![]() ![]() For example, recently, a mobile application has been developed to support face-to-face CBT for insomnia in the VA system. Approaches can vary from using digital tools, such as a communication program to give therapy, to the development of mobile applications with components such as sleep diaries, background information, and relaxation exercises to support the treatment. ![]() Here, a therapist or other health professional provides the therapy, and specific digital elements are used to support the therapy. This is the least extensive form of digital involvement in treating insomnia it also comprises the field of telemedicine. ![]() For clinicians and patients wherever they may be to have ready and sustained access to high quality, engaging, and effective CBT, we need both clinical excellence and creative genius, as illustrated in Fig. Consequently, it will not be the provenance, content, validation, or outcome data associated with any particular dCBT program that determines its longevity but its level of execution. The corollary to this, however, is that all forms of dCBT will be perpetually out of date unless they remain at the forefront of digital innovation. There can be little doubt that the pace of change in this digital age will afford unrelenting opportunity for the dissemination of dCBT. computer or internet) that will soon enough be lost in the mists of time. Potentially, technology can bridge that feasibility gap, with digital solutions offering the possibility of true scalability.Īlthough several terms have been used to describe technological advances, for example internet CBT (iCBT), computerized CBT (cCBT), electronic CBT (eCBT), or online CBT (oCBT), we have suggested that the field recognizes and evolves towards the term “digital CBT (dCBT)” to reflect the contemporary spectrum of digital technology, rather than one specific, and most likely historical aspect (e.g. It is in fact a perfectly reasonable ambition to provide CBT to the tens of millions of people who might benefit, considering that CBT’s evidence base is stronger than that of pharmacotherapy-the problem is that providing CBT to a large population is not even remotely feasible using traditional methods of dissemination. However, they are by no stretch sufficient if our ambition is to make CBT as ubiquitous as pharmacotherapy. These methods reflect attempts at “scaling” CBT to meet the population need. ![]() It also has been demonstrated that CBT can be provided successfully as a group therapy, in large workshops, as a self-help bibliotherapy, or by telephone. Similar to the dissemination of conventional CBT, the dissemination of dCBT remains limited.ĬBT has traditionally been a face-to-face talking therapy, delivered in a direct one-to-one relationship between patient and therapist. However, CBT for insomnia, in whichever form, still faces a lot of challenges such as costs and scalability. Undoubtedly, therefore, the evidence base has substantially increased. Correspondingly, perhaps the 5-year period ending in December 2016 saw a substantial increase in published papers, with approximately one paper featuring digital CBT (dCBT) for insomnia published per month, whereas less than a handful of articles were published prior to 2012. These are of particular interest to the insomnia field because CBT has emerged as the recommended first-line therapy for insomnia. Over the past decade, digital solutions, for example via web and mobile devices, have been developed to support the dissemination of Cognitive Behavioral Therapy (CBT). Also look out for the accompanying app, Insomnia Coach, which is well worth checking out for further sleep advice and strategies.The ubiquitous nature of web and smartphone technology has changed our lives in every way imaginable, including offering new approaches to the evaluation and treatment of many disorders. However, do take care to download the correct edition, as the US Department of Veterans Affairs has a second app, CBT-i Explorer, which requires a code from a healthcare provider. With so much content offered for free, it’s difficult to justify paying for any other app. The Learn tab contains an extensive catalog of articles written by sleep experts and just about all the information you could ever need. It also contains reminder tools for all the factors that might help to improve your bedtime rituals, such as when to stop caffeine, wind down, and go to bed. Although principally designed for use alongside help from a healthcare professional, you can use it without assistance.ĬBT-i Coach provides a comprehensive guide to developing positive sleep routines and gives you a helpful sleep tracker. Designed for veterans and military service members, the US Department for Veterans Affairs provides this CBT-i app for free to help anyone who has insomnia. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |