Clinician perspectives on cognitive behavioral therapy and health education for sleep disturbance and fatigue after acquired brain injury: A qualitative study DOI Creative Commons
Jai Carmichael, Lucy Ymer, Jennie Ponsford

et al.

Neuropsychological Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 24

Published: April 7, 2025

Sleep disturbance and fatigue are persistent, clinically significant problems for many with acquired brain injury (ABI). A recent randomized controlled trial (RCT) demonstrated that cognitive behavioral therapy tailored post-ABI sleep (CBT-SF) produced larger faster effects compared to an active health education (HE) control intervention. The current study aimed qualitatively explore the perspectives of six clinicians, all clinical neuropsychologists, who delivered CBT-SF HE interventions 126 individuals ABI in RCT. One-on-one semi-structured interviews were conducted, transcripts analyzed using reflexive thematic analysis. Seven themes generated, encompassing client-related factors (Client Awareness Readiness as Precursors Engagement Navigating Client Differences Throughout Treatment) clinician-related influenced treatment delivery (Building on Pre-Existing Expertise Strengths Challenges Delivering a Manualized Intervention), well other directly related itself (Challenges Successes Relating Engagement, CBT Strategies That Work, Practical Considerations Treatment Delivery). findings reinforce value psychoeducation cognitive-behavioral strategies managing after ABI. They also provide valuable insights guide translation from RCT real-world practice.

Language: Английский

Clinician perspectives on cognitive behavioral therapy and health education for sleep disturbance and fatigue after acquired brain injury: A qualitative study DOI Creative Commons
Jai Carmichael, Lucy Ymer, Jennie Ponsford

et al.

Neuropsychological Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 24

Published: April 7, 2025

Sleep disturbance and fatigue are persistent, clinically significant problems for many with acquired brain injury (ABI). A recent randomized controlled trial (RCT) demonstrated that cognitive behavioral therapy tailored post-ABI sleep (CBT-SF) produced larger faster effects compared to an active health education (HE) control intervention. The current study aimed qualitatively explore the perspectives of six clinicians, all clinical neuropsychologists, who delivered CBT-SF HE interventions 126 individuals ABI in RCT. One-on-one semi-structured interviews were conducted, transcripts analyzed using reflexive thematic analysis. Seven themes generated, encompassing client-related factors (Client Awareness Readiness as Precursors Engagement Navigating Client Differences Throughout Treatment) clinician-related influenced treatment delivery (Building on Pre-Existing Expertise Strengths Challenges Delivering a Manualized Intervention), well other directly related itself (Challenges Successes Relating Engagement, CBT Strategies That Work, Practical Considerations Treatment Delivery). findings reinforce value psychoeducation cognitive-behavioral strategies managing after ABI. They also provide valuable insights guide translation from RCT real-world practice.

Language: Английский

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