Abanes Jane, Ridner Sheila H, Rhoten Bethany
US Naval Hospital, Okinawa, Japan.
Vanderbilt University School of Nursing, Nashville, Tennessee.
J Clin Sleep Med. 2021 Aug 1;17(8):1533-1543. doi: 10.5664/jcsm.9222.
The purpose of this study was to describe the perceived benefits of manual standardized stress acupuncture (MSSA) for sleep disturbances in service members with deployment exposure.
This qualitative study was embedded in a 2-arm randomized controlled trial using mixed-methods research that evaluated the effect of weekly MSSA for 4 weeks as an adjunct treatment with abbreviated cognitive-behavioral therapy for insomnia (CBTi) for sleep disturbances in service members. Participants were randomized to either the experimental group (CBTi and MSSA) or the control group (CBTi only). The CBTi consisted of 1 group psychotherapy session for 60 minutes, follow-up telephone therapy for 30 minutes, and an additional four 30-minute follow-up sessions via telephone. Participants provided written journal entries by answering 5 open-ended questions about their treatment experiences at week 5 during the posttreatment assessment. Journal log entries were transcribed verbatim using the Dedoose software. A content analysis method was used to code emerging themes.
Three overarching categories were found from the qualitative data: personal challenges in implementing the CBTi sleep strategies, no perception of improvement from treatment, and perceived benefits of treatment. The CBTi/MSSA group reported greater benefits in sleep and in other life areas including mental, physical, and social functioning using content analysis.
Findings of this study showed greater improvements in participants' sleep, mood, physical health, and occupational and social functioning after receiving the combination of CBTi and MSSA. Future research that investigates the long-term effects of CBTi and MSSA may be beneficial among postdeployment service members.
Registry: ClinicalTrials.gov; Name: Jane J. Abanes; URL: https://clinicaltrials.gov/ct2/show/NCT04031365; Identifier: NCT04031365.
Abanes J, Ridner SH, Rhoten B. Perceived benefits of brief acupuncture for sleep disturbances in postdeployment military service members. 2021;17(8):1533-1543.
本研究旨在描述手动标准化应激针灸（MSSA）对有部署经历的军人睡眠障碍的感知益处。
本定性研究嵌入一项双臂随机对照试验，采用混合方法研究，评估每周进行4周的MSSA作为辅助治疗与简短认知行为疗法（CBTi）联合使用对军人睡眠障碍的效果。参与者被随机分为实验组（CBTi和MSSA）或对照组（仅CBTi）。CBTi包括1次60分钟的团体心理治疗、30分钟的随访电话治疗以及另外4次每次30分钟的电话随访治疗。参与者在治疗后评估的第5周通过回答5个关于他们治疗经历的开放式问题提供书面日记记录。使用Dedoose软件逐字转录日记记录。采用内容分析法对出现的主题进行编码。
从定性数据中发现了三大类：实施CBTi睡眠策略中的个人挑战、未感觉到治疗有改善以及治疗的感知益处。使用内容分析法，CBTi/MSSA组在睡眠以及包括心理、身体和社会功能在内的其他生活领域报告了更大的益处。
本研究结果表明，接受CBTi和MSSA联合治疗后，参与者的睡眠、情绪、身体健康以及职业和社会功能有了更大改善。未来研究CBTi和MSSA的长期效果可能对部署后军人有益。
注册机构：ClinicalTrials.gov；名称：简·J·阿巴内斯；网址：https://clinicaltrials.gov/ct2/show/NCT04031365；标识符：NCT04031365。
阿巴内斯J，里德纳SH，罗滕B。简短针灸对部署后军人睡眠障碍的感知益处。2021；17(8):1533 - 1543。
