使用激励性的认知行为改变交流来提高CBT-I教练对成人精神病患者睡眠质量的接受/利用

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing Pub Date : 2025-09-03 DOI:10.1016/j.apnu.2025.151969

Todd B. Allen , Kimberly A. Williams , Jason L. Anderson , Kathleen T. McCoy

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引用次数: 0

摘要

高达80%的精神疾病患者受到睡眠质量低下的影响，导致症状恶化，自杀风险增加。失眠的认知行为疗法（CBT-I）是LSQ的一线治疗方法，但尚未得到充分利用。常见的障碍包括缺乏获取、患者动机和参与。数字CBT-I，如CBT-I Coach智能手机应用程序可以作为传统形式的替代方案来提供CBT-I策略。激励性认知行为改变（MIS-CBC）沟通与CBT- i Coach一样，是一种旨在提高患者对认知行为治疗（CBT）的积极性和参与度的新模式。目的：本项目采用MIS-CBC沟通，提高18岁及以上在门诊精神病诊所（OPC）接受治疗的患者对CBT-I教练的接受和利用，以改善LSQ。项目设计这是一个在西部州的门诊精神病学诊所（OPC）进行的质量改进项目。参与者提交了最初的匹兹堡睡眠质量指数（PSQI）问卷，被介绍给CBT-I教练，并接受每周MIS-CBC会议。在八周结束时，参与者完成了另一项PSQI测试，并将得分进行比较，以确定睡眠质量的改善程度。研究结果：在项目参与者中，CBT-I教练应用程序的采用率和使用率非常高，这表明MIS-CBC可能是一种有效的策略，可以提高患者对应用程序的参与度。所有参与者在项目实施前的PSQI总分从13.11降至8.5(35%)，表明睡眠质量得到改善。

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Using motivational spirited cognitive behavioral change communication to increase acceptance/utilization of the CBT-I Coach for improved quality of sleep in adult psychiatric patients

Low sleep quality (LSQ) affects up to 80% of individuals with a mental illness, leading to worsening of symptoms and an increased risk of suicide. Cognitive behavioral therapy for insomnia (CBT-I) is the first line of treatment for LSQ and is underutilized. Common barriers include lack of access, patient motivation, and engagement. Digital CBT-I, such as the CBT-I Coach smartphone application may be used as an alternative to traditional forms to deliver CBT-I strategies. Along with CBT-I Coach, motivational spirited cognitive behavioral change (MIS-CBC) communication is a novel model that aims to improve patient motivation and engagement of cognitive behavioral therapy (CBT).

Purpose

This project incorporated MIS-CBC communication to enhance acceptance and utilization of the CBT-I Coach to improve LSQ among patients 18 and older receiving treatment at the outpatient psychiatric clinic (OPC) over a period of 8 weeks.

Project design

This was a quality improvement project conducted at an outpatient psychiatry clinic (OPC) in a western state. Participants submitted an initial Pittsburgh Sleep Quality Index (PSQI) questionnaire, were introduced to the CBT-I Coach, and received weekly MIS-CBC sessions. At the conclusion of the eight-weeks, participants completed another PSQI, and scores were compared to determine improvement in sleep quality.

Findings

Adoption and use of the CBT-I Coach application was very high among the project participants indicating that MIS-CBC may be a useful strategy to increase patient engagement with the application. The aggregate PSQI score of all participants pre-post project implementation had a decrease from 13.11 to 8.5 (35%) indicating that sleep quality improved.

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来源期刊

Archives of Psychiatric Nursing 医学-护理

CiteScore

3.70

自引率

0.00%

发文量

131

审稿时长

160 days

期刊介绍： Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.