Patient perceptions of digital and therapist-led CBT for insomnia: A qualitative study.
| Autor: | Gumport NB; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, USA., Tully IA; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, USA., Tutek J; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, USA., Dietch JR; School of Psychological Science, Oregon State University, Corvallis, USA., Zulman DM; Division of Primary Care and Population Health, Stanford University, Stanford, USA., Rosas LG; Department of Epidemiology and Population Health, Stanford University, Stanford, USA., Simpson N; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, USA., Manber R; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Behavioral sleep medicine [Behav Sleep Med] 2024 Nov-Dec; Vol. 22 (6), pp. 932-948. Date of Electronic Publication: 2024 Aug 03. |
| DOI: | 10.1080/15402002.2024.2386611 |
| Abstrakt: | Objectives: Technology has the potential to increase access to evidence-based insomnia treatment. Patient preferences/perceptions of automated digital cognitive behavior therapy for insomnia (CBTI) and telehealth-delivered CBTI remain largely unexplored among middle-aged and older adults. Using a qualitative approach, the current study describes patients' reasons for participating in the clinical trial, preferences for digital CBTI (dCBTI) versus therapist-led CBTI, patient attitudes toward dCBTI, and patient attitudes toward telehealth-delivered therapist-led CBTI. Method: Middle-aged and older adults ( N = 80) completed a semi-structured interview before CBTI exposure. Qualitative responses were coded, and themes were inductively extracted. Results: Most (62.5%) of the participants expressed a preference for therapist-led CBTI to dCBTI. Convenience was the most commonly reported advantage of dCBTI ( n = 55) and telehealth-delivered CBTI ( n = 65). Decreasing transit time and pandemic-related health concerns were identified as advantages to dCBTI and telehealth-delivered CBTI. Lack of human connection and limited personalization were perceived as disadvantages of dCBTI. Only three participants reported technological barriers to dCBTI and telehealth-delivered CBTI. Conclusion: Findings suggest that, despite an overall preference for therapist-led treatment, most middle-aged and older adults are open to dCBTI. As both dCBTI and telehealth-delivered CBTI are perceived as convenient, these modalities offer the potential to increase access to insomnia care. |
| Databáze: | MEDLINE |
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