Implementing cognitive behavioral therapy for insomnia: the patient perspective

Megan Crawford; Simon Kyle; Delwyn Bartlett; Ron Grunstein; Espie Colin

doi:10.4172/2325-9639.1000180

Implementing cognitive behavioral therapy for insomnia: the patient perspective

Megan Crawford^*, Simon Kyle, Delwyn Bartlett, Ron Grunstein, Espie Colin

^*Corresponding author for this work

Psychology

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: Despite strong evidence for the efficacy of cognitive behavioral therapy for insomnia (CBT-I), patient experience of therapy implementation remains unexplored. This study sought to deliver a comprehensive account from the patient perspective and provide a unique insight into treatment adherence.

Methods: Semi-structured interviews were conducted with individuals with insomnia (n = 11, female = 8), who had completed a cognitive behavioral therapy program.

Results: Using thematic analysis, three themes emerged depicting the experience of implementing CBT-I components: ‘making sense of CBT-I’, ‘ongoing evaluation of components’ and ‘obstacles to implementation’. Each theme was associated with three subthemes that provided a more nuanced and interpretative account of how individuals implement cognitive behavioral strategies.

Conclusions: Implementing cognitive behavioral strategies is far from simple and adherence to these components is a dynamic process. Future research avenues are discussed that might further advance our understanding of adherence to this treatment.

Original language	English
Journal	Journal of Sleep Disorders: Treatment and Care
Volume	5
Issue number	4
DOIs	https://doi.org/10.4172/2325-9639.1000180
Publication status	Published - 20 Mar 2016

Funding

Funding for this study was provided by a Medical Research Council UK postgraduate scholarship awarded to the University of Glasgow and the first author (MRC).

Keywords

Cognitive behavioral therapy
insomnia
sleep

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10.4172/2325-9639.1000180

Cite this

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title = "Implementing cognitive behavioral therapy for insomnia: the patient perspective",

abstract = "Objective: Despite strong evidence for the efficacy of cognitive behavioral therapy for insomnia (CBT-I), patient experience of therapy implementation remains unexplored. This study sought to deliver a comprehensive account from the patient perspective and provide a unique insight into treatment adherence. Methods: Semi-structured interviews were conducted with individuals with insomnia (n = 11, female = 8), who had completed a cognitive behavioral therapy program. Results: Using thematic analysis, three themes emerged depicting the experience of implementing CBT-I components: {\textquoteleft}making sense of CBT-I{\textquoteright}, {\textquoteleft}ongoing evaluation of components{\textquoteright} and {\textquoteleft}obstacles to implementation{\textquoteright}. Each theme was associated with three subthemes that provided a more nuanced and interpretative account of how individuals implement cognitive behavioral strategies. Conclusions: Implementing cognitive behavioral strategies is far from simple and adherence to these components is a dynamic process. Future research avenues are discussed that might further advance our understanding of adherence to this treatment.",

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N2 - Objective: Despite strong evidence for the efficacy of cognitive behavioral therapy for insomnia (CBT-I), patient experience of therapy implementation remains unexplored. This study sought to deliver a comprehensive account from the patient perspective and provide a unique insight into treatment adherence. Methods: Semi-structured interviews were conducted with individuals with insomnia (n = 11, female = 8), who had completed a cognitive behavioral therapy program. Results: Using thematic analysis, three themes emerged depicting the experience of implementing CBT-I components: ‘making sense of CBT-I’, ‘ongoing evaluation of components’ and ‘obstacles to implementation’. Each theme was associated with three subthemes that provided a more nuanced and interpretative account of how individuals implement cognitive behavioral strategies. Conclusions: Implementing cognitive behavioral strategies is far from simple and adherence to these components is a dynamic process. Future research avenues are discussed that might further advance our understanding of adherence to this treatment.

AB - Objective: Despite strong evidence for the efficacy of cognitive behavioral therapy for insomnia (CBT-I), patient experience of therapy implementation remains unexplored. This study sought to deliver a comprehensive account from the patient perspective and provide a unique insight into treatment adherence. Methods: Semi-structured interviews were conducted with individuals with insomnia (n = 11, female = 8), who had completed a cognitive behavioral therapy program. Results: Using thematic analysis, three themes emerged depicting the experience of implementing CBT-I components: ‘making sense of CBT-I’, ‘ongoing evaluation of components’ and ‘obstacles to implementation’. Each theme was associated with three subthemes that provided a more nuanced and interpretative account of how individuals implement cognitive behavioral strategies. Conclusions: Implementing cognitive behavioral strategies is far from simple and adherence to these components is a dynamic process. Future research avenues are discussed that might further advance our understanding of adherence to this treatment.

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KW - insomnia

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Implementing cognitive behavioral therapy for insomnia: the patient perspective

Abstract

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Keywords

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