{"id":{"repo_id":"arizona-thes","oai_identifier":"oai:repository.arizona.edu:10150/669758"},"canonical_url":"https://search.dev.ndltd.org/etd/arizona-thes/oai:repository.arizona.edu:10150/669758","repository":{"repo_id":"arizona-thes","name":"University of Arizona","base_url":"https://repository.arizona.edu/oai/request"},"display":{"title":"An Educational Intervention to Increase Provider Utilization of Cognitive Behavioral Therapy for Insomnia in a Psychiatric Practice","abstract":"Problem Statement: Chronic insomnia is a highly prevalent condition associated with manynegative physical and mental health outcomes. Despite a large body of evidence supporting the use of cognitive behavioral therapy for insomnia (CBT-I) as a first-line treatment for insomnia, this treatment continues to be underutilized in psychiatric practice. Research indicates that clinician factors, including inadequate knowledge and treatment biases, represent a significant treatment barrier. Purpose: To improve the use of CBT-I skills and resources in the treatment of insomnia in apsychiatric setting through the delivery of an educational intervention addressing clinician knowledge, attitudes, and intention to use CBT-I. Methods: This was a quality improvement project that utilized descriptive quantitative pre- andpost-survey design with a brief educational intervention in the form of a voice-over PowerPoint presentation. All providers at a small psychiatric private practice in Pima County, AZ, were surveyed before and after an educational intervention to assess changes in knowledge, attitude, and intention to use CBT-I in practice. Participants were recruited through informal conversation and email, and all educational materials were delivered to participants through professional email. Data were collected anonymously through Google Forms, a web-based survey platform. Results: All recruited psychiatric providers completed the surveys in their entirety. Prior to the educational intervention providers endorsed varying degrees of knowledge about CBT-I and most characterized their current utilization as neutral to poor. After the educational intervention, all providers endorsed a strong agreement on the perceived benefit of CBT-I and their intention to use this treatment in practice. When asked to identify personal utilization barriers, providers cited time management and perceived resistance from patients. Conclusion: Targeted educational interventions can improve psychiatric provider knowledge,attitude, and intention to use CBT-I in the treatment of insomnia. Despite the positive intention to use CBT-I, providers continue to face systemic barriers to implementation, and more research is needed to understand the unique challenges involved in improving CBT-I treatment uptake in psychiatric settings.","abstract_html":"Problem Statement: Chronic insomnia is a highly prevalent condition associated with manynegative physical and mental health outcomes. Despite a large body of evidence supporting the use of cognitive behavioral therapy for insomnia (CBT-I) as a first-line treatment for insomnia, this treatment continues to be underutilized in psychiatric practice. Research indicates that clinician factors, including inadequate knowledge and treatment biases, represent a significant treatment barrier. Purpose: To improve the use of CBT-I skills and resources in the treatment of insomnia in apsychiatric setting through the delivery of an educational intervention addressing clinician knowledge, attitudes, and intention to use CBT-I. Methods: This was a quality improvement project that utilized descriptive quantitative pre- andpost-survey design with a brief educational intervention in the form of a voice-over PowerPoint presentation. All providers at a small psychiatric private practice in Pima County, AZ, were surveyed before and after an educational intervention to assess changes in knowledge, attitude, and intention to use CBT-I in practice. Participants were recruited through informal conversation and email, and all educational materials were delivered to participants through professional email. Data were collected anonymously through Google Forms, a web-based survey platform. Results: All recruited psychiatric providers completed the surveys in their entirety. Prior to the educational intervention providers endorsed varying degrees of knowledge about CBT-I and most characterized their current utilization as neutral to poor. After the educational intervention, all providers endorsed a strong agreement on the perceived benefit of CBT-I and their intention to use this treatment in practice. When asked to identify personal utilization barriers, providers cited time management and perceived resistance from patients. Conclusion: Targeted educational interventions can improve psychiatric provider knowledge,attitude, and intention to use CBT-I in the treatment of insomnia. Despite the positive intention to use CBT-I, providers continue to face systemic barriers to implementation, and more research is needed to understand the unique challenges involved in improving CBT-I treatment uptake in psychiatric settings.","abstract_has_math":false,"creators":["Clark, Candice Ford"],"institution":"The University of Arizona.","degree_name":"D.N.P.","degree_level":"doctoral","degree_discipline":"Graduate College","degree_department":null,"school":null,"contributors":[],"advisors":["Bouchard, Lindsay A."],"committee_chairs":[],"committee_members":["Silva, Graciela","Edmund, Sara"],"year":2023,"date_issued":"2023","date_published":"2023","updated_at":"2026-07-24T00:56:34Z","subjects":["CBT-I Utilization","Chronic Insomnia","Cognitive Behavioral Therapy for Insomnia","Psychiatry"],"languages":["en"],"rights":["Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author."],"rights_urls":["http://rightsstatements.org/vocab/InC/1.0/"],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/10150/669758","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Bouchard, Lindsay A."]},{"key":"dc:contributor.committeemember","label":"Committee Member","values":["Silva, Graciela","Edmund, Sara"]},{"key":"dc:creator","label":"Author","values":["Clark, Candice Ford"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-09-14T08:37:18Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-09-14T08:37:18Z"]},{"key":"dc:date.issued","label":"Date","values":["2023"]},{"key":"dc:publisher","label":"Institution","values":["The University of Arizona."]