Effectiveness and cost-effectiveness of an educational intervention for practice teams to deliver problem focused therapy for insomnia: rationale and design of a pilot cluster randomised trial
2009

Educational Intervention for Insomnia Management in Primary Care

Sample size: 80 publication Evidence: moderate

Author Information

Author(s): Siriwardena A Niroshan, Apekey Tanefa, Tilling Michelle, Harrison Andrew, Dyas Jane V, Middleton Hugh C, Ørner Roderick, Sach Tracey, Dewey Michael, Qureshi Zubair M

Primary Institution: University of Lincoln

Hypothesis

Education for primary care teams in problem focused therapy for patients presenting to primary care with insomnia leads to better sleep outcomes for patients compared to treatment as usual with sleep hygiene up to 3 months from the beginning of treatment.

Conclusion

The study aims to evaluate whether an educational intervention can improve sleep management and outcomes for patients with insomnia in primary care.

Supporting Evidence

  • Sleep problems affect over a third of adults in the UK.
  • Drug treatments for insomnia are often ineffective long term.
  • Psychological methods like cognitive behavioural therapy for insomnia have shown effectiveness but are underutilized.

Takeaway

This study is trying to see if teaching doctors and nurses better ways to help people sleep can make a difference for those who have trouble sleeping.

Methodology

Pilot cluster randomised controlled trial comparing an educational intervention for problem focused therapy against usual care in primary care settings.

Potential Biases

Potential bias in patient selection and recruitment due to non-blinding of practices and patients to the intervention.

Limitations

The pilot study may not fully represent the outcomes of a larger definitive trial due to its smaller scale and limited practices involved.

Participant Demographics

Adults aged 18 years and over with primary or specific secondary insomnia.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-10-9

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