Entre 30 et 40% des patients souffrant d’insomnie ne répondent pas aux interventions recommandées. Un obstacle aux traitements est le manque d’adhérence des patients, principalement causé par les délais avant de constater des résultats. Un nouveau traitement, le réentraînement intensif au sommeil, vise des résultats rapides, mais pourrait être exigeant pour les patients en raison de la privation de sommeil requise d’environ 40h. Afin d’explorer les effets transitoires des traitements utilisant la privation de sommeil sur les émotions et la somnolence des patients, 10 participants souffrant d’insomnie ont été randomisés dans trois conditions : le réentraînement intensif au sommeil, la privation de sommeil totale et la condition contrôle. Ils ont évalué leur somnolence et différentes émotions chaque heure, pendant une période de 21h. Une comparaison des scores moyens de chaque condition a révélé que le réentraînement intensif au sommeil et la privation de sommeil totale causent plus de somnolence que la condition contrôle, mais il n’y a pas de différence significative entre les deux premières conditions. De plus, aucune différence significative n'a été observée quant aux émotions négatives ressenties. Ces résultats sont encourageants pour l’acceptabilité du traitement étudié, puisque ses effets émotionnels ne sont pas plus intenses que les autres conditions.
Background. Since the Covid-19 pandemic, many community-based services for people with traumatic brain injury (TBI) have been moved online, which may have hindered their accessibility. The study aims to assess the accessibility of online information and resources dedicated to people with TBI. Methods. The websites of 14 organizations offering information and resources to people with TBI in Quebec were evaluated. Two co-authors independently evaluated one page of each website and compared their results. Descriptive statistical analyses were performed. Results. The average accessibility score of the 14 websites evaluated was 54% with a standard deviation of 16%. Website design and writing were the most accessible aspects (72.3%). Only two out of the 14 websites (14%) presented multimedia content. This category presented the most barriers to accessibility with a score of 42%. Regarding images, they reached an accessibility score of 46%. Their main shortcoming was the absence of a caption. Conclusion. This study highlights accessibility issues specific to people with TBI to access online resources and identifies specific areas of improvement. The results of this study provide community organizations with avenues of improvement to make their online resources more accessible to people with TBI and may therefore lead to improved community practices.
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