Predictors of Response to Cognitive Behavioural Therapy for Sleep Disturbance and Fatigue After Acquired Brain Injury: A Secondary Analysis of a Randomised Controlled Trial
Archives of Physical Medicine and Rehabilitation,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
Язык: Английский
Understanding participant experiences of cognitive behavioural therapy and health education for sleep disturbance and fatigue after acquired brain injury: a qualitative study
Disability and Rehabilitation,
Год журнала:
2025,
Номер
unknown, С. 1 - 11
Опубликована: Март 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.
Язык: Английский
Clinician perspectives on cognitive behavioral therapy and health education for sleep disturbance and fatigue after acquired brain injury: A qualitative study
Neuropsychological Rehabilitation,
Год журнала:
2025,
Номер
unknown, С. 1 - 24
Опубликована: Апрель 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.
Язык: Английский
Cost-effectiveness of cognitive behavioural therapy versus health education for sleep disturbance and fatigue following stroke and traumatic brain injury
Journal of Rehabilitation Medicine,
Год журнала:
2025,
Номер
57, С. jrm42770 - jrm42770
Опубликована: Апрель 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.
Язык: Английский