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dc.rights.licenseopenen_US
dc.contributor.authorBAGLIONI, Chiara
dc.contributor.authorESPIE, Colin A
hal.structure.identifierInstitut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
dc.contributor.authorALTENA, Ellemarije
dc.contributor.authorGAVRILOFF, Dimitri
dc.contributor.authorJERNELOV, Susanna
dc.contributor.authorHOLZINGER, Brigitte
dc.contributor.authorSCHLARB, Angelika
dc.contributor.authorRIEMANN, Dieter
dc.date.accessioned2024-06-17T09:29:16Z
dc.date.available2024-06-17T09:29:16Z
dc.date.issued2023-08-16
dc.identifier.issn0962-1105en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/200487
dc.description.abstractEnDespite cognitive behaviour therapy for insomnia (CBT-I) being the first-line intervention for the disorder, it is often not readily available to patients in need. The stepped care model (SCM) represents an approach to facilitating efficient and wide-ranging provision of evidence-based care to those with insomnia. The SCM reflects a pyramid of therapeutics based on CBT-I gradually increasing in clinical intensity and addressing clinical complexity. By applying CBT-I through the SCM it is hoped that the treatment gap can be bridged such that not only more patients can be reached, but that clinical resource can be more effectively distributed, with patients receiving more tailored care as needed. Nevertheless, this should not be done at the risk of a lower quality of care being offered, and high-standard training for clinicians and scrutiny of non-clinician led interventions remains important. As national health laws within European countries have substantial differences, the application of the SCM as it relates to the treatment of insomnia may be challenged by contrasting interpretations. In order that the SCM is appropriately implemented: (a) only evidence-based CBT-I treatments should be promoted within the model; (b) clinicians involved in SCM should be suitably qualified to offer CBT in general, and have appropriate further training in CBT-I; (c) professionals involved in interventions not included in the SCM, but related to it, such as preventive and educational programmes, diagnostic procedures, and pharmacological treatments, should also have good knowledge of the SCM in order to promote correct allocation to the appropriate interventional step.
dc.language.isoENen_US
dc.rightsAttribution-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nd/3.0/us/*
dc.subject.enEuropean Academy of Cognitive Behavioural Therapy for Insomnia
dc.subject.enCognitive-behavioural therapy for insomnia (CBT-I)
dc.subject.enInsomnia
dc.subject.enStepped care model (SCM)
dc.title.enCognitive behavioural therapy for insomnia disorder: Extending the stepped care model
dc.title.alternativeJ Sleep Resen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1111/jsr.14016en_US
dc.subject.halSciences du Vivant [q-bio]/Neurosciences [q-bio.NC]en_US
dc.identifier.pubmed37584390en_US
bordeaux.journalJournal of Sleep Researchen_US
bordeaux.volume32en_US
bordeaux.hal.laboratoriesInstitut de neurosciences cognitives et intégratives d'Aquitaine (INCIA) - UMR 5287en_US
bordeaux.issue6en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionCNRSen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04614007
hal.version1
hal.date.transferred2024-06-17T09:29:19Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccCC BY-NDen_US
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