%0期刊文章@ 1438- 8871% I JMIR出版物%V 19%卡塔尔世界杯8强波胆分析 N 2% P e37% T开始和坚持基于web的认知行为干预失眠:A Chan,Charles, A West,Stacey, A Glozier,Nick +脑与心智中心，悉尼大学，Marie Bashir教授中心5层，rah 67-73米森登路，澳大利亚，2050年，61 02 9966 7408sccchan@gmail.com %K坚持%K坚持%K电子健康%K在线干预%K网络干预%K动机%K障碍%K失眠%K抑郁%K男性%D 2017 %7 10.02.2017 %9原始论文%J J医学互联网Res %G英文%X背景:计算机化认知行为治疗失眠(CCBT-I)作为一种独立干预手段有越来越多的证据基础，但尚不清楚哪些因素会限制其与临床护理结合时的可接受性和可行性。目的:本研究的目的是探讨障碍和促进使用辅助CCBT-I计划在精神病诊所抑郁症患者中采用定量和定性的方法。方法:我们对参加CCBT-I项目临床试验的参与者进行了面对面或电话访谈，作为精神病学临床环境中的辅助治疗，进行了研究的定性部分。根据扎根理论的方法，我们使用了半结构化的访谈指南，在转录和数据分析期间制定了新的主题问题，并将其添加到访谈日程中。在一项在线调查中，所有完成了12周试验的研究参与者都被问及了一系列关于用户体验的开放和封闭问题。结果:访谈和公开问题中出现了三个主题，与CCBT-I的非辅助实施一致。对辅助干预的失眠目标症状和临床环境的认同被视为最初参与的关键原因。持久性与项目、结构和内容相关的因素有关，而不是任何非临床因素。 The survey results showed that only the key active behavioral intervention, sleep restriction, was rated as a major problem by more than 15% of the sample. In this clinical setting, the support of the clinician in completing the unsupported program was highlighted, as was the need for the program and clinical treatment to be coordinated. Conclusions: The use of a normally unsupported CCBT-I program as an adjunctive treatment can be aided by the clinician’s approach. A key behavioral component of the intervention, specific to insomnia treatment, was identified as a major problem for persistence. As such, clinicians need to be aware of when such components are delivered in the program and coordinate their care accordingly, if the use of the program is to be optimized. ClinicalTrial: Australian and New Zealand Clinical Trials Registry ACTRN12612000985886; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=362875&isReview=true (Archived by WebCite at http://www.webcitation.org/6njjhl42X) %M 28188124 %R 10.2196/jmir.5639 %U //www.mybigtv.com/2017/2/e37/ %U https://doi.org/10.2196/jmir.5639 %U http://www.ncbi.nlm.nih.gov/pubmed/28188124