Abstract:
INTRODUCTION:Chronic insomnia is a common and debilitating disease that increases risk for significant morbidity and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment, but there is a critical lack of behavioral health providers trained in CBT-I because, in part, of a bottleneck in training availability and costs. The current project developed and evaluated a web-based provider training course for CBT-I: CBTIweb.org. MATERIALS AND METHODS:Subject matter experts developed the content for CBTIweb.org. Then, trainees completed alpha testing (n = 24) and focus groups, and the site was improved. Next, licensed behavioral health providers and trainees completed beta testing (n = 41) and the site underwent another round of modifications. Finally, to compare CBTIweb.org to an in-person workshop, licensed behavioral health providers were randomly assigned to CBTIweb.org (n = 21) or an in-person workshop (n = 23). All participants were CBT-I naïve and completed the following assessments: Computer System Usability Questionnaire, Website Usability Satisfaction Questionnaire, Website Content Satisfaction Questionnaire, and Continuing Education knowledge acquisition questionnaires. RESULTS:Alpha and beta testers of CBTIweb.org reported high levels of usability and satisfaction with the site and showed significant within-group knowledge acquisition. In the pilot comparison study, linear fixed-effects modeling on the pre-/postquestionnaires revealed a significant main effect for time, indicating a significant increase in knowledge acquisition from 69% correct at baseline to 92% correct at posttraining collapsed across in-person and CBTIweb.org groups. The interaction effect of Time by Condition was nonsignificant, indicating equivalence in knowledge gains across both groups. CONCLUSION:CBTIweb.org appears to be an engaging, interactive, and concise provider training that can be easily navigated by its users and produce significant knowledge gains that are equivalent to traditional in-person workshops. CBTIweb.org will allow for worldwide dissemination of CBT-I to any English-speaking behavioral health providers. Future research will work on translating this training to other languages and extending this web-based platform to the treatment of other sleep disorders (e.g., nightmares) and populations (e.g., pediatric populations with insomnia).
journal_name
Mil Medjournal_title
Military medicineauthors
Taylor DJ,Dietch JR,Pruiksma K,Calhoun CD,Milanak ME,Wardle-Pinkston S,Rheingold AA,Ruggiero KJ,Bunnell BE,Wilkerson AKdoi
10.1093/milmed/usaa359subject
Has Abstractpub_date
2021-01-25 00:00:00pages
230-238issue
Suppl 1eissn
0026-4075issn
1930-613Xpii
6119487journal_volume
186pub_type
杂志文章abstract::Cutaneous leishmaniasis typically presents as a painless papule progressing to an ulcer or plaque. In this case study of the ear, the disease manifested as a small painful bump progressing into redness and swelling about the ear with purulent drainage. After multiple oral/intravenous antipseudomonal, antistaphylococca...
journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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doi:
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journal_title:Military medicine
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doi:
更新日期:2002-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
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journal_title:Military medicine
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doi:
更新日期:2002-03-01 00:00:00
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journal_title:Military medicine
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doi:
更新日期:2002-11-01 00:00:00
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journal_title:Military medicine
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