},{"key":"dc:type","label":"Dc Type","values":["Electronic Dissertation","text"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Graduate College","Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["doctoral"]},{"key":"thesis:degree_name","label":"Degree Name","values":["D.N.P."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Arizona"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["CBT-I Utilization","Chronic Insomnia","Cognitive Behavioral Therapy for Insomnia","Psychiatry"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author."]},{"key":"dc:rights.uri","label":"Rights URI","values":["http://rightsstatements.org/vocab/InC/1.0/"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/10150/669758"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Problem Statement: Chronic insomnia is a highly prevalent condition associated with manynegative physical and mental health outcomes. Despite a large body of evidence supporting the use of cognitive behavioral therapy for insomnia (CBT-I) as a first-line treatment for insomnia, this treatment continues to be underutilized in psychiatric practice. Research indicates that clinician factors, including inadequate knowledge and treatment biases, represent a significant treatment barrier. Purpose: To improve the use of CBT-I skills and resources in the treatment of insomnia in apsychiatric setting through the delivery of an educational intervention addressing clinician knowledge, attitudes, and intention to use CBT-I. Methods: This was a quality improvement project that utilized descriptive quantitative pre- andpost-survey design with a brief educational intervention in the form of a voice-over PowerPoint presentation. All providers at a small psychiatric private practice in Pima County, AZ, were surveyed before and after an educational intervention to assess changes in knowledge, attitude, and intention to use CBT-I in practice. Participants were recruited through informal conversation and email, and all educational materials were delivered to participants through professional email. Data were collected anonymously through Google Forms, a web-based survey platform. Results: All recruited psychiatric providers completed the surveys in their entirety. Prior to the educational intervention providers endorsed varying degrees of knowledge about CBT-I and most characterized their current utilization as neutral to poor. After the educational intervention, all providers endorsed a strong agreement on the perceived benefit of CBT-I and their intention to use this treatment in practice. When asked to identify personal utilization barriers, providers cited time management and perceived resistance from patients. Conclusion: Targeted educational interventions can improve psychiatric provider knowledge,attitude, and intention to use CBT-I in the treatment of insomnia. Despite the positive intention to use CBT-I, providers continue to face systemic barriers to implementation, and more research is needed to understand the unique challenges involved in improving CBT-I treatment uptake in psychiatric settings."]},{"key":"dc:title","label":"Title","values":["An Educational Intervention to Increase Provider Utilization of Cognitive Behavioral Therapy for Insomnia in a Psychiatric Practice"]}]}],"canonical_facts":{"dc:contributor.advisor":["Bouchard, Lindsay A."],"dc:contributor.committeemember":["Silva, Graciela","Edmund, Sara"],"dc:creator":["Clark, Candice Ford"],"dc:date.accessioned":["2023-09-14T08:37:18Z"],"dc:date.available":["2023-09-14T08:37:18Z"],"dc:date.issued":["2023"],"dc:description.abstract":["Problem Statement: Chronic insomnia is a highly prevalent condition associated with manynegative physical and mental health outcomes. Despite a large body of evidence supporting the use of cognitive behavioral therapy for insomnia (CBT-I) as a first-line treatment for insomnia, this treatment continues to be underutilized in psychiatric practice. Research indicates that clinician factors, including inadequate knowledge and treatment biases, represent a significant treatment barrier. Purpose: To improve the use of CBT-I skills and resources in the treatment of insomnia in apsychiatric setting through the delivery of an educational intervention addressing clinician knowledge, attitudes, and intention to use CBT-I. Methods: This was a quality improvement project that utilized descriptive quantitative pre- andpost-survey design with a brief educational intervention in the form of a voice-over PowerPoint presentation. All providers at a small psychiatric private practice in Pima County, AZ, were surveyed before and after an educational intervention to assess changes in knowledge, attitude, and intention to use CBT-I in practice. Participants were recruited through informal conversation and email, and all educational materials were delivered to participants through professional email. Data were collected anonymously through Google Forms, a web-based survey platform. Results: All recruited psychiatric providers completed the surveys in their entirety. Prior to the educational intervention providers endorsed varying degrees of knowledge about CBT-I and most characterized their current utilization as neutral to poor. After the educational intervention, all providers endorsed a strong agreement on the perceived benefit of CBT-I and their intention to use this treatment in practice. When asked to identify personal utilization barriers, providers cited time management and perceived resistance from patients. Conclusion: Targeted educational interventions can improve psychiatric provider knowledge,attitude, and intention to use CBT-I in the treatment of insomnia. Despite the positive intention to use CBT-I, providers continue to face systemic barriers to implementation, and more research is needed to understand the unique challenges involved in improving CBT-I treatment uptake in psychiatric settings."],"dc:identifier.uri":["http://hdl.handle.net/10150/669758"],"dc:language.iso":["en"],"dc:publisher":["The University of Arizona."],"dc:rights":["Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author."],"dc:rights.uri":["http://rightsstatements.org/vocab/InC/1.0/"],"dc:subject":["CBT-I Utilization","Chronic Insomnia","Cognitive Behavioral Therapy for Insomnia","Psychiatry"],"dc:title":["An Educational Intervention to Increase Provider Utilization of Cognitive Behavioral Therapy for Insomnia in a Psychiatric Practice"],"dc:type":["Electronic Dissertation","text"],"thesis:degree_discipline":["Graduate College","Nursing"],"thesis:degree_level":["doctoral"],"thesis:degree_name":["D.N.P."],"thesis:institution_name":["University of Arizona"]},"updated_at":"2026-07-24T00:56:34Z"}