{"id":753,"date":"2025-05-27T12:32:48","date_gmt":"2025-05-27T10:32:48","guid":{"rendered":"https:\/\/www.sleepexpert.ch\/background\/"},"modified":"2025-11-12T11:31:14","modified_gmt":"2025-11-12T10:31:14","slug":"background","status":"publish","type":"page","link":"https:\/\/www.sleepexpert.ch\/en\/background\/","title":{"rendered":"Back\u00adground"},"content":{"rendered":"

Insom\u00adnia: Defi\u00adni\u00adti\u00adon and pre\u00adva\u00adlence<\/h2>\n\n\n\n\nInsom\u00adnia dis\u00ador\u00adder is defi\u00adned by a per\u00adsi\u00adstent reduc\u00adtion in repor\u00adted sleep quan\u00adti\u00adty or qua\u00adli\u00adty, accom\u00adpa\u00adnied by per\u00adcei\u00adved day\u00adti\u00adme impairm\u00adents. Appro\u00adxi\u00adm\u00adate\u00adly 5\u201310% of the gene\u00adral popu\u00adla\u00adti\u00adon meet dia\u00adgno\u00adstic cri\u00adte\u00adria for insom\u00adnia dis\u00ador\u00adder<\/a>. The pre\u00adva\u00adlence is hig\u00adher among pati\u00adents with com\u00ador\u00adbid con\u00addi\u00adti\u00adons in various medi\u00adcal set\u00adtings, often around 30%.\n\n\n\n\n

Gui\u00adde\u00adline<\/h2>\n\n\n\n\nThe SLEEP\u00adex\u00adpert tre\u00adat\u00adment pro\u00adgram is based on Cogni\u00adti\u00adve Beha\u00advi\u00adoral The\u00adra\u00adpy for Insom\u00adnia (CBT\u2011I<\/a>). The effec\u00adti\u00adve\u00adness of CBT\u2011I is well estab\u00adlished. Accor\u00adding to cur\u00adrent tre\u00adat\u00adment gui\u00adde\u00adlines, CBT\u2011I is the first-line the\u00adra\u00adpy for insom\u00adnia (Rie\u00admann et al. 2023)<\/a>.\n\n\n\n\n

CBT\u2011I impro\u00adves men\u00adtal health<\/h2>\n\n\n\n\nCBT\u2011I is also effec\u00adti\u00adve in pati\u00adents with com\u00ador\u00adbid con\u00addi\u00adti\u00adons and has the poten\u00adti\u00adal to impro\u00adve not only sleep qua\u00adli\u00adty but also other men\u00adtal health out\u00adco\u00admes (Her\u00adten\u00adstein et al., 2022)<\/a>.\n\n\n\n\n

The know-do gap<\/h2>\n\n\n\n\nCBT\u2011I is the tre\u00adat\u00adment of choice accor\u00adding to inter\u00adna\u00adtio\u00adnal gui\u00adde\u00adlines. Howe\u00adver, a signi\u00adfi\u00adcant gap remains bet\u00adween the clear recom\u00admen\u00adda\u00adti\u00adon and poor imple\u00admen\u00adta\u00adti\u00adon in cli\u00adni\u00adcal prac\u00adti\u00adce (Schnei\u00adder et al., 2023)<\/a>.\n\n\n\n\n

Over\u00adme\u00addi\u00adca\u00adti\u00adon<\/h2>\n\n\n\n\nAs part of the SLEEP\u00adex\u00adpert pro\u00adgram, con\u00adti\u00adnuous assess\u00adment and\u2014if cli\u00adni\u00adcal\u00adly possible\u2014reduction and dis\u00adcon\u00adti\u00adnua\u00adtion of seda\u00adtive and sleep-inducing medi\u00adca\u00adti\u00adon is inten\u00added. The pro\u00adgram aims to help redu\u00adce a wide\u00adspread over\u00adme\u00addi\u00adca\u00adti\u00adon in cli\u00adni\u00adcal set\u00adtings.\n\n\n\n

