Sleep disturbances, especially insomnia, are common and associated with poor outcomes in children following traumatic brain injury (TBI). Yet, clinical treatment guidelines are lacking. Thus, we developed a manualized cognitive-behavioural programme for treatment of insomnia (CBT-I) in children who sustained TBI. The aim of this study was to determine acceptability, feasibility, and usability of the programme from the service providers' perspective. This observational study used an explanatory mixed-methods design. Fifteen clinicians experienced in working with children, patients with sleep disturbances or brain injuries participated. On review of the treatment programme, clinicians completed an online survey assessing (i) the overall format, aesthetics, and clarity of the programme, and (i) the overall quality of the intervention. Analyses involved descriptive statistics and a thematic analysis. Clinician's ratings indicated a high level of agreement in the acceptability, feasibility, and usability of the programme, ranging from 70.9% (the therapist manual) to 86.9% (the intervention approach). Thematic analysis revealed suggestions that related to the developmental appropriateness, feasibility, and usability of the programme. The findings of our study will be used to modify the CBT-I treatment programme that will be further validated in a feasibility clinical trial involving children aged 6-10 years who sustained TBI.

中文翻译：

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用于治疗遭受创伤性脑损伤的儿童失眠的手动认知行为计划的可接受性、可行性和可用性：服务提供者的观点。

睡眠障碍，尤其是失眠，很常见，并且与创伤性脑损伤 (TBI) 后儿童的不良预后有关。然而，缺乏临床治疗指南。因此，我们开发了一个手动认知行为计划，用于治疗患有 TBI 的儿童的失眠症 (CBT-I)。本研究的目的是从服务提供商的角度确定该程序的可接受性、可行性和可用性。这项观察性研究使用了解释性混合方法设计。15 名在儿童、睡眠障碍或脑损伤患者方面经验丰富的临床医生参加了会议。在审查治疗计划时，临床医生完成了一项在线调查，评估 (i) 计划的整体格式、美观性和清晰度，以及 (i) 干预的整体质量。分析涉及描述性统计和专题分析。临床医生的评级表明该计划的可接受性、可行性和可用性的高度一致，范围从 70.9%（治疗师手册）到 86.9%（干预方法）。专题分析揭示了与该计划的发展适宜性、可行性和可用性相关的建议。我们的研究结果将用于修改 CBT-I 治疗计划，该计划将在一项涉及 6-10 岁 TBI 儿童的可行性临床试验中得到进一步验证。9%（干预方法）。专题分析揭示了与该计划的发展适宜性、可行性和可用性相关的建议。我们的研究结果将用于修改 CBT-I 治疗计划，该计划将在一项涉及 6-10 岁 TBI 儿童的可行性临床试验中得到进一步验证。9%（干预方法）。专题分析揭示了与该计划的发展适宜性、可行性和可用性相关的建议。我们的研究结果将用于修改 CBT-I 治疗计划，该计划将在一项涉及 6-10 岁 TBI 儿童的可行性临床试验中得到进一步验证。