Developing and Testing a Web-Based Provider Training for Cognitive Behavioral Therapy of Insomnia.

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 Med

journal_title

Military medicine

authors

Taylor DJ,Dietch JR,Pruiksma K,Calhoun CD,Milanak ME,Wardle-Pinkston S,Rheingold AA,Ruggiero KJ,Bunnell BE,Wilkerson AK

doi

10.1093/milmed/usaa359

subject

Has Abstract

pub_date

2021-01-25 00:00:00

pages

230-238

issue

Suppl 1

eissn

0026-4075

issn

1930-613X

pii

6119487

journal_volume

186

pub_type

杂志文章
  • A Case of Cutaneous Leishmaniasis guyanensis Mimicking Otitis Externa.

    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

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-17-00054

    authors: Goodrich ES,Sears SC,Sorrells T,Radike JK,Miladi A,Glass JS

    更新日期:2017-07-01 00:00:00

  • A retrospective study evaluating the use of the panoramic radiograph in endodontics.

    abstract::Patients are referred to the endodontist to have root canal therapy performed to treat pulpal and periradicular diseases. Routinely, the only radiograph to accompany the patient is the periapical radiograph. This radiograph is inadequate in the detection of asymptomatic pathosis that may be present in other areas of t...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Bodey TE,Loushine RJ,West LA

    更新日期:2003-07-01 00:00:00

  • Efficacy of Hemostatic Gauzes in a Swine Model of Prolonged Field Care with Limb Movement.

    abstract:INTRODUCTION:Prolonged field care for junctional wounds is challenging and involves limb movement to facilitate transport. No studies to date have explored the efficacy of gauze products to limit rebleeding in these scenarios. MATERIALS AND METHODS:We randomly assigned 48 swine to QuikClot Combat Gauze, ChitoGauze, Nu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa403

    authors: Landers GD,Townsend C,Gaspary M,Kachur R,Thorne B,Stuart S,Henao J,Zarow GJ,Natarajan R,Boboc M

    更新日期:2021-01-25 00:00:00

  • Predictors of students' success in the Air Force School of Health Care Sciences.

    abstract::This study assessed the predictors for students' success in the 882d Training Group's (Air Force School of Health Care Sciences) allied health courses at Sheppard Air Force Base, Texas. Correlation and regression analyses provided many predictors of students' success. From these predictors, the researchers ascertained...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Porter RD,Buckingham RS,Vroonland JE

    更新日期:1998-01-01 00:00:00

  • The beneficial relationship of the colocation of orthopedics and physical therapy in a deployed setting: Operation Iraqi Freedom.

    abstract::In a deployment setting, orthopedic and musculoskeletal injuries represent the majority of both combat-related and noncombat-related injuries. To expeditiously and efficiently manage the large influx of patients, our experience revealed the tremendous benefits of having physical therapy colocated with an orthopedic su...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.171.3.220

    authors: Davis S,Machen MS,Chang L

    更新日期:2006-03-01 00:00:00

  • Service Member Completion of Laboratory Follow-Up After Emergency Transfusion With Freshly Collected Blood Products.

    abstract:BACKGROUND:Transfusion of freshly collected blood products (FCBP) is sometimes necessary to save service member (SM) lives in austere deployed environments. Recipients of FCBPs are administratively tracked and offered serial serologic testing via the Armed Services Blood Program "Blood Look Back" (BLB) program to assur...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00512

    authors: Johnson LA,Ballard TP,Kania M

    更新日期:2016-09-01 00:00:00

  • The role of transvaginal ultrasound in a referral military hospital.

    abstract::In an attempt to overcome some of the difficulties encountered with transabdominal ultrasonography we report on 55 patients who underwent 88 transvaginally directed sonograms. In 24 patients in whom a diagnosis of an early intrauterine pregnancy was made, the mean crow-rump length (CRL) was 10.7 mm (range, 3 to 27). I...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Smith CV,Hoskins IA,Eglinton GS

