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标题：Patient and provider experiences with CBT-I administered in-person or via telemedicine: A randomized non-inferiority trial
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作者：Rachel E. Granberg ; Arianna Heyer ; Philip R. Gehrman 等
期刊名称：Cogent Psychology
电子版ISSN：2331-1908
出版年度：2022
卷号：9
期号：1
页码：1-12
DOI：10.1080/23311908.2022.2038936
语种：English
出版社：Taylor and Francis Ltd
摘要：Cognitive behavioral therapy for insomnia (CBT-I) is an effective treatment in adults. However, access to care is limited. One potential solution is telemedicine. Though synchronous video-based telemedicine CBT-I has been shown to be non-inferior to in-person treatment, there is no study to date that evaluates patient and provider experiences with video-based treatment. Our study team evaluated patient and provider perceptions of CBT-I delivered via telemedicine versus an in-person format. As part of a larger randomized control trial, we interviewed patients and providers in both arms of the study (in-person and via telemedicine). 20 minute interviews were conducted over the phone and were transcribed and coded to identify themes. While patients shared initial concerns about telemedicine CBT-I, including privacy and technological issues, they were satisfied with the approach and had similar experiences as the patients receiving inperson treatment. Providers shared concerns about challenges establishing a strong therapeutic alliance, patient engagement, and accountability in CBT-I, but felt these did not interfere with their overall ability to deliver care. Patients and providers were satisfied with CBT-I treatment delivered via telemedicine when compared to those being treated in-person. Patients in both arms noted that virtual care could increase access and provide convenience.
关键词：cognitive behavioral therapy;insomnia;telemedicine