Cost-effectiveness of cognitive behavioural therapy versus health education for sleep disturbance and fatigue following stroke and traumatic brain injury DOI Creative Commons
Duncan Mortimer, Lucy Ymer, Adam McKay

et al.

Journal of Rehabilitation Medicine, Journal Year: 2025, Volume and Issue: 57, P. jrm42770 - jrm42770

Published: April 24, 2025

Objective: Evaluate cost, effectiveness and cost-effectiveness of cognitive behavioural therapy for sleep fatigue (CBT-SF) vs health education (HE) CBT-SF treatment as usual (TAU) disturbance in acquired brain injury. Design: Economic evaluation from Australian system societal perspectives based on data a June 2017 to October 2023 randomized controlled trial. Subjects: Community-dwelling adults with following injury (n = 126). Methods: Incremental costs cost delivery service utilization since last follow-up. participant-reported quality, fatigue, quality life at each timepoint. Productivity gains/lossesbased 1-week activity diary Results: Reductions (–A$777, 95% CI: –A$4,232, A$2,678) offset higher (A$333, A$109, A$556) relative HE, improvements 2 months post-treatment (0.02, –0.01, 0.05) an additional 3.37 quality-adjusted days per participant (95% –4.18, 10.92). dominates HE (less costly more effective) is likely cost-effective than (66–76%). TAU under realistic assumptions. Conclusions: after improved clinical economic outcomes was be HE. Further research required precisely estimate the demonstrate generalizability routine practice other settings. ANZCTR Trial registration numbers: 1261700087830; 12617000879369.

Language: Английский

Predictors of Response to Cognitive Behavioural Therapy for Sleep Disturbance and Fatigue After Acquired Brain Injury: A Secondary Analysis of a Randomised Controlled Trial DOI
Lucy Ymer, Adam McKay, Dana Wong

et al.

Archives of Physical Medicine and Rehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

1
Understanding participant experiences of cognitive behavioural 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.

Disability and Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 11

Published: March 29, 2025

Purpose A recent randomised controlled trial demonstrated the efficacy of a cognitive behavioural therapy intervention for sleep disturbance and fatigue (CBT-SF) after acquired brain injury (ABI), leading to more rapid improvement than an active health education (HE) control intervention. This study qualitatively examined participants' experiences receiving CBT-SF HE interventions.

Language: Английский

Citations

1
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

Citations

0
Cost-effectiveness of cognitive behavioural therapy versus health education for sleep disturbance and fatigue following stroke and traumatic brain injury DOI Creative Commons
Duncan Mortimer, Lucy Ymer, Adam McKay

et al.

Journal of Rehabilitation Medicine, Journal Year: 2025, Volume and Issue: 57, P. jrm42770 - jrm42770

Published: April 24, 2025

Objective: Evaluate cost, effectiveness and cost-effectiveness of cognitive behavioural therapy for sleep fatigue (CBT-SF) vs health education (HE) CBT-SF treatment as usual (TAU) disturbance in acquired brain injury. Design: Economic evaluation from Australian system societal perspectives based on data a June 2017 to October 2023 randomized controlled trial. Subjects: Community-dwelling adults with following injury (n = 126). Methods: Incremental costs cost delivery service utilization since last follow-up. participant-reported quality, fatigue, quality life at each timepoint. Productivity gains/lossesbased 1-week activity diary Results: Reductions (–A$777, 95% CI: –A$4,232, A$2,678) offset higher (A$333, A$109, A$556) relative HE, improvements 2 months post-treatment (0.02, –0.01, 0.05) an additional 3.37 quality-adjusted days per participant (95% –4.18, 10.92). dominates HE (less costly more effective) is likely cost-effective than (66–76%). TAU under realistic assumptions. Conclusions: after improved clinical economic outcomes was be HE. Further research required precisely estimate the demonstrate generalizability routine practice other settings. ANZCTR Trial registration numbers: 1261700087830; 12617000879369.

Language: Английский

Citations

0