    更新日期:1990-07-01 00:00:00

  • Maternal coping adaptations, social support, and transition difficulties to parenthood of first-time civilian and military mothers.

    abstract::There is little research on whether the transient nature of the military family contributes to transition difficulty to parenthood or to the type of social supports utilized. Data were collected by mailed survey from a convenience sample of military and civilian mothers at 3 months after delivery. No significant diffe...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Splonskowski JM,Twiss JJ

    更新日期:1995-01-01 00:00:00

  • Is poor sleep in veterans a function of post-traumatic stress disorder?

    abstract::Substantial research has demonstrated an association between post-traumatic stress disorder (PTSD) and quality of sleep, particularly in veteran populations. The exact nature of this relationship, however, is not clear. The possibility that poor sleep is a more general experience among veterans has not been explored t...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-04-0208

    authors: Lewis V,Creamer M,Failla S

    更新日期:2009-09-01 00:00:00

  • An outbreak of tuberculosis in a bacillus Calmette-guérin-vaccinated military population.

    abstract::The purpose of this study was to investigate an outbreak of tuberculosis (TB) in a bacillus Calmette-Guérin-vaccinated military population and propose an appropriate method of control. We divided 593 subjects into "close contacts" and "non-close contacts" of an index case and examined all subjects by chest X-radiograp...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.173.4.388

    authors: Lin JC,Lin TY,Perng WC,Mai CS,Chen YH,Ku CH,Chang FY

    更新日期:2008-04-01 00:00:00

  • Establishing a Joint Theater Trauma System During Phase Zero Operations.

    abstract:OBJECTIVES:Military personnel risk injury due to accidents, disasters, and military threats during Phase Zero "shaping" operations. Medical facilities must be poised to respond. METHODS:The U.S. Pacific Command (PACOM) Area of Responsibility (AOR) covers more than 50% of the earth's surface; relevant Clinical Practice...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00167

    authors: Walker JJ,Stockinger ZT,Chinn CG

    更新日期:2017-03-01 00:00:00

  • Comparison of three strategies for preventing hypothermia in critically injured casualties during aeromedical evacuation.

    abstract::Critically injured patients are at risk for hypothermia. This study determined the efficacy of three hypothermia prevention strategies: the ChillBuster warming blanket, ChillBuster with a reflective blanket, and two wool blankets. A quasi-experimental design was used to compare changes in core temperature. Following r...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.172.3.322

    authors: Schmelz JO,Bridges EJ,Wallace CM,Sanders SF,Shaw T,Kester N,Bauer S,Sylvester JC

    更新日期:2007-03-01 00:00:00

  • Relative risks for squamous intraepithelial lesions detected by the Papanicolaou test among Air Force and Army beneficiaries of the Military Health Care System.

    abstract::Squamous cell carcinoma of the uterine cervix typically has a curable precancerous phase of 5 to 10 years, during which the Papanicolaou (Pap) test can often detect characteristic cytologic features. The records of 126,024 Pap tests from January 1994 through June 1999 were reviewed. The distribution of cervical dyspla...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Ollayos CW,Peterson M

    更新日期:2002-09-01 00:00:00

  • SARS-CoV-2 Among Military and Civilian Patients, Metro Manila, Philippines.

    abstract:INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) belonging to the family Coronaviridae and genus Betacoronavirus is the causative agent of COVID-19 disease and was first identified in Wuhan, China. SARS-CoV-2 spread globally with >28 million cases and 911,000 deaths recorded worldwide as of Sep...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa525

    authors: Velasco JM,Navarro FC,Diones PC,Villa V,Valderama MT,Tabinas H,Chua D,Rosa RD,Turao-Agoncillo MM,Timbol JC,Leonardia S,Timbol ML,Klungthong C,Chinnawirotpisan P,Joonlasak K,Manasatienkij W,Huang A,Jones A,Fernandez S

    更新日期:2020-11-30 00:00:00

  • Immunological alterations used to predict infections in response to strenuous physical training.

