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一项针对阻塞性睡眠呼吸暂停治疗后仍有残余失眠症状儿童的互联网行为干预的可用性研究。

A usability study of an internet-delivered behavioural intervention tailored for children with residual insomnia symptoms after obstructive sleep apnea treatment.

作者信息

Orr Matthew, Isaacs Jason, Godbout Roger, Witmans Manisha, Corkum Penny

机构信息

Department of Psychology and Neuroscience, Dalhousie University, Canada.

Department of Psychiatry, Université de Montréal, Canada.

出版信息

Internet Interv. 2019 Aug 15;18:100265. doi: 10.1016/j.invent.2019.100265. eCollection 2019 Dec.

Abstract

() is a 5-session online intervention designed to treat insomnia in 1-10-year-old children (Corkum et al. 2016). Obstructive sleep apnea (OSA) and insomnia commonly occur in children and, after surgical treatment for OSA, it is estimated that up to 50% of children may continue to suffer from insomnia symptoms. Access to insomnia interventions following OSA treatment is limited as there are few programs available, few trained practitioners to deliver these programs, and limited recognition that these problems exist. The current study involved the usability testing of an internet-based parent-directed session of tailored towards the needs of children (ages 4-10 years) who experience residual insomnia symptoms after treatment of OSA. This new session was added to the program. Participants ( = 43) included 6 parents, 17 sleep experts, and 20 front-line healthcare providers who completed and provided feedback on the new session. Participants completed a feedback questionnaire, with both quantitative and qualitative questions, after reviewing the session. Quantitative responses analyzed via descriptive statistics suggested that the session was primarily viewed as helpful by most participants, and open-ended qualitative questions analyzed by content analyses generated a mix of positive and constructive feedback. The results provide insights on how to optimally tailor the program to meet the needs of the target population and suggest that testing the session on a larger scale would be beneficial.

摘要

()是一个为期5节的在线干预项目,旨在治疗1至10岁儿童的失眠症(科尔库姆等人,2016年)。阻塞性睡眠呼吸暂停(OSA)和失眠症在儿童中普遍存在,据估计,在接受OSA手术治疗后,多达50%的儿童可能会继续出现失眠症状。由于可用项目很少、能够提供这些项目的训练有素的从业者很少,而且对这些问题存在的认识有限,OSA治疗后获得失眠症干预措施的机会受到限制。当前的研究涉及对一个基于互联网的、针对OSA治疗后仍有残余失眠症状的儿童(4至10岁)需求量身定制的家长指导课程进行可用性测试。这个新的课程被添加到了该项目中。参与者(n = 43)包括6名家长、17名睡眠专家和20名一线医疗服务提供者,他们完成了新课程并提供了反馈。参与者在查看课程后完成了一份反馈问卷,其中包含定量和定性问题。通过描述性统计分析的定量回答表明,大多数参与者主要认为该课程是有帮助的,通过内容分析对开放式定性问题进行分析产生了积极和建设性的反馈混合。研究结果为如何优化调整该项目以满足目标人群的需求提供了见解,并表明在更大规模上测试该课程将是有益的。

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