CBTI 都很方便,因此这些模式有可能增加失眠治疗的可及性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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