Sleep medicine is more than just obstructive sleep apnoea.

Abstract

this to be an effective strategy. On-line CBT-I 29 tools have shown early promise and could be adopted in primary care, although lim-itations in on-line behaviour change strategies are well described, and motivational drivers such as rapport and accountability with a healthcare provider remain integral. 30 Finally, further research is required to assist the one third who insufficiently respond to CBT-I as well as position state-ments that clearly define the role of supplementary or alter-native treatments including pharmacotherapy in this group. Despite there being opportunities for better coordina-tion, there have been remarkable advances in the diagnosis and treatment of OSA. Moving forward however, peak bodies in sleep health have considerable challenges ahead in driving the systems change needed to manage the remaining substantial burden of non-respiratory sleep disorders. More-over, there are learning opportunities from OSA management to ensure that treatment approaches are targeted to ensure greatest impact. Implementation research is now essential to identify, train and remunerate the required workforce to take evidence of efficacy into practice. Alongside this further research, guideline development and close engagement with funders and policy makers will be essential.