Acceptability and Feasibility of Training to Integrate Digital CBT for Insomnia Into Routine Psychotherapy: A Focus Group Study.

IF 1.6 3区 医学 Q3 CLINICAL NEUROLOGY
Nicole B Gumport, Isabelle A Tully, Nicole E Carmona, Shannon Wiltsey Stirman, Rachel Manber
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引用次数: 0

Abstract

Objective: Routine psychotherapy for mental health problems does not adequately address insomnia. Integrating cognitive behavior therapy for insomnia (CBTI) into routine psychotherapy could both extend the reach of CBTi and enhance sleep and mental health outcomes. Digital CBTi (dCBTI) is a promising and scalable option for integration that requires little prior training and session time. This study aimed to understand the perspectives of licensed mental health therapists on the acceptability and feasibility of this strategy of integrated dCBTI.

Method: Six one-hour focus groups were conducted with 52 licensed therapists (21 PhD/PsyD, 11 LCSW, 10 MFT, 9 LPC, 2 MD). Each group included 6-11 participants. Inductive thematic analysis was used.

Results: Therapists identified general advantages of dCBTI, benefits to integration, and concerns about integration. They described the knowledge and resources needed both for training and in session. They expressed that a 4-hour workshop and spending 5-10 minutes in session supporting patient use of dCBTI would be feasible.

Conclusion: Data offer preliminary evidence in support of the perceived value, acceptability, and feasibility of integrating dCBTI in routine psychotherapy from a therapist perspective. Therapists are open to receiving training in integrated dCBTI and see its potential value in improving outcomes for their patients.

将数字CBT纳入常规心理治疗的可接受性和可行性:一项焦点小组研究。
目的:常规心理治疗不能充分解决失眠问题。将失眠认知行为疗法(CBTI)整合到常规心理治疗中,既可以扩展CBTI的范围,又可以改善睡眠和心理健康结果。数字CBTi (dCBTI)是一种有前途的可扩展的集成选择,需要很少的事先培训和会话时间。本研究旨在了解持牌心理健康治疗师对这种综合dCBTI策略的可接受性和可行性的看法。方法:52名执业治疗师(21名PhD/PsyD, 11名LCSW, 10名MFT, 9名LPC, 2名MD)进行6个1小时的焦点小组。每组6-11人。采用归纳主题分析法。结果:治疗师确定了dCBTI的一般优势,对整合的好处,以及对整合的关注。他们描述了培训和会议所需的知识和资源。他们表示,4小时的研讨会和5-10分钟的会议支持患者使用dCBTI是可行的。结论:从治疗师的角度来看,数据提供了初步证据,支持将dCBTI纳入常规心理治疗的感知价值、可接受性和可行性。治疗师对接受综合dCBTI培训持开放态度,并看到其在改善患者预后方面的潜在价值。
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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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