Alexander Sweetman1, Nicholas A Zwar2, Nicole Grivell3, Nicole Lovato4, Leon Lack5. 1. PhD, Research Associate, Adelaide Institute for Sleep Health (AISH): A Centre of Research Excellence, College of Medicine and Public Health, Flinders University, SA; Research Associate, National Centre for Sleep Health Services Research (NCSHSR): An NHMRC Centre of Research Excellence, Flinders University, SA. 2. MBBS, MPH, PhD, FRACGP, Executive Dean, Faculty of Health Sciences and Medicine, Bond University, Qld; Conjoint Professor of General Practice, School of Public Health and Community Medicine, The University of New South Wales, NSW. 3. AISH, College of Medicine and Public Health, Flinders University, SA; NCSHSR, Flinders University, SA. 4. PhD, Senior Research Fellow, AISH, College of Medicine and Public Health, Flinders University, SA; Senior Research Fellow, NCSHSR, Flinders University, SA. 5. PhD, Senior Researcher, AISH, College of Education, Psychology and Social Work, Flinders University, SA; Senior Researcher, NCSHSR, Flinders University, SA.
Abstract
BACKGROUND: Chronic insomnia is a prevalent and debilitating disorder managed in Australian general practice. The most effective and recommended first-line treatment for insomnia is cognitive behavioural therapy. This treatment has been translated to a condensed brief behavioural therapy for insomnia (BBTi), which is suitable for delivery in the general practice setting. There is evidence that BBTi improves insomnia, daytime functioning and quality of life, with effects persisting far beyond treatment cessation. BBTi appears to be a cost-effective treatment that is superior to sedative-hypnotic management. OBJECTIVE: The aim of this article is to present a step-by-step approach for Australian general practitioners to administer BBTi. DISCUSSION: BBTi is an effective treatment for insomnia that may be administered in the Australian general practice setting. General practitioners may choose to use existing funding support to administer BBTi to treat chronic insomnia according to guideline recommendations.
BACKGROUND:Chronic insomnia is a prevalent and debilitating disorder managed in Australian general practice. The most effective and recommended first-line treatment for insomnia is cognitive behavioural therapy. This treatment has been translated to a condensed brief behavioural therapy for insomnia (BBTi), which is suitable for delivery in the general practice setting. There is evidence that BBTi improves insomnia, daytime functioning and quality of life, with effects persisting far beyond treatment cessation. BBTi appears to be a cost-effective treatment that is superior to sedative-hypnotic management. OBJECTIVE: The aim of this article is to present a step-by-step approach for Australian general practitioners to administer BBTi. DISCUSSION: BBTi is an effective treatment for insomnia that may be administered in the Australian general practice setting. General practitioners may choose to use existing funding support to administer BBTi to treat chronic insomnia according to guideline recommendations.
Authors: David McBride; Ariyapala Samaranayaka; Amy Richardson; Dianne Gardner; Daniel Shepherd; Emma Wyeth; Brandon de Graaf; Sarah Derrett Journal: BMJ Open Date: 2022-05-25 Impact factor: 3.006
Authors: Jenny Haycock; Nicole Grivell; Elizabeth Hoon; Anne Redman; Bandana Saini; Andrew Vakulin; Leon Lack; Nicole Lovato; Alexander Sweetman; Nicholas Zwar; Nigel Stocks; Oliver Frank; Sutapa Mukherjee; Robert Adams; R Doug McEvoy Journal: BMC Fam Pract Date: 2021-07-22 Impact factor: 2.497