针对大学教职工的模块化失眠认知行为疗法自助训练——在新冠疫情危机中的预防与早期干预：一项试点研究

Modularized iCBT‑I self-learn training for university staff-prevention and early intervention in the SARS-CoV-2 crisis: A pilot study.

作者信息

Schlarb Angelika A, Fründ Jan Philipp, Kovacevic Tatjana, Faber Jasmin

机构信息

Department of Psychology and Sports Science, Bielefeld University, Universitätsstraße 25, 33615 Bielefeld, Germany.

出版信息

Somnologie (Berl). 2021;25(1):29-37. doi: 10.1007/s11818-021-00301-z. Epub 2021 Feb 24.

DOI:10.1007/s11818-021-00301-z

PMID:33649702

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7903869/

Abstract

BACKGROUND

Insomnia is a widespread disease in adults and has a high prevalence rate. As sleep disturbances are a risk factor concerning mental and physical health, prevention and early intervention are necessary. Thus, the aim of this study was to implement a self-learning prevention and early intervention training for university staff members. We adapted an established cognitive behavioral therapy for insomnia (CBT-I) intervention as an online version for use during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) crisis.

METHODS

Development and adaptation procedure of the internet-based CBT‑I (iCBT-I) prevention and early intervention training is described. Sessions and topics are shown in detail. The Online Sleep Prevention and Treatment Acceptance questionnaire (OSTA) and the Online Sleep Prevention and Treatment Feedback questionnaire (OSTF) were used to assess acceptance. Sleep problems of university staff members were assessed using the Pittsburgh Sleep Questionnaire (PSQI).

RESULTS

The online-adapted version consisted of seven modules. Contents of sessions and topics were implemented based on video clips. Drawings were added to information regarding sleep and sleep hygiene as well as addressing stress and cognitions. In all, 15 individuals participated in this pilot study. The new iCBT‑I self-learning prevention training was well accepted. In addition, participants scored the online version as helpful based on the OSTA. Prior to online training, 89% of the participants reported impaired sleep quality or insomnia symptoms, and 56% had a PSQI score over 10. After training 78% of participants showed reduced sleep problems according to PSQI and 56% reached clinically significant enhancement. In addition, after training 44% were healthy sleepers.

DISCUSSION

This is the first iCBT‑I prevention and early intervention training for university staff members. The training by participants was very well accepted and they scored the videos as very helpful. Sleep problems decreased after online training. However, further studies with larger samples and more sleep-related assessment strategies, e.g., actigraphy and sleep log, are necessary.

摘要

背景

失眠是成年人中的一种常见疾病，患病率很高。由于睡眠障碍是关乎身心健康的一个风险因素，预防和早期干预很有必要。因此，本研究的目的是为大学教职工开展一项自我学习预防和早期干预培训。我们将一种既定的失眠认知行为疗法（CBT-I）干预改编为在线版本，以便在严重急性呼吸综合征冠状病毒2（SARS-CoV-2）危机期间使用。

方法

描述了基于互联网的CBT-I（iCBT-I）预防和早期干预培训的开发与改编过程。详细展示了课程和主题。使用在线睡眠预防与治疗接受度问卷（OSTA）和在线睡眠预防与治疗反馈问卷（OSTF）来评估接受度。使用匹兹堡睡眠问卷（PSQI）评估大学教职工的睡眠问题。

结果

在线改编版本由七个模块组成。课程和主题内容基于视频片段呈现。在关于睡眠和睡眠卫生以及应对压力和认知的信息中添加了图表。共有15人参与了这项试点研究。新的iCBT-I自我学习预防培训很受欢迎。此外，根据OSTA，参与者认为在线版本很有帮助。在在线培训前，89%的参与者报告睡眠质量受损或有失眠症状，56%的参与者PSQI得分超过10分。培训后，根据PSQI，78%的参与者睡眠问题减少，56%的参与者有临床显著改善。此外，培训后44%的参与者成为健康睡眠者。