Acceptability of Behavioral Treatments for Insomnia

Abstract

Background: Behavioral treatments for insomnia are safe and efficacious but may not be embraced by patients in primary care. Understanding factors associated with acceptability can enhance successful use of these modalities. The objective of this study was to identify demographic and clinical/psychosocial correlates of behavioral insomnia treatment acceptability.Methods: This nonexperimental, inventory-based, cross-sectional study enrolled patients from a hospital-sponsored primary care clinic and 2 urban academic family practices. Participants (n ‫؍‬ 236) were 18 years of age or older who had clinically significant insomnia (Insomnia Severity Index score > 8) and were recruited consecutively at these sites. A study coordinator obtained informed consent then distributed survey materials. Participants received a $10 honorarium. The main outcome measure was the Acceptability Insomnia Treatment Acceptability Scale-Behavioral subscale (ITAS-B).Results

The Insomnia Patient Perspective, A Narrative Review

“…It has been postulated that sequential incorporation of non-pharmacological treatment actually equips insomnia patients with new skills to manage insomnia, facilitating positive behavioral changes that persist after hypnotics have been discontinued (Bélanger, Belleville, & Morin, 2009). Hence even when patients request the initial quick fix solution, physicians should not just assume that these patients would be unreceptive to the long term advantages of non-pharmacological interventions and the benefits of combining the two approaches are apparent (Bluestein, Healey, & Rutledge, 2011). …”

Dissemination of an Internet-Based Treatment for Chronic Insomnia Into Primary Care

“…E-mail: jbeaulac@toh.on.ca and psychological treatments are effective in the short term, but that the latter produces more lasting results (Riemann & Perlis, 2009). Also, problems with sedation, drug dependency and abuse, rebound insomnia, and falls are all potential negative consequences of pharmacotherapy (for review see Bluestein, Healey, & Rutledge, 2011). Primary care patients with insomnia have been shown to have an above-average interest in both CBT-i and pharmacotherapy (Bluestein et al, 2011).…”

Weekly brief phone support in self-help cognitive behavioral therapy for insomnia disorder: Relevance to adherence and efficacy

“…Furthermore, greater acceptance of CBT-I, relative to pharmacological treatment, has been reported; therefore, CBT-I seems to be a better choice (Morin, Gaulier, Barry, & Kowatch, 1992;Morin et al, 1999). However, CBT-I has remained underutilized perhaps due to lack of availability of CBT service and the time-intensive nature of the treatment (Bluestein, Healey, & Rutledge, 2011;Stinson, Tang, & Harvey, 2006).…”