    abstract::The aim of this study was to screen leukocyte cell surface markers to identify possible predictors for infection related to physical training. Ten healthy soldiers (mean age, 19.1; mean body mass, 77.4 kg; mean VO2 peak, 4.54 L min(-1)/58.6 mL min(-1) kg(-1)) were included. Blood samples were collected and number of i...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00427

    authors: Ekblom O,Ekblom B,Malm C

    更新日期:2011-07-01 00:00:00

  • Military gunshot wound-induced spinal cord injuries.

    abstract::Gunshot wounds are the second leading cause of spinal cord injuries in developed countries, whereas in undeveloped and developing countries, this likelihood is much more. However, the weapon and injury characteristics are very different between those two groups of countries. The aim of this study was to review our exp...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Alaca R,Yilmaz B,Goktepe AS,Yazicioglu K,Gunduz S

    更新日期:2002-11-01 00:00:00

  • Listening to the Patient: Women Veterans' Insights About Health Care Needs, Access, and Quality in Rural Areas.

    abstract:OBJECTIVES:Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00367

    authors: Brooks E,Dailey NK,Bair BD,Shore JH

    更新日期:2016-09-01 00:00:00

  • An epidemiological survey of Clostridium perfringens-associated enterotoxemia at an army veterinary treatment facility.

    abstract::The purpose of this study was to determine the incidence of Clostridium perfringens-associated vomiting and diarrhea in canine and feline patients at the Okinawa Branch Veterinary Service and to establish a relationship between dietary indiscretion and the presence of clostridial enterotoxemia. Stool samples were obta...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Cassutto BH,Cook LC

    更新日期:2002-03-01 00:00:00

  • Work stress in the military: prevalence, causes, and relationship to emotional health.

    abstract:OBJECTIVE:This study examined the prevalence and sources of occupational stress for military personnel and the relationship between work stress and emotional health in the military population. METHODS:Four hundred seventy-two active duty military personnel stationed at F. E. Warren Air Force Base completed a 65-item s...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Pflanz S,Sonnek S

    更新日期:2002-11-01 00:00:00

  • Association of 25-OH Vitamin D Status with Findings on Screening Colonoscopy.

    abstract:Objectives:Greater serum levels and dietary intake of vitamin D have been inversely associated with the risk of multiple cancers including colon cancer. Most colorectal cancers are thought to arise from adenomatous polyps, which become dysplastic under the influence of numerous factors. Prospective data are needed to d...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx152

    authors: Bryce C

    更新日期:2018-03-01 00:00:00

  • Susceptibility to maladaptive responses to stress in basic military training based on variants of temperament and character.

    abstract::The purpose of this study was to compare the relationship of Temperament and Character Inventory (TCI) scores of three groups of U.S. Air Force basic trainees. The following groups were used: those who were psychiatrically hospitalized, a control group, and a group identified as being at risk for early separation from...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Elsass WP,Fiedler E,Skop B,Hill H

    更新日期:2001-10-01 00:00:00

  • A NATO guide for assessing deployability for military personnel with chronic medical conditions: medical fitness for expeditionary missions, Task Group 174, Human Factors, and Medicine Panel.

    abstract:BACKGROUND:Each time a deployed military member has an exacerbation of a pre-existing chronic disease there is a potential risk to mission success, individual health, and the safety of the unit. Currently, North Atlantic Treaty Organization (NATO) member nations employ different approaches to assessing an individual's ...

    journal_title:Military medicine

    pub_type: 杂志文章,实务指引

    doi:10.7205/MILMED-D-14-00113

    authors: Russell R,Reid A,Borgers G,Wassink H,Grove A,Niebuhr DW,North Atlantic Treaty Organization.

