Understanding sleep health challenges of defence shift workers to design a digital, sleep and circadian management tool

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Март 26, 2025

Defence personnel need to be agile and responsive in their assessment of strategic tactical tasks. Sleep circadian disruptions, however, can compromise personnel's readiness. Digital health technologies have the potential provide sleep management advice but designed with active involvement from stakeholders communities. This study explored challenges shift work a cohort defence identify end-user expectations for smartphone application. Eight working Air Traffic Control Australian Force participated 60-70-minute semi-structured online interviews. Informal discussions were also held various determine requirements an app. reported disruptions sleep, family, social life due environmental operational circumstances, such as work, mental load, unplanned schedules. They highly receptive digital intervention emphasised personalised support. Gamification, availability app via forces, high data security recognised key enablers. These insights should serve theoretical foundation further development, co-design, testing tools other worker cohorts, better examine address impacts demands on performance.

Язык: Английский

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Applying therapist-guided digital cognitive behavioral therapy for insomnia in psychiatry: a mixed-methods process evaluation

BMC Psychiatry, Год журнала: 2025, Номер 25(1)

Опубликована: Апрель 28, 2025

Abstract Introduction Insomnia is prevalent, particularly among individuals with mental health complaints. However, Cognitive Behavioral Therapy for (CBT-I), the first-line treatment, underutilized in care settings. This study evaluated a therapist-guided digital CBT-I (i-Sleep), gathering insights from participants and therapists to optimize intervention inform implementation strategies. Methods A mixed-methods process evaluation, guided by RE-AIM framework, was conducted alongside an effectiveness trial. Data were collected i-Sleep clinically relevant insomnia various complaints across all levels, ranging pre-clinical (unattended), those referred general or specialized care. Additionally, data therapists. Results total of 181 (mean age = 46.7 years, SD 13.2) enrolled, attrition rate 21.6%. Participants reported benefits including faster sleep onset, fewer nighttime awakenings, increased daytime energy, positive lifestyle changes, though some experienced minimal gains adverse effects. Satisfaction ranged 7.1 7.3 levels. Post-intervention, 89.4% indicated they would recommend iCBT-I. therapist guidance high (M 7.7–8.3), preferences format frequency varied. Therapists ( n 15, mean experience 0.8 1.1) suggested addressing practical constraints enhancing training better integration into routine Conclusion Our findings highlight feasibility potential iCBT-I improve Universal could offer significant benefits, while adaptable content flexible may meet individual needs. Trial registration Netherlands Register (NL9776) registered on 07/10/2021.

Язык: Английский

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Improving adolescent sleep in long-term Juvenile correctional settings: case examples with clinical, research, and policy implications

SLEEP Advances, Год журнала: 2024, Номер 5(1)

Опубликована: Янв. 1, 2024

Abstract Poor sleep during adolescence is a public health concern that may be especially important to address among youth in juvenile correctional facilities, who tend experience greater mental challenges, substance use disorders, and traumatic stress exposure. However, evidence for addressing settings limited. Using de-identified composite clinical cases, this paper describes challenges opportunities disorders (i.e. insomnia) promoting improving duration, regularity, behaviors) adolescents long-term facilities. These cases highlight common presenting problems underscore the need integrated interventions as well adaptations enhance feasibility efficacy of behavioral treatment promotion contexts. We conclude by summarizing clinical, research, policy implications adolescent well-being these

Язык: Английский

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Treatment effect heterogeneity of cognitive behavioral therapy for insomnia – A meta-analysis

Sleep Medicine Reviews, Год журнала: 2024, Номер 77, С. 101966 - 101966

Опубликована: Июнь 1, 2024

Investigation of the heterogeneity treatment effect (HTE) might guide optimization cognitive behavioral therapy for insomnia (CBT-I). This study examined HTE in CBT-I thereby analyzing if setting, control group, different components, and patient characteristics drive HTE. Randomized controlled trials investigating were included. Bayesian random meta-regressions specified to examine variances between intervention groups regarding post-treatment symptom severity. Subgroup analyses setting covariate analysis components specified. No significant was found overall data set, settings groups. The yielded results baseline severity component relaxation therapy. Thus, this identified potential causes first time, showing that it be worthwhile further possibilities precision medicine CBT-I.

Язык: Английский

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Cognitive behavioural therapy for insomnia: Can we make it work for shift work?

Sleep Medicine Reviews, Год журнала: 2023, Номер 72, С. 101864 - 101864

Опубликована: Окт. 13, 2023

Язык: Английский

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