加拿大慢性失眠管理的德尔菲共识建议。

Delphi consensus recommendations for the management of chronic insomnia in Canada.

作者信息

Morin Charles M, Khullar Atul, Robillard Rebecca, Desautels Alex, Mak Michael S B, Dang-Vu Thien Thanh, Chow Walter, Habert Jeff, Lessard Serge, Alima Lemore, Ayas Najib T, MacFarlane James, Kendzerska Tetyana, Lee Elliott K, Carney Colleen E

机构信息

École de Psychologie and Centre de recherche CERVO/Brain Research Center, Université Laval, QC, Canada.

Department of Psychiatry, University of Alberta, AB, Canada.

出版信息

Sleep Med. 2024 Dec;124:598-605. doi: 10.1016/j.sleep.2024.09.038. Epub 2024 Oct 5.

DOI:10.1016/j.sleep.2024.09.038

PMID:39481275

Abstract

OBJECTIVE

The lack of current Canadian practice guidelines for the management of insomnia poses a challenge for healthcare providers (HCP) in selecting the appropriate treatment options. This study aimed to establish expert consensus recommendations for the management of chronic insomnia in Canada.

COMPOSITION OF THE COMMITTEE

Sixteen multidisciplinary experts in sleep medicine and insomnia across Canada developed consensus recommendations based on their knowledge of the literature and their practical experience.

METHODS

The consensus recommendations were developed through a Delphi method. Consensus was reached if at least 75 % of the voting participants "agreed" or "strongly agreed" with the corresponding statements. The quality of supporting evidence was rated using a GRADE rating system.

REPORT

Among 37 recommendations that reached consensus for the management of chronic insomnia, the experts recommend and agree that.

CONCLUSION

These consensus recommendations highlight the need to increase awareness, capacity for, and access to CBT-I; integrate newly approved pharmacotherapy; reduce both self-medication and medications with limited evidence or low risk/benefit ratio.

摘要