TY - JOUR
AU - B. J. Arizmendi
AU - J. L. Gress-Smith
AU - C. Krieg
AU - J. Waddell
A1 - 
AB - Utilization of telehealth modalities to provide cognitive and behavioral therapies is rapidly increasing. Limitations to access to care can prohibit individuals from getting the care they need, especially evidence-based treatments. In the U.S., Veterans are a population in great need of accessible and high-quality evidence-based psychotherapy for insomnia, as it often co-occurs with other common syndromes such as depression and PTSD. Cognitive Behavioral Therapy for Insomnia (CBT-I) offers effective treatment for insomnia and can be delivered via telehealth and in a group format to greatly increase availability and accessibility. To date, however, few programs exist offering telehealth-to-home CBT-I, fewer still are offered in a primary care setting, and none to our knowledge are offered in group format. We examine the feasibility and efficacy of a fully telehealth-to-home (TTH) group CBT-I pilot program in primary care and compare primary outcomes to those seen in a face-to-face (F2F) format as well as meta-analytic studies of group CBT-I. Primary endpoints, as typically defined such as sleep efficiency (SE) and scores on the insomnia severity index (ISI) appear comparable to those seen in F2F groups in our clinic, and to outcomes seen in the literature. We discuss challenges and strategies for successful implementation of such a program in integrated primary care to increase access and availability of this evidence-based treatment.
AD - Mayo Clinic Arizona, Scottsdale, AZ, USA.;Phoenix VA Health Care System, Phoenix, AZ, USA.;Arizona State University, Tempe, AZ, USA.
AN - 36625248
BT - J Prim Care Community Health
C5 - HIT & Telehealth; Healthcare Disparities
DA - Jan-Dec
DO - 10.1177/21501319221143722
DP - NLM
JF - J Prim Care Community Health
LA - eng
N2 - Utilization of telehealth modalities to provide cognitive and behavioral therapies is rapidly increasing. Limitations to access to care can prohibit individuals from getting the care they need, especially evidence-based treatments. In the U.S., Veterans are a population in great need of accessible and high-quality evidence-based psychotherapy for insomnia, as it often co-occurs with other common syndromes such as depression and PTSD. Cognitive Behavioral Therapy for Insomnia (CBT-I) offers effective treatment for insomnia and can be delivered via telehealth and in a group format to greatly increase availability and accessibility. To date, however, few programs exist offering telehealth-to-home CBT-I, fewer still are offered in a primary care setting, and none to our knowledge are offered in group format. We examine the feasibility and efficacy of a fully telehealth-to-home (TTH) group CBT-I pilot program in primary care and compare primary outcomes to those seen in a face-to-face (F2F) format as well as meta-analytic studies of group CBT-I. Primary endpoints, as typically defined such as sleep efficiency (SE) and scores on the insomnia severity index (ISI) appear comparable to those seen in F2F groups in our clinic, and to outcomes seen in the literature. We discuss challenges and strategies for successful implementation of such a program in integrated primary care to increase access and availability of this evidence-based treatment.
PY - 2023
SN - 2150-1319 (Print);2150-1319
SP - 21501319221143722
ST - Adapting Group CBT-I for Telehealth-to-Home With Military Veterans in Primary Care
T1 - Adapting Group CBT-I for Telehealth-to-Home With Military Veterans in Primary Care
T2 - J Prim Care Community Health
TI - Adapting Group CBT-I for Telehealth-to-Home With Military Veterans in Primary Care
U1 - HIT & Telehealth; Healthcare Disparities
U3 - 10.1177/21501319221143722
VL - 14
VO - 2150-1319 (Print);2150-1319
Y1 - 2023
ER -