Nurse Practitioners (NPs) as Cognitive Behavioral Treatment for Insomnia (CBT-I) Providers: An Underutilized Resource

Fields, Barry G.; Schutte-Rodin, Sharon; Myers, Megin; Perlis, Michael L.

doi:10.4172/2167-0277.1000111

Cited by 3 publications

(4 citation statements)

References 16 publications

(11 reference statements)

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“…Although BBTi could potentially be delivered via a combination of GP and practice nurse appointments, GP-administered treatment sessions with practice nurse support may be more viable given the limited funding available for nursing consultations within the Medicare Benefits Schedule. 20,32 Practice nurses can assist GPs to review information about a patient's health history, insomnia symptoms and questionnaire and sleep-diary data; help to develop patientcentred goals for care; and provide education to patients. BBTi is suited to in-person and telephone appointments, and may be provided to individuals or in small-group settings.…”

Section: A Step-by-step Approach To Brief Behavioural Treatment For Insomniamentioning

confidence: 99%

“…Evidence indicates that practice nurses can provide effective non-medication insomnia management within the primary care setting, to relieve the burden on GPs while supporting the adoption of guideline recommendations. 7,20,32 A recent Australian qualitative study also found that practice nurses are interested in becoming more involved in the management of sleep disorders in general practice (eg insomnia and sleep apnoea). 37…”

Section: Role Of Practice Nurses In Bbtimentioning

confidence: 99%

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A step-by-step model for a brief behavioural treatment for insomnia in Australian general practice

Sweetman¹,

Zwar²,

Grivell³

et al. 2021

Aust J Gen Pract

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Section: A Step-by-step Approach To Brief Behavioural Treatment For Insomniamentioning

confidence: 99%

Section: Role Of Practice Nurses In Bbtimentioning

confidence: 99%

A step-by-step model for a brief behavioural treatment for insomnia in Australian general practice

Sweetman¹,

Zwar²,

Grivell³

et al. 2021

Aust J Gen Pract

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“…A typical course of CBT-I is delivered to a patient across 4-8 weekly sessions although many alternative formats and delivery strategies have demonstrated efficacy (e.g., internetdelivered, group therapy, abbreviated treatment). Evidence suggests in addition to clinical psychologists and psychiatrists, nurse practitioners (30) and masters-level clinicians (31) can be trained to deliver CBT-I effectively making it a versatile, flexible intervention. However, uptake of CBT-I is low due to numerous barriers including limited patient and provider awareness of the intervention and lack of trained providers (32).…”

Section: Cognitive-behavioral Therapy For Insomniamentioning

confidence: 99%

Perspective: Cognitive Behavioral Therapy for Insomnia Is a Promising Intervention for Mild Traumatic Brain Injury

Dietch

Furst

2020

Front. Neurol.

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Mild traumatic brain injury (mTBI) is a significant public health problem. Insomnia is one of the most common symptoms of TBI, occurring in 30-50% of patients with TBI, and is more frequently reported in patients with mild as opposed to moderate or severe TBI. Although insomnia may be precipitated by mTBI, it is unlikely to subside on its own without specific treatment even after symptoms of mTBI reduce or remit. Insomnia is a novel, highly modifiable treatment target in mTBI, treatment of which has the potential to make broad positive impacts on the symptoms and recovery following brain injury. Cognitive-behavioral therapy for insomnia (CBT-I) is the front-line intervention for insomnia and has demonstrated effectiveness across clinical trials; between 70 and 80% of patients with insomnia experience enduring benefit from CBT-I and about 50% experience clinical remission. Examining an existing model of the development of insomnia in the context of mTBI suggests CBT-I may be effective for insomnia initiated or exacerbated by sustaining a mTBI, but this hypothesis has yet to be tested via clinical trial. Thus, more research supporting the use of CBT-I in special populations such as mTBI is warranted. The current paper provides a background on existing evidence for using CBT-I in the context of TBI, raises key challenges, and suggests considerations for future directions including need for increased screening and assessment of sleep disorders in the context of TBI, examining efficacy of CBT-I in TBI, and exploring factors that impact dissemination and delivery of CBT-I in TBI.

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“…[6] These approaches were devised to address the problem of large number of patients, who require several sessions; while there are a limited number of trained psychologists. [78]…”

Section: Introductionmentioning

confidence: 99%

Multipronged treatment of insomnia – Outcomes from an apex sleep disorders clinic in India

Poornima

Shukla

Gupta

et al. 2019

Ann Indian Acad Neurol

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Introduction: A large proportion of the population suffers from disturbed sleep and a majority of these present to clinicians with the complaint of insomnia. Many of these people possibly suffer from other primary sleep disorders such as sleep apnea; however, insomnia disorder also remains an extremely common condition directly impacting the quality of life and work efficiency of affected people. While a number of approaches are used for treatment by many clinicians, a much smaller percentage can seek help from specialty sleep clinics. Since very little data are available regarding the effectiveness of treatment offered, this retrospective study aims at examining the outcome of chronic insomnia patients attending to a quaternary care specialty sleep center. Methods: Consecutive patients with the presenting complaint of and diagnosis of insomnia, during a study period of 2 years between 2013 and 2015, were identified and analyzed. Patients were classified based on the comorbidity and types of treatment received. Life stressors were also identified and analyzed. Outcomes were reviewed for those who had follow-up data available. Results: Based on the defined inclusion criteria, 102 patients could be analyzed. Among these, at least 3-month follow-up was available for 48 patients. It was observed that among patients for whom at least 3-month follow-up was available, 91.4% (43/48) showed a good response to treatment with physician-administered cognitive behavioral therapy for insomnia along with treatment for comorbid conditions. Conclusion: With correct diagnostic classification, as well as appropriate and easily available treatment strategies, excellent treatment outcomes are observed at specialty sleep clinics.

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Nurse Practitioners (NPs) as Cognitive Behavioral Treatment for Insomnia (CBT-I) Providers: An Underutilized Resource

Cited by 3 publications

References 16 publications

A step-by-step model for a brief behavioural treatment for insomnia in Australian general practice

A step-by-step model for a brief behavioural treatment for insomnia in Australian general practice

Perspective: Cognitive Behavioral Therapy for Insomnia Is a Promising Intervention for Mild Traumatic Brain Injury

Multipronged treatment of insomnia – Outcomes from an apex sleep disorders clinic in India

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