{"id":751,"date":"2025-05-27T12:25:26","date_gmt":"2025-05-27T10:25:26","guid":{"rendered":"https:\/\/www.sleepexpert.ch\/implementation\/"},"modified":"2025-09-15T15:11:25","modified_gmt":"2025-09-15T13:11:25","slug":"implementation","status":"publish","type":"page","link":"https:\/\/www.sleepexpert.ch\/en\/implementation\/","title":{"rendered":"Imple\u00admen\u00adta\u00adti\u00adon"},"content":{"rendered":"<h2>Scree\u00adning<\/h2>\n<p>It is recom\u00admen\u00added that pati\u00adents in various tre\u00adat\u00adment set\u00adtings are scree\u00adned for insom\u00adnia dis\u00ador\u00adder using the <a href=\"https:\/\/www.sleepexpert.ch\/en\/faq\/#faq-ISI\">Insom\u00adnia Seve\u00adri\u00adty Index (ISI)<\/a>. A total score of \u2265 8 on the ISI indi\u00adca\u00adtes cli\u00adni\u00adcal\u00adly rele\u00advant insom\u00adnia sym\u00adptoms and sug\u00adgests the need for fur\u00adther cli\u00adni\u00adcal assess\u00adment. Devia\u00adti\u00adons from strict adhe\u00adrence to the cut-off score may be pos\u00adsi\u00adble based on cli\u00adni\u00adcal judgment.<\/p>\n<h2>Indi\u00adca\u00adti\u00adon<\/h2>\n<p>Phy\u00adsi\u00adci\u00adans should be invol\u00adved in the indi\u00adca\u00adti\u00adon for par\u00adti\u00adci\u00adpa\u00adti\u00adon in the tre\u00adat\u00adment pro\u00adgram to ensu\u00adre an appro\u00adpria\u00adte dia\u00adgno\u00adstic pro\u00adcess.<\/p>\n<h3>Inclu\u00adsi\u00adon cri\u00adte\u00adria<\/h3>\n<ul>\n<li>The pati\u00adent reports dif\u00adfi\u00adcul\u00adties fal\u00adling asleep, main\u00adtai\u00adning sleep or poor sleep qua\u00adli\u00adty along with impai\u00adred sleep-related qua\u00adli\u00adty of life.<\/li>\n<li>Typi\u00adcal\u00adly, <a href=\"https:\/\/www.sleepexpert.ch\/en\/faq\/#faq-diagnose\">dia\u00adgno\u00adstic cri\u00adte\u00adria for insom\u00adnia dis\u00ador\u00adder<\/a> are met\u2014i.e., reports of seve\u00adral poor nights per week for a peri\u00adod of at least 3 months. Devia\u00adti\u00adons from strict cri\u00adte\u00adria may be pos\u00adsi\u00adble based on cli\u00adni\u00adcal judgment.<\/li>\n<\/ul>\n<h3>Exclu\u00adsi\u00adon cri\u00adte\u00adria<\/h3>\n<ul>\n<li>A sym\u00adptom seve\u00adri\u00adty that makes par\u00adti\u00adci\u00adpa\u00adti\u00adon in the pro\u00adgram impos\u00adsi\u00adble, such as seve\u00adre cogni\u00adti\u00adve impair\u00adment or acu\u00adte into\u00adxi\u00adca\u00adti\u00adon.<\/li>\n<\/ul>\n<p>SLEEP\u00adex\u00adpert inten\u00adtio\u00adnal\u00adly uses mini\u00admal exclu\u00adsi\u00adon cri\u00adte\u00adria; in par\u00adti\u00adcu\u00adlar, com\u00ador\u00adbid con\u00addi\u00adti\u00adons or the use of medi\u00adca\u00adti\u00adon are not exclu\u00adsi\u00adon cri\u00adte\u00adria per se.