Stanley Neil, Marshall Karen, Gardiner Alison
Independent Sleep Expert, Farnborough, Hampshire, UK.
Royal Victoria Infirmary, Newcastle Upon Tyne, UK.
Nat Sci Sleep. 2025 Jun 13;17:1319-1324. doi: 10.2147/NSS.S516276. eCollection 2025.
Cognitive Behavioural Therapy for insomnia (CBTi) is a highly effective, evidence-based intervention, increasingly delivered through digital platforms. However, the human qualities embedded in traditional face-to-face CBTi (such as empathy, clinical judgement, and personalised encouragement) are difficult to replicate digitally. Digital CBTi is often treated as a single therapeutic modality, yet approaches vary significantly in the extent and nature of human support provided, raising important questions about the identity and role of the "therapist" in digital care. This perspectives paper explores the critical role of human support in digital CBTi and examines different models for integrating human input into digital care pathways. The authors argue that while digital CBTi offers scalable and accessible treatment for insomnia, that the inclusion of trained human support remains a vital component for maximising engagement, personalisation, and long-term clinical outcomes.
失眠的认知行为疗法（CBTi）是一种高效的、基于证据的干预措施，越来越多地通过数字平台提供。然而，传统面对面CBTi中所蕴含的人文特质（如同感、临床判断和个性化鼓励）很难通过数字方式复制。数字CBTi通常被视为单一的治疗方式，但在提供的人力支持的程度和性质方面，方法差异很大，这就引发了关于“治疗师”在数字护理中的身份和作用的重要问题。这篇观点论文探讨了人力支持在数字CBTi中的关键作用，并研究了将人力投入整合到数字护理路径中的不同模式。作者认为，虽然数字CBTi为失眠提供了可扩展且可及的治疗方法，但纳入经过培训的人力支持仍然是最大限度提高参与度、个性化程度和长期临床效果的重要组成部分。
