Abstract:
OBJECTIVE:To evaluate the effects of national training in and implementation of Cognitive Behavioral Therapy for Insomnia (CBT-I) in the U.S. Department of Veterans Affairs (VA) health care system on clinicians' competency and patients' insomnia severity, symptoms of depression, and quality of life. METHOD:A prospective cohort of 102 VA clinicians (including mental health staff in various mental health and primary care settings) participated in the VA CBT-I Training Program during 2011 and 2012. Patients included 182 veterans treated by clinicians enrolled in the training. Clinicians were rated on taped therapy sessions, using a standardized competency rating form. Patients' symptoms were assessed using the Insomnia Severity Index (ISI) and standardized measures of depression and quality of life. RESULTS:Of 102 clinicians attending workshop training, 94 (92%) met all training requirements, including minimum competency score criteria. Of 182 patients, 122 (67%) completed treatment. The mixed effects model revealed significant reductions in average patient ISI score (from 19.9 to 10.2, standard error = 3.0). Patients also improved on measures of depression and quality of life. CONCLUSION:National training in and implementation of CBT-I resulted in a significant increase in therapist competency to deliver CBT-I for almost all clinicians and in a large reduction in insomnia severity and improvement in depression and quality of life among veterans. Observed effect sizes are comparable to results of randomized clinical trials. These results suggest CBT-I can be feasibly and effectively disseminated to routine clinical settings, with very favorable patient outcomes.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Karlin BE,Trockel M,Taylor CB,Gimeno J,Manber Rdoi
10.1037/a0032554subject
Has Abstractpub_date
2013-10-01 00:00:00pages
912-917issue
5eissn
0022-006Xissn
1939-2117pii
2013-13036-001journal_volume
81pub_type
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2001-06-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
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更新日期:2015-02-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
doi:10.1037/a0013075
更新日期:2008-12-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.70.1.142
更新日期:2002-02-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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更新日期:2019-03-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
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更新日期:2019-11-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
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更新日期:2010-08-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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更新日期:2003-02-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-10-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.72.2.269
更新日期:2004-04-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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