CBTIweb implementation outcomes: one-year follow up.

Abstract

Insomnia is a common and debilitating disorder that is often undiagnosed and untreated. Cognitive behavioral therapy for insomnia (CBTI) is the first-line treatment for insomnia, though the lack of trained providers is a major barrier to accessibility. To address this issue, an online provider training platform, CBTIweb, was launched in April 2020. The objective of this study was to determine the knowledge and implementation practices of providers 1 year after their successful completion of CBTIweb. An online survey was sent to 569 providers who completed CBTIweb training within 3 months of launch. Providers were asked about knowledge retention, use of CBTI with patients, barriers, and facilitators to the use of CBTI and acceptability, feasibility, and intervention appropriateness of CBTI. Two hundred and thirty-three providers completed the survey. Results revealed that most of the providers retained knowledge gained during CBTIweb and that self-efficacy for CBTI was positively associated with CBTI use with their patients. Common barriers endorsed by providers were primarily related to difficulty promoting patient-buy-in for CBTI and difficulty finding CBTI supervision and consultation. Helpful facilitators included access to patient and therapist materials. Results also indicate very high acceptability (93.1%), agreeableness (94.3%), and feasibility (88.1%) of CBTI.