What Are the Preferred Delivery Modes for Cognitive Behavioral Therapy-Insomnia Treatment Among Adults with Chronic Insomnia Disorder?

Sleep difficulties are one of the most common complaints for adults in primary care and mental health centers. Chronic insomnia is a serious condition that could significantly impact overall health and well-being, as well as personal and social life. Assessing individual receptiveness and preference for cognitive behavioral therapy (CBT)-I treatment delivery mode could increase their utilization of CBT-I, leading to improved patient outcomes and reduced healthcare costs. The purpose of this scholarly project was to determine the receptivity to and delivery preferences for CBT-I among adults with chronic insomnia. The following project question guided this study: Q1 How receptive to and what are the preferred delivery modes (face-to-face, via internet program, or smartphone app) for cognitive behavioral therapy-insomnia (CBT-I) treatment among adults with chronic insomnia disorder? This descriptive, non-experimental evidence-based practice project could describe adults' preferences if they were given options for treatment modalities for their insomnia. The survey used for this scholarly project was the Treatment Acceptability and Preferences measure developed in 2009 by Dr. Souraya Sidani. It was updated to the Treatment Perceptions and Preference measure in 2018. Using the theory of planned behavior as a framework for project development could assist healthcare providers in understanding and assessing an individual's attitudes, perceived behavioral control, and intention to participate in cognitive behavioral therapy for treating insomnia. This approach ultimately aimed to improve sleep outcomes. The data analysis results showed that 20.7% of participants preferred face-to-face CBT-I delivery, 10.3% preferred an internet program and 69% preferred a smartphone app. Providers could improve therapy outcomes for chronic insomnia patients by personalizing CBT-I delivery based on individual receptivity and preferences, thus increasing health equity and access to care.