Developing and Testing a Web-Based Provider Training for Cognitive Behavioral Therapy of Insomnia
| Autor: | Kristi E. Pruiksma, Sophie Wardle-Pinkston, Casey D. Calhoun, Allison K. Wilkerson, Brian E. Bunnell, Melissa E. Milanak, Alyssa A. Rheingold, Jessica R. Dietch, Kenneth J. Ruggiero, Daniel J. Taylor |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_treatment
Cognitive behavioral therapy for insomnia 03 medical and health sciences 0302 clinical medicine Sleep Initiation and Maintenance Disorders Surveys and Questionnaires medicine Humans Web application 030212 general & internal medicine Web usability Internet Medical education Cognitive Behavioral Therapy business.industry Public Health Environmental and Occupational Health Usability General Medicine Knowledge acquisition Focus group Dreams Cognitive behavioral therapy Treatment Outcome Behavioral medicine business Psychology 030217 neurology & neurosurgery |
| Zdroj: | Military Medicine. 186:230-238 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.1093/milmed/usaa359 |
| Popis: | Introduction Chronic insomnia is a common and debilitating disease that increases risk for significant morbidity and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment, but there is a critical lack of behavioral health providers trained in CBT-I because, in part, of a bottleneck in training availability and costs. The current project developed and evaluated a web-based provider training course for CBT-I: CBTIweb.org. Materials and Methods Subject matter experts developed the content for CBTIweb.org. Then, trainees completed alpha testing (n = 24) and focus groups, and the site was improved. Next, licensed behavioral health providers and trainees completed beta testing (n = 41) and the site underwent another round of modifications. Finally, to compare CBTIweb.org to an in-person workshop, licensed behavioral health providers were randomly assigned to CBTIweb.org (n = 21) or an in-person workshop (n = 23). All participants were CBT-I naïve and completed the following assessments: Computer System Usability Questionnaire, Website Usability Satisfaction Questionnaire, Website Content Satisfaction Questionnaire, and Continuing Education knowledge acquisition questionnaires. Results Alpha and beta testers of CBTIweb.org reported high levels of usability and satisfaction with the site and showed significant within-group knowledge acquisition. In the pilot comparison study, linear fixed-effects modeling on the pre-/postquestionnaires revealed a significant main effect for time, indicating a significant increase in knowledge acquisition from 69% correct at baseline to 92% correct at posttraining collapsed across in-person and CBTIweb.org groups. The interaction effect of Time by Condition was nonsignificant, indicating equivalence in knowledge gains across both groups. Conclusion CBTIweb.org appears to be an engaging, interactive, and concise provider training that can be easily navigated by its users and produce significant knowledge gains that are equivalent to traditional in-person workshops. CBTIweb.org will allow for worldwide dissemination of CBT-I to any English-speaking behavioral health providers. Future research will work on translating this training to other languages and extending this web-based platform to the treatment of other sleep disorders (e.g., nightmares) and populations (e.g., pediatric populations with insomnia). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|