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简短行为疗法治疗失眠:在军队中的治疗方案和培训可行性。

Brief behavioral treatment for insomnia: Treatment schedule and training feasibility in the military.

机构信息

Research Transition Office, Walter Reed Army Institute of Research.

Center for Deployment Psychology, Uniformed Services University of the Health Sciences.

出版信息

Psychol Serv. 2022 May;19(2):335-342. doi: 10.1037/ser0000528. Epub 2021 Mar 29.

DOI:10.1037/ser0000528
PMID:33779201
Abstract

Insomnia is a threat to the well-being and combat readiness of military service members. Brief Behavioral Treatment for Insomnia (BBTI) is effective in treating insomnia, but the treatment schedule is difficult to implement in the Military Health System due to shorter appointment windows than what is offered in civilian settings. In the present study, 23 behavioral health providers were trained in a version of BBTI adapted for use within the Military Health System. Training was conducted remotely via a 2-day webinar, followed by 12 weekly telephone consultations with a trainer. Surveys were conducted before and after the 2-day webinar, and after the consultation period. Training led to increases in target knowledge scores and self-rated confidence in administering BBTI. All providers reported implementing the treatment with multiple patients during the 12-week period, and all providers reported that the intervention was more effective than their usual treatment method. All behavioral health providers also reported that they were likely to use BBTI in the future when treating patients with insomnia, and that they would advertise their BBTI skills to primary care providers to encourage insomnia referrals. Although conducted with a small sample size, the current study gives provisional support for (a) feasibility of implementing the adapted version of BBTI within the Military Health System and (b) feasibility of training the adapted BBTI to behavioral health providers via remote learning methodology. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

失眠症会威胁军人的健康和战备能力。简短行为治疗失眠症(BBTI)是一种有效的失眠症治疗方法,但由于军事医疗系统的预约窗口比民用环境短,该治疗方案很难在其中实施。在本研究中,23 名行为健康提供者接受了一项适应军事医疗系统使用的 BBTI 版本的培训。培训通过为期两天的网络研讨会远程进行,然后是与培训师进行为期 12 周的每周电话咨询。在网络研讨会前两天前后以及咨询期结束后进行了调查。培训导致目标知识得分和自我评估实施 BBTI 的信心增加。所有提供者都报告在 12 周期间用该治疗方法治疗了多名患者,并且所有提供者都报告说,该干预措施比他们的常规治疗方法更有效。所有行为健康提供者还报告说,他们将来在治疗失眠症患者时很可能会使用 BBTI,并且他们会向初级保健提供者宣传他们的 BBTI 技能,以鼓励转介失眠症患者。尽管该研究样本量较小,但目前的研究为以下方面提供了初步支持:(a)在军事医疗系统中实施改编版 BBTI 的可行性,以及(b)通过远程学习方法对行为健康提供者进行改编版 BBTI 培训的可行性。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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