Patients' Acceptance of Psychological and Pharmacological Therapies for Insomnia

Morin, Charles M.; Gaulier, Bernard; Barry, Theresa; Kowatch, Robert A.

doi:10.1093/sleep/15.4.302

Cited by 204 publications

(135 citation statements)

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“…However, studies exploring treatment preferences for insomnia increasingly show patients favouring non-pharmacological therapies over conventional pharmacotherapy (Morin et al 1992;Vincent and Lionberg 2001). In a cross-sectional study investigating patients' sleep medication use (n = 2645), of those who had a history of hypnotic use 80.3% would prefer a nonpharmacological alternative over pharmacotherapy given that treatments were equally effective but only 9.6% have ever been offered this option (Omvik et al 2010).…”

Section: Discussionmentioning

confidence: 99%

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Cheung

Atternäs

Melchior

et al. 2014

Aust. J. Prim. Health

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Abstract. This paper reports a qualitative pilot study exploring primary care health practitioners' perspectives on the management of insomnia following the extensive media coverage on the adverse effects of zolpidem in 2007-08. General practitioners and community pharmacists were recruited throughout metropolitan Sydney, New South Wales using a convenience sampling and snowballing technique. Demographic information was collected from each participant followed by a semistructured interview. In total 22 participants were interviewed, including eight general practitioners and 14 community pharmacists. Interview transcripts were analysed using 'framework analysis'. Participants' responses illuminated some of the key issues facing primary care practitioners in the management of insomnia. Practitioners perceived there to be an overreliance on pharmacotherapy among insomnia patients and inadequate support for directing patients to alternative treatment pathways if they require or prefer non-pharmacological management. Current prescribing trends appear to favour older benzodiazepines in new cases of insomnia whereas some successful sporadic users of zolpidem have continued to use zolpidem after the media coverage in 2007-08. The findings of this pilot study suggest the need to address the limitations in the management of insomnia within the current health care system, to revise and disseminate updated insomnia guidelines and to provide educational opportunities and resources to primary care practitioners concerning management options.

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Section: Discussionmentioning

confidence: 99%

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Cheung

Atternäs

Melchior

et al. 2014

Aust. J. Prim. Health

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“…Meta-analyses have confirmed the reliability of cognitive and behavioural techniques in treating insomnia Murtagh & Greenwood, 1995;Pallesen, Nordhus, & Kvale, 1998). In addition, CBT for insomnia has been associated with longer lasting treatment gains and greater patient satisfaction, with individuals rating the treatment as more effective and acceptable than medication (Morin, Gaulier, Barry, & Kowatch, 1992;Morin, Colecchi, Stone, Sood, & Brink, 1999).…”

Section: Introductionmentioning

confidence: 92%

Development and Perceived Utility and Impact of an Internet Intervention for Insomnia

Thorndike¹,

Saylor²,

Bailey³

et al. 2008

EJAP

114

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Insomnia is a major health problem, with significant psychological, health, and economic consequences. Studies have demonstrated that cognitive-behavioural therapy can effectively treat insomnia; however, treatment availability is limited by many factors, including a lack of trained clinicians. One potential way to overcome these barriers is to use the Internet to deliver treatment. Toward this aim, we developed a self-guided, interactive, tailored Internet intervention for adults with insomnia (SHUTi: Sleep Healthy Using The Internet). The current paper provides a detailed description of SHUTi and examines users' perceptions of the intervention's usefulness and effectiveness. The study was part of a larger randomised controlled trial (RCT) to test the efficacy of SHUTi, but findings in this paper are based only on the 21 participants who completed the postassessment after using SHUTi. The overwhelming majority rated SHUTi as convenient, understandable, and useful. Nearly all (95%) indicated that the program had at least somewhat improved their sleep, sleep efficiency, and overall quality of life. Ninety percent perceived the intervention as effective and predicted it would be effective in producing a long-term cure. Although these results were based on a small sample, they provide encouraging evidence of the potential for Internet interventions to be accepted by patients.

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“…However, this long-term pharmacotherapy is undesirable to patients [29]. There is considerable evidence that intervening at the psychosocial level, using cognitive behavioural therapy, is effective for insomnia associated with cancer [17, 30-34, 35•, 36, 37] and is a treatment approach that patients prefer [19].…”

Section: Cognitive Behaviour Therapy For Insomnia (Cbt-i) In Cancermentioning

confidence: 99%

‘CBT-I in Cancer: We Know It Works, so Why Are We Waiting?’

Fleming

Macmahon

2015

Curr Sleep Medicine Rep

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Insomnia is one of the most frequently reported and debilitating difficulties associated with cancer. Recent decades have seen a move from pharmacological interventions for insomnia, to non-pharmacological, cognitive behavioural therapies (CBT-I). Numerous clinical trials have established the effectiveness of CBT-I in the general population and more recently, in those with insomnia associated with cancer. However, despite these promising outcomes, the availability of such therapies remains limited across cancer services. Recent years have seen developments to widen access to CBT-I, including the use of internet-based resources. Such developments may offer a useful means of overcoming the availability and access issues of CBT-I for those with insomnia associated with cancer.

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Patients' Acceptance of Psychological and Pharmacological Therapies for Insomnia

Cited by 204 publications

References 0 publications

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Development and Perceived Utility and Impact of an Internet Intervention for Insomnia

‘CBT-I in Cancer: We Know It Works, so Why Are We Waiting?’

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