Title : The impact of a self-help integrated psychological intervention program on sleep quality in patients with chronic insomnia: A quasi-experimental study
Abstract:
Objective: The self-service integrated psychological intervention program for patients with chronic insomnia is developed using evidence-based approaches and Delphi expert consultation method. Its application effect in improving the sleep quality of patients with chronic insomnia is evaluated, providing a valuable reference for the care plan of individuals suffering from insomnia.
Methods: This study was conducted in two parts. The first part used an evidence-based approach and Delphi expert consultation to develop a self-help integrated psychological intervention program for chronic insomnia patients. The second part used quasi-experimental research to evaluate the effectiveness of the self-help integrated psychological intervention program.
- The initial intervention program was developed through a comprehensive literature review and evidence-based approach, followed by the selection of eleven experts using purposive sampling. Delphi transitive consultation was then conducted to incorporate the opinions and suggestions of these experts into the final intervention program.
- From May 2024 to July 2024, chronic insomnia patients were recruited from communities using purposive sampling. Participants were randomly assigned to either the control group or the observation group via a lottery method. The observation group received a self-help integrated psychological intervention, while the control group solely completed questionnaires without receiving any intervention. The intervention content included pre-intervention assessment, integrated psychological intervention, and post-intervention evaluation over a period of 6 weeks with interventions taking place six days per week for approximately 6-10 minutes each time. Evaluation tools such as the Pittsburgh Sleep Quality Index Scale, Sleep Personal Beliefs and Attitudes Inventory, and Anxiety and Depression Scale were utilized before intervention, at its conclusion, and three months thereafter; meanwhile basic demographic information was collected only prior to commencement of the intervention.
Results: A total of 1653 literature sources were identified through a comprehensive review and evidence-based approach. Following rigorous screening and quality assessment, 8 high-quality studies were ultimately selected to form the initial framework for the intervention plan in this study. During expert consultations, an integrated psychological intervention was implemented using animated video playback. The final intervention content encompassed various aspects such as modifying sleep-related thoughts, adopting sleep-promoting lifestyle choices, incorporating relaxation therapies, employing strategies to alleviate sleep anxiety by reframing negative thoughts, fostering attitudes and concepts that reduce stress and improve sleep quality, as well as practicing mindfulness techniques to enhance sleep consolidation. The results indicate that the observation group exhibits significantly better improvement in sleep quality, sleep attitudes, and beliefs (P < 0.05).
Audience Take Away:
- How to implement a comprehensive design for psychological intervention.
- The application of network animation in the intervention of patients with chronic insomnia.