<\/p>\n<h2>The three pha\u00adses of the tre\u00adat\u00adment pro\u00adgram<\/h2>\n<h3>1. Intro\u00adduc\u00adtion (kick-off ses\u00adsi\u00adon)<\/h3>\n<p>After the indi\u00adca\u00adti\u00adon has been estab\u00adlished, pati\u00adents par\u00adti\u00adci\u00adpa\u00adte in a kick-off ses\u00adsi\u00adon (<a href=\"https:\/\/www.sleepexpert.ch\/en\/materials\/\">kick-off pre\u00adsen\u00adta\u00adti\u00adon<\/a>). In this session\u2014usually con\u00adduc\u00adted in a group for\u00admat by a heal\u00adth\u00adca\u00adre pro\u00adfes\u00adsio\u00adnal (e.g., phy\u00adsi\u00adci\u00adan, psy\u00adcho\u00adlo\u00adgist, and\/or mem\u00adber of the nur\u00adsing team)\u2014patients are infor\u00admed about basic beha\u00advi\u00adoral prin\u00adci\u00adples of sleep.<br>\nTog\u00ade\u00adther with each pati\u00adent, an indi\u00advi\u00addu\u00adal <a href=\"https:\/\/www.sleepexpert.ch\/en\/faq\/#faq-schlaffenster\">sleep win\u00addow<\/a> is dis\u00adcus\u00adsed and pre\u00adscri\u00adbed during the kick-off ses\u00adsi\u00adon. This invol\u00adves adju\u00adsting the time in bed to match the curr\u00adent\u00adly repor\u00adted sleep dura\u00adti\u00adon. The sleep win\u00addow is pre\u00adscri\u00adbed and docu\u00admen\u00adted in the medi\u00adcal record.<br>\nPati\u00adents are then asked to imple\u00adment their sleep win\u00addow and fill out a <a href=\"https:\/\/www.sleepexpert.ch\/en\/materials\/\">sleep dia\u00adry<\/a>.<\/p>\n<h3>2. Self-management with sup\u00adport of the tre\u00adat\u00adment team<\/h3>\n<p>Pati\u00adents are sup\u00adport\u00aded by the tre\u00adat\u00adment team in imple\u00admen\u00adting their indi\u00advi\u00addu\u00adal sleep win\u00addow. The <a href=\"https:\/\/www.sleepexpert.ch\/en\/materials\/\">coa\u00adching<\/a> pro\u00adto\u00adcol can be used.<br>\nTime in bed should be adju\u00adsted to the repor\u00adted sleep dura\u00adti\u00adon. If sleep qua\u00adli\u00adty impro\u00adves, the sleep win\u00addow can be main\u00adtai\u00adned. If pati\u00adents expe\u00adri\u00adence pro\u00adlon\u00adged wakeful\u00adness in bed, the sleep win\u00addow should be fur\u00adther redu\u00adced. Over time, pati\u00adents learn to gain more con\u00adtrol over their sleep. During this pro\u00adcess, the use of sleep-inducing or seda\u00adting medi\u00adca\u00adti\u00adon should be review\u00aded and, if pos\u00adsi\u00adble, redu\u00adced and dis\u00adcon\u00adtin\u00adued (<a href=\"https:\/\/www.sleepexpert.ch\/en\/materials\/\">sleep medi\u00adca\u00adti\u00adon<\/a>).<\/p>\n<h3>3. Self-management<\/h3>\n<p>Pati\u00adents con\u00adti\u00adn\u00adue to adhe\u00adre to their sleep win\u00addow. Based on sleep dia\u00adry data or direct expe\u00adri\u00adence, pati\u00adents can adjust their sleep win\u00addow inde\u00adpendent\u00adly (extend or redu\u00adce). The aim is to ali\u00adgn time in bed to the per\u00adcei\u00adved sleep dura\u00adti\u00adon.<\/p>\n<p>Pati\u00adents expe\u00adri\u00adence increa\u00adsed con\u00adtrol over their own sleep with posi\u00adti\u00adve effects on self-efficacy, as well as cogni\u00adti\u00adve and emo\u00adtio\u00adnal fac\u00adtors.<\/p>\n<h2>How can I sup\u00adport pati\u00adents as a heal\u00adth\u00adca\u00adre pro\u00adfes\u00adsio\u00adnal?