Clinical Scorecard: Cognitive and Attitudinal Influences on Willingness to Participate in CBT-I Among Patients at a Chinese Sleep Clinic: Insights from a Knowledge-Attitudes-Practices Survey
At a Glance
Category
Detail
Condition
Cognitive Behavioral Therapy for Insomnia (CBT-I)
Key Mechanisms
Cognitive-attitudinal factors influencing willingness to enroll in sleep improvement programs
Target Population
Adults at risk of sleep disorders attending a tertiary sleep clinic in China
Care Setting
Sleep and behavioral medicine outpatient clinic
Key Highlights
52.1% of participants expressed willingness to enroll in CBT-I programs
Cognitive-attitudinal factors were significant predictors of enrollment willingness
Depression and insomnia severity inversely predicted willingness to enroll
Time and cost were perceived as significant barriers but did not independently affect willingness
Model discrimination for predicting willingness was modest
Guideline-Based Recommendations
Diagnosis
Assess sleep health knowledge and perceived need for treatment
Management
Promote CBT-I as a first-line treatment for insomnia
Monitoring & Follow-up
Evaluate psychological symptoms and insomnia severity in patients
Risks
Consider the impact of depression and insomnia severity on treatment willingness
Patient & Prescribing Data
Adults attending a sleep clinic with potential sleep disorders
Beliefs about CBT-I effectiveness and telehealth acceptability influence treatment uptake
Clinical Best Practices
Enhance public literacy about behavioral treatments for insomnia
Address stigma and perceived need to improve help-seeking behavior
Utilize digital health solutions to expand access to CBT-I
