ABSTRACT

Insomnia is common but severely underreported and undertreated. One possible reason for this problem is the lack of providers in cognitive behavioral therapy for insomnia (CBT-I). To address this we created CBTIweb.org, an online training platform for providers to learn the basics of sleep, assessing insomnia, and CBT-I. The present study assessed the reach of CBTIweb by examining engagement, knowledge acquisition, and perceived acceptability. Participants who registered for CBTIweb self-reported their practice setting and personal characteristics (i.e. degree, profession, licensure status). Knowledge acquisition was assessed with pre- and post-tests, and provider acceptability was assessed via a survey. In the first three months after launching CBTIweb, 2586 providers registered and 624 of these completed the training within three months of registering. Chi-square tests of independence revealed no differences in completion rates by education or profession, though trainees were more likely to initiate and complete treatment than licensed providers. Paired t tests revealed significant knowledge acquisition, and most providers positively rated the website navigation, content, aesthetics, and understanding of core CBT-I skills. This study demonstrated CBTIweb is an effective platform for training health professionals to be minimally proficient in the gold standard treatment for insomnia disorder.

摘要

失眠很常见，但严重低估和治疗不足。这个问题的一个可能原因是缺乏认知行为治疗失眠症（CBT-I）的提供者。为了解决这个问题，我们创建了 CBTIweb.org，这是一个在线培训平台，供提供者学习睡眠、评估失眠和 CBT-I 的基础知识。本研究通过检查参与度、知识获取和感知可接受性来评估 CBTIweb 的覆盖范围。注册 CBTIweb 的参与者自我报告了他们的实践环境和个人特征（即学位、专业、执照状态）。通过前测和后测评估知识获取，并通过调查评估提供者的可接受性。在 CBTIweb 推出后的前三个月，2586 家提供者注册，其中 624 家在注册后三个月内完成了培训。独立性卡方检验显示，教育或职业的完成率没有差异，尽管受训者比有执照的提供者更有可能开始和完成治疗。配对t测试显示了重要的知识获取，大多数提供者对网站导航、内容、美学和对核心 CBT-I 技能的理解给予了积极评价。这项研究表明 CBTIweb 是一个有效的平台，可以培训卫生专业人员以最低限度地精通失眠症的黄金标准治疗。