Patient Perceptions of Treatment Delivery Platforms for Cognitive Behavioral Therapy for Insomnia. Issue 1 (2nd January 2019)

• Record Type: Journal Article
• Authors: Cheung, Janet M. Y.; Bartlett, Delwyn J.; Armour, Carol L.; Laba, Tracey-Lea; Saini, Bandana
• Is Part Of: Behavioral sleep medicine. Volume 17:Issue 1(2019)
• Page Start: 81
• Page End: 97
• Publication Date: 2019-01-02
• Subjects: Sleep disorders -- Periodicals; Sleep -- Psychological aspects -- Periodicals; 616.8498
• DOI: 10.1080/15402002.2017.1293539
• Languages: English
• ISSNs: 1540-2002

Abstract

ABSTRACT: Objective : Stepped care has given rise to the proliferation of abbreviated CBT-I programs and delivery formats. This includes interventions delivered by allied health professionals and those delivered electronically through the Internet. This article aims to explore patient perceptions between electronic and face-to-face (FTF) delivery platforms for (abbreviated) CBT-I. Participants : Patients with insomnia from specialist sleep or psychology clinics and those from the general community in Sydney, Australia. Method : Semistructured interviews were conducted with patients with insomnia, guided by a schedule of questions and a choice task to explore patient perceptions of the different CBT-I treatment delivery platforms (e.g., perceived advantages and disadvantages or willingness to engage with either platform). Interviews were transcribed verbatim and analyzed using Framework Analysis. Participants also completed a battery of clinical mood and insomnia measures. Results : Fifty-one interviews were conducted with patients with insomnia from specialist sleep or psychology clinics ( n = 22) and the general community ( n = 29). Synthesis of the qualitative data set revealed three themes pertinent to the patients' perspective toward electronic and FTF CBT-I delivery: Concepts of Efficacy, Concerns About Treatment, and Treatment on My Terms . Participants' choice to engage with either platform was also informed by diverse factors including perceived efficacy of treatment, personal commitments, lifestyle, and beliefs about sleep and insomnia. Conclusion : Clarifying patient treatment priorities and allaying potential concerns about engaging with an electronic treatment platform represent important steps for disseminating eCBT-I into mainstream practice.