<\/h2>\n<p>At the start of the pro\u00adgram, pati\u00adents par\u00adti\u00adci\u00adpa\u00adte in a kick-off ses\u00adsi\u00adon. During the kick-off ses\u00adsi\u00adon an indi\u00advi\u00addu\u00adal sleep window\u2014the key ele\u00adment of the program\u2014is dis\u00adcus\u00adsed tog\u00ade\u00adther with the pati\u00adent and pre\u00adscri\u00adbed. The aim is that pati\u00adents learn to gain more con\u00adtrol over their sleep.<\/p>\n<p>The fol\u00adlo\u00adwing inter\u00adven\u00adti\u00adons can help to sup\u00adport pati\u00adents:<\/p>\n<ul>\n<li>Ask about their pre\u00adscri\u00adbed sleep win\u00addow.<\/li>\n<li>Ask about their cur\u00adrent bedti\u00adme and sleep dura\u00adti\u00adon, inclu\u00adding day\u00adti\u00adme sleep.<\/li>\n<li>Ask about their sub\u00adjec\u00adti\u00adve expe\u00adri\u00adence of sleep and wakeful\u00adness.<\/li>\n<li>Moti\u00adva\u00adte and sup\u00adport con\u00adti\u00adnuous imple\u00admen\u00adta\u00adti\u00adon of the indi\u00advi\u00addu\u00adal sleep win\u00addow.<\/li>\n<li>If pati\u00adents report unp\u00adlea\u00ads\u00adant\u00adly long peri\u00adods of wakeful\u00adness, the sleep win\u00addow can be redu\u00adced (mini\u00admum 5 hours).<\/li>\n<li>If sleep qua\u00adli\u00adty is suf\u00adfi\u00adci\u00adent but day\u00adti\u00adme fati\u00adgue per\u00adsists, the sleep win\u00addow can be exten\u00added.<\/li>\n<li>A sleep dia\u00adry can be used to gui\u00adde the adap\u00adt\u00adati\u00adon of the sleep win\u00addow.<\/li>\n<li>Enga\u00adge pati\u00adents in a dis\u00adcus\u00adsion on how to meaning\u00adful\u00adly uti\u00adli\u00adze the addi\u00adtio\u00adnal time resul\u00adting from rest\u00adric\u00adtion of time in bed.<\/li>\n<li>Regu\u00adlar\u00adly review any sleep-inducing medi\u00adca\u00adti\u00adon and redu\u00adce and dis\u00adcon\u00adti\u00adn\u00adue if pos\u00adsi\u00adble.<\/li>\n<\/ul>\n<p>For que\u00adsti\u00adons or fur\u00adther infor\u00adma\u00adti\u00adon: <a href=\"mailto:contact@sleepexpert.ch\">contact@sleepexpert.ch<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Scree\u00adning It is recom\u00admen\u00added that pati\u00adents in various tre\u00adat\u00adment set\u00adtings are scree\u00adned for insom\u00adnia dis\u00ador\u00adder using the Insom\u00adnia Seve\u00adri\u00adty Index (ISI). A total score of \u2265 8 on the ISI indi\u00adca\u00adtes cli\u00adni\u00adcal\u00adly rele\u00advant insom\u00adnia sym\u00adptoms and sug\u00adgests the need for fur\u00adther cli\u00adni\u00adcal assess\u00adment. Devia\u00adti\u00adons from strict adhe\u00adrence to the cut-off score may be pos\u00adsi\u00adble based [\u2026]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"class_list":["post-751","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/pages\/751","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/comments?post=751"}],"version-history":[{"count":6,"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/pages\/751\/revisions"}],"predecessor-version":[{"id":907,"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/pages\/751\/revisions\/907"}],"wp:attachment":[{"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/media?parent=751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}