    更新日期:2014-12-01 00:00:00

  • Occult inguinal hernia, a cause of rapid onset of penile and scrotal edema in patients on chronic peritoneal dialysis.

    abstract::From 1976 to 1993 we inserted 160 chronic peritoneal dialysis catheters for renal failure patients. Three of these patients developed sudden onset of penile and scrotal edema after the catheter had been in place for several months. The first patient was diagnosed by instilling technetium sulfur colloid in the peritone...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Deshmukh N,Kjellberg SI,Shaw PM

    更新日期:1995-11-01 00:00:00

  • Factors Concerning Veterans With Dementia, Their Caregivers, and Coordination of Care: A Systematic Literature Review.

    abstract:INTRODUCTION:Military veterans diagnosed with dementia compose a large portion of our population. Often ignored are their caregivers and their plight as well as the availability, quality, and accessibility of health care for this demographic. The purpose of this systematic literature review is three fold: to identify o...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-16-00396

    authors: Mileski M,Scott Kruse C,Brooks M,Haynes C,Collingwood Y,Rodriguez R

    更新日期:2017-11-01 00:00:00

  • Intravenous angiocatheters as a novel alternative to Semmes-Weinstein monofilament evaluation in testing protective sensation.

    abstract::Semmes-Weinstein monofilament (SWM) evaluation for protective sensation in diabetic feet is a widely used tool to guide patient care. Little evidence is available for alternative testing modalities for use when monofilament is not available or is deformed. Multiple varieties of intravenous angiocatheter tubing were su...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00423

    authors: Hire JM,Ramadorai UE,Contractor D,Jacobs JM,Bojescul JA,Abell BE

    更新日期:2014-04-01 00:00:00

  • Prevalence of Use and Perceptions of Electronic Smoking Devices in a US Army Infantry Division.

    abstract:Introduction:The increasing interest in electronic smoking devices (ESDs) among consumers shows promise for ESDs as a less harmful alternative for smoking and possibly for smoking cessation. Limited data on prevalence of ESD use in the military are available and data on perceptions of ESD use have not yet been publishe...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx024

    authors: Chin J,Lustik MB,Pflipsen M

    更新日期:2018-01-01 00:00:00

  • Outcomes Following Multilevel Cervical Disc Arthroplasty in the Young Active Population.

    abstract:BACKGROUND:Cervical radiculopathy is a common disorder that portends significant morbidity. The presence of radiculopathy can have a debilitating effect on patients as well as a significant economic impact. Active duty military patients with increased physical occupational demands can be significantly impacted by cervi...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00085

    authors: Zarkadis NJ,Cleveland AW,Kusnezov NA,Dunn JC,Caram PM,Herzog JP

    更新日期:2017-03-01 00:00:00

  • Symptomatic lumbar osteochondroma treated via a multidisciplinary military surgical team: case report and review of the literature.

    abstract::The authors describe the case of a giant osteochondroma emanating from the L5 vertebral body and extending into the retroperitoneum of a 40-year-old man, causing low back pain. Osteochondromas are benign bony tumors that typically occur within the appendicular skeleton, although in the sporadic form, up to 4% occur in...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-14-00239

    authors: Rymarczuk GN,Dirks MS,Whittaker DR,Neal CJ

    更新日期:2015-01-01 00:00:00

  • The treatment of infected tibial nonunion with aggressive debridement and internal bone transport.

    abstract::Tibial nonunions are a challenging situation for both healing and reconstruction when infection is added. In this retrospective study, we discuss the cases in which we had managed to obtain union by aggressive debridement, circular external fixature, and internal bone transport. Fourteen cases had been treated between...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Atesalp AS,Komurcu M,Basbozkurt M,Kurklu M

    更新日期:2002-12-01 00:00:00

  • Navy health care provider attitudes and practices concerning patient tobacco use.

    abstract::This study surveyed 2,287 U.S. Navy health care providers (HCPs) regarding patient-care practices and attitudes related to tobacco use. Almost 80% of HCPs reported that they usually asked new patients about tobacco use. Of 11 recommended practices, two-thirds to three-quarters of HCPs engaged in only 4 behaviors with ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Conway TL,Hurtado SL,Woodruff SI

    更新日期:1996-09-01 00:00:00