An Educational Intervention to Increase Provider Utilization of Cognitive Behavioral Therapy for Insomnia in a Psychiatric Practice

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.

Name thesis:degree_name

D.N.P.

Level thesis:degree_level

doctoral

Discipline thesis:degree_discipline

Graduate College

Grantor dc:publisher

The University of Arizona.

Year dc:date.issued

2023

Author dc:creator

• Clark, Candice Ford

Advisor dc:contributor.advisor

• Bouchard, Lindsay A.

Committee members dc:contributor.committeemember

• Silva, Graciela
• Edmund, Sara

• CBT-I Utilization
• Chronic Insomnia
• Cognitive Behavioral Therapy for Insomnia
• Psychiatry

Statement 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.

Licence dc:rights.uri

• http://rightsstatements.org/vocab/InC/1.0/

Language dc:language.iso

en

Handle dc:identifier.uri

http://hdl.handle.net/10150/669758

OAI identifier oai:identifier

oai:repository.arizona.edu:10150/669758