Participant Experiences of Attending a Community CBT Workshop for Insomnia: A Qualitative Six-Year Follow-Up

Barnes, Georgina L.; Lawrence, Vanessa; Khondoker, Mizanur; Stewart, Robert; Brown, June

doi:10.1080/15402002.2017.1301942

Cited by 4 publications

(1 citation statement)

References 42 publications

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“…11 Qualitative research with patients involved in CBT-I has highlighted the degree of effort and self-discipline needed to fully commit to the therapy. [49][50][51] Up to 40% of patients prematurely drop out of CBT-I in clinical practice, 52 and consistent adherence to treatment recommendations generally falls around 47-52%. [53][54][55] Fortunately, an appreciable number of patients who complete treatment benefit, with 70-80% experiencing significant improvements in sleep.…”

Section: Patient Barriersmentioning

confidence: 99%

Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review

2018

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The American College of Physicians (ACP) recently identified cognitive behavioral therapy for insomnia (CBT-I) as the first-line treatment for insomnia. Although CBT-I improves sleep outcomes and reduces the risks associated with reliance on hypnotics, patients are rarely referred to this treatment, especially in primary care where most insomnia treatment is provided. We reviewed the evidence about barriers to CBT-I referrals and efforts to increase the use of CBT-I services. PubMed, PsycINFO, and Embase were searched on January 11, 2018; additional titles were added based on a review of bibliographies and expert opinion and 51 articles were included in the results of this narrative review. Implementation research testing specific interventions to increase routine and sustained use of CBT-I was lacking. Most research focused on pre-implementation work that revealed the complexity of delivering CBT-I in routine healthcare settings due to three distinct categories of barriers. First, system barriers result in limited access to CBT-I and behavioral sleep medicine (BSM) providers. Second, primary care providers are not adequately screening for sleep issues and referring appropriately due to a lack of knowledge, treatment beliefs, and a lack of motivation to assess and treat insomnia. Finally, patient barriers, including a lack of knowledge, treatment beliefs, and limited access, prevent patients from engaging in CBT-I. These findings are organized using a conceptual model to represent the many challenges inherent in providing guideline-concordant insomnia care. We conclude with an agenda for future implementation research to systematically address these challenges.

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Section: Patient Barriersmentioning

confidence: 99%

Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review

2018

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Addressing Insomnia Using Group CBT‐I

Spiegelhalder¹

2022

Cognitive‐Behavioural Therapy for Insomnia (CBT‐I) Across the Life Span

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Mothers' and birthing parents' experiences with 1‐day cognitive behavioural therapy‐based workshops for postpartum depression: A descriptive qualitative study

Varambally,

Layton,

Jack

et al. 2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat Is Known about the Subject? One in five mothers and birthing parents are affected by postpartum depression (PPD), yet only a small proportion of those with PPD receive treatment. Given cost and accessibility barriers to treatment, brief therapies (e.g. 1 day) could help address PPD on a large scale, though understanding participants' unique experiences with this novel treatment will help guide its refinement and use. What this Paper Adds to Existing Knowledge? This paper describes the experiences, perspectives and satisfaction of participants who attended a 1‐day workshop for PPD. Participants appreciate being taught practical techniques and the receipt of social support from facilitators and other attendees in the group setting, while some recommended further ‘booster sessions’ to enhance effectiveness. What Are the Implications for Practice? One‐day CBT‐based workshops may be an effective, low‐intensity treatment option that provides helpful skills and builds social networks for individuals with PPD. Additional post‐workshop booster sessions may enhance participant satisfaction with this new treatment by providing a reinforcement of their learning and an opportunity to re‐connect with other birthing parents. AbstractIntroductionPostpartum depression (PPD) affects up to one in five mothers and birthing parents. Understanding their perceptions of therapeutic interventions is key to their effectiveness and scalability.AimThe aim of the study was to understand participants' experiences attending an in‐person or online 1‐day cognitive behavioural therapy (CBT)‐based workshop for PPD and compare their experiences participating in either modality.MethodThis descriptive qualitative study was embedded in two separate randomized controlled trials evaluating the effectiveness of 1‐day CBT‐based workshops for PPD delivered in‐person or online. Responses were provided by 94 in‐person and 95 online participants about their experiences. Content analysis was used to code and categorize the data.ResultsParticipants appreciated learning skills to improve PPD symptoms and joining a community of individuals with shared experiences. Integrating practical coping techniques after the workshop was reported to be most useful, though some wanted additional post‐workshop support. Online participants identified additional barriers to workshop engagement.DiscussionParticipants who attended either workshop found them to be valuable and effective. Participants valued psychoeducation, social connections and applying practical CBT techniques.Implications for PracticeOne‐day CBT‐based workshops may be an accessible treatment option for individuals with PPD, providing new skills and social support, though some prefer to receive additional post‐workshop support.

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Participant Experiences of Attending a Community CBT Workshop for Insomnia: A Qualitative Six-Year Follow-Up

Cited by 4 publications

References 42 publications

Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review

Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review

Addressing Insomnia Using Group CBT‐I

Mothers' and birthing parents' experiences with 1‐day cognitive behavioural therapy‐based workshops for postpartum depression: A descriptive qualitative study

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