Disseminating sleep education to graduate psychology programs online: A knowledge translation study to improve the management of insomnia

Abstract

Study objectives: Despite the negative impact of poor sleep on mental health, evidence-based insomnia management guidelines have not been translated into routine mental healthcare. Here, we evaluate a state-wide knowledge translation effort to disseminate sleep and insomnia education to graduate psychology programs online using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance evaluation framework. Methods: Using a non-randomized waitlist control design, graduate psychology students attended a validated six-hour online sleep education workshop delivered as part of their graduate psychology program in Victoria, Australia. Sleep knowledge, attitudes, and practice assessments were conducted pre- and post-program, with long-term feedback collected at 12 months. Results: Seven out of ten graduate psychology programs adopted the workshop (adoption rate = 70%). The workshop reached 313 graduate students, with a research participation rate of 81%. The workshop was effective at improving students sleep knowledge and self-efficacy to manage sleep disturbances using Cognitive Behavioral Therapy for Insomnia (CBT-I), compared to the waitlist control with medium-to-large effect sizes (all p <.001). Implementation feedback was positive, with 96% of students rating the workshop as very good-to-excellent. Twelve-month maintenance data demonstrated that 83% of students had used the sleep knowledge/skills learned in the workshop in their clinical practice. However, more practical training is required to achieve CBT-I competency. Conclusion: Online sleep education workshops can be scaled to deliver cost-effective foundational sleep training to graduate psychology students. This workshop will accelerate the translation of insomnia management guidelines into psychology practice to improve sleep and mental health outcomes nationwide.

Examining the barriers and recommendations for integrating more equitable insomnia treatment options in primary care

“…In other words, more people should be able to deliver CBT-I-like interventions. Meaklim et al (2023) recently provided an example of how this type of training could be disseminated more broadly. Ideally, all providers would either know how to deliver behavioral sleep interventions, where to refer people, or what resources to provide them.…”