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
École de Psychologie and Centre de recherche CERVO/Brain Research Center, Université Laval, QC, Canada.
Department of Psychiatry, University of Alberta, AB, Canada.
Sleep Med. 2024 Dec;124:598-605. doi: 10.1016/j.sleep.2024.09.038. Epub 2024 Oct 5.
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.
Sixteen multidisciplinary experts in sleep medicine and insomnia across Canada developed consensus recommendations based on their knowledge of the literature and their practical experience.
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.
Among 37 recommendations that reached consensus for the management of chronic insomnia, the experts recommend and agree that.
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.
加拿大目前缺乏失眠管理的实践指南，这给医疗服务提供者（HCP）选择合适的治疗方案带来了挑战。本研究旨在为加拿大慢性失眠的管理制定专家共识建议。
来自加拿大各地的16位睡眠医学和失眠领域的多学科专家根据他们的文献知识和实践经验制定了共识建议。
通过德尔菲法制定共识建议。如果至少75%的投票参与者对相应陈述“同意”或“强烈同意”，则达成共识。使用GRADE评级系统对支持证据的质量进行评级。
在37项关于慢性失眠管理达成共识的建议中，专家们建议并同意……
这些共识建议强调了提高对失眠认知行为疗法（CBT-I）的认识、能力和可及性的必要性；整合新批准的药物治疗；减少自我用药以及证据有限或风险/效益比低的药物使用。
