Delphi consensus recommendations for the management of chronic insomnia in Canada

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2024-10-05 DOI:10.1016/j.sleep.2024.09.038

Charles M. Morin , Atul Khullar , Rebecca Robillard , Alex Desautels , Michael S.B. Mak , Thien Thanh Dang-Vu , Walter Chow , Jeff Habert , Serge Lessard , Lemore Alima , Najib T. Ayas , James MacFarlane , Tetyana Kendzerska , Elliott K. Lee , Colleen E. Carney

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Abstract

Objective

The lack of current Canadian practice guidelines for the management of insomnia poses a challenge for healthcare providers (HCP) in selecting the appropriate treatment options. This study aimed to establish expert consensus recommendations for the management of chronic insomnia in Canada.

Composition of the committee

Sixteen multidisciplinary experts in sleep medicine and insomnia across Canada developed consensus recommendations based on their knowledge of the literature and their practical experience.

Methods

The consensus recommendations were developed through a Delphi method. Consensus was reached if at least 75 % of the voting participants “agreed” or “strongly agreed” with the corresponding statements. The quality of supporting evidence was rated using a GRADE rating system.

Report

Among 37 recommendations that reached consensus for the management of chronic insomnia, the experts recommend and agree that.

Conclusion

These consensus recommendations highlight the need to increase awareness, capacity for, and access to CBT-I; integrate newly approved pharmacotherapy; reduce both self-medication and medications with limited evidence or low risk/benefit ratio.

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关于加拿大慢性失眠症管理的德尔菲共识建议

目标目前加拿大缺乏失眠症治疗的实践指南，这给医疗服务提供者（HCP）选择适当的治疗方案带来了挑战。委员会的组成加拿大睡眠医学和失眠症领域的 16 位多学科专家根据他们的文献知识和实践经验制定了共识建议。方法通过德尔菲法制定共识建议。如果至少 75% 的投票参与者 "同意 "或 "非常同意 "相应声明，则达成共识。报告在针对慢性失眠症管理达成共识的 37 项建议中，专家建议并同意以下几点：结论这些共识建议强调需要提高对 CBT-I 的认识、能力和获取途径；整合新批准的药物疗法；减少自我用药和证据有限或风险/收益比低的药物。

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

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.