Document Type
Article
Publication Date
2-22-2022
Abstract
Cognitive behavioral therapy for insomnia (CBT-I) is an effective treatment in adults. However, access to care is limited. One potential solution is telemedicine. Though synchronous video-based telemedicine CBT-I has been shown to be non-inferior to in-person treatment, there is no study to date that evaluates patient and provider experiences with video-based treatment. Our study team evaluated patient and provider perceptions of CBT-I delivered via telemedicine versus an in-person format. As part of a larger randomized control trial, we interviewed patients and providers in both arms of the study (in-person and via telemedicine). 20 minute interviews were conducted over the phone and were transcribed and coded to identify themes. While patients shared initial concerns about telemedicine CBT-I, including privacy and technological issues, they were satisfied with the approach and had similar experiences as the patients receiving in-person treatment. Providers shared concerns about challenges establishing a strong therapeutic alliance, patient engagement, and accountability in CBT-I, but felt these did not interfere with their overall ability to deliver care. Patients and providers were satisfied with CBT-I treatment delivered via telemedicine when compared to those being treated in-person. Patients in both arms noted that virtual care could increase access and provide convenience.
Recommended Citation
Granberg, Rachel E.; Heyer, Arianna; Gehrman, Philip R.; Gunter, Paul W.; Hoff, Nathan A.; Guth, Amanda; Kayser, Matthew S.; Kuna, Samuel; and Frasso, Rosemary, "Patient and provider experiences with CBT-I administered in-person or via telemedicine: A randomized non-inferiority trial" (2022). College of Population Health Faculty Papers. Paper 145.
https://jdc.jefferson.edu/healthpolicyfaculty/145
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Language
English
Comments
This article is the author’s final published version in Cogent Psychology, Volume 9, Issue 1, February 2022, Article number 2038936.
The published version is available at https://doi.org/10.1080/23311908.2022.2038936. Copyright © Granberg et al.
Publication made possible in part by support from the Jefferson Open Access Fund