Deve\u00adlo\u00adp\u00adment of the tre\u00adat\u00adment pro\u00adgram<\/h2>\n\n\n\n\nSLEEP\u00adex\u00adpert was deve\u00adlo\u00adped in col\u00adla\u00adbo\u00adra\u00adti\u00adon with pati\u00adents and health care teams. CBT\u2011I was adapt\u00aded to the needs of pati\u00adents and health care pro\u00advi\u00adders in rou\u00adti\u00adne cli\u00adni\u00adcal set\u00adtings. The pro\u00adgram aims to empower pati\u00adents to take care of their own sleep health and to enable teams to syste\u00adma\u00adti\u00adcal\u00adly sup\u00adport this pro\u00adcess.\n\nBased on core prin\u00adci\u00adples of sleep-wake regu\u00adla\u00adti\u00adon and key mecha\u00adnisms of CBT\u2011I, two essen\u00adti\u00adal tre\u00adat\u00adment ele\u00adments were defi\u00adned: rest\u00adric\u00adtion of time in bed<\/a> (sleep pres\u00adsu\u00adre) and adjust\u00adment to the indi\u00advi\u00addu\u00adal rhythm (cir\u00adca\u00addi\u00adan rhythm<\/a>).\n\nUsing qua\u00adli\u00adta\u00adti\u00adve and quan\u00adti\u00adta\u00adti\u00adve ana\u00adly\u00adses of inter\u00adviews with pati\u00adents, psy\u00adcho\u00adlo\u00adgists, phy\u00adsi\u00adci\u00adans, and the nur\u00adsing team, SLEEP\u00adex\u00adpert was deve\u00adlo\u00adped through an ite\u00adra\u00adti\u00adve pro\u00adcess.\n\nThe name SLEEP\u00adex\u00adpert empha\u00adsi\u00adzes the idea that both pati\u00adents and the tre\u00adat\u00adment team beco\u00adme sleep experts and actively con\u00adtri\u00adbu\u00adte to impro\u00adving sleep qua\u00adli\u00adty.\n\n\n\n\n\nAn eva\u00adlua\u00adti\u00adon of the pro\u00adgram shows that imple\u00admen\u00adta\u00adti\u00adon in rou\u00adti\u00adne cli\u00adni\u00adcal care is fea\u00adsi\u00adble for inpa\u00adti\u00adents with acu\u00adte psych\u00adia\u00adtric dis\u00ador\u00adders (Schnei\u00adder et al. 2020)<\/a>. Sur\u00adveys of pati\u00adents and heal\u00adth\u00adca\u00adre teams indi\u00adca\u00adted a pre\u00adfe\u00adrence for non-pharmacological tre\u00adat\u00adment of insom\u00adnia. Many pati\u00adents were able to adhe\u00adre to the redu\u00adced time in bed, increa\u00adse their sleep qua\u00adli\u00adty despi\u00adte spen\u00adding less time in bed, and repor\u00adted a reduc\u00adtion in the seve\u00adri\u00adty of insom\u00adnia sym\u00adptoms. The eva\u00adlua\u00adti\u00adon shows that SLEEP\u00adex\u00adpert can be imple\u00admen\u00adted even in com\u00adplex medi\u00adcal set\u00adtings.\n\n\n\nCur\u00adrent acti\u00advi\u00adties include imple\u00admen\u00adta\u00adti\u00adons in a wider ran\u00adge of set\u00adtings, an Inve\u00adsti\u00adga\u00adtor Initia\u00adted Cli\u00adni\u00adcal Tri\u00adal (IICT)<\/a> fun\u00added by the Swiss Natio\u00adnal Sci\u00adence Foun\u00adda\u00adti\u00adon (SNSF) as well as an adap\u00adt\u00adati\u00adon for ado\u00adle\u00ads\u00adcents<\/a> with sup\u00adport of Health Pro\u00admo\u00adti\u00adon Switz\u00ader\u00adland.\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Insom\u00adnia: Defi\u00adni\u00adti\u00adon and pre\u00adva\u00adlence Insom\u00adnia dis\u00ador\u00adder is defi\u00adned by a per\u00adsi\u00adstent reduc\u00adtion in repor\u00adted sleep quan\u00adti\u00adty or qua\u00adli\u00adty, accom\u00adpa\u00adnied by per\u00adcei\u00adved day\u00adti\u00adme impairm\u00adents. Appro\u00adxi\u00adm\u00adate\u00adly 5\u201310% of the gene\u00adral popu\u00adla\u00adti\u00adon meet dia\u00adgno\u00adstic cri\u00adte\u00adria for insom\u00adnia dis\u00ador\u00adder. The pre\u00adva\u00adlence is hig\u00adher among pati\u00adents with com\u00ador\u00adbid con\u00addi\u00adti\u00adons in various medi\u00adcal set\u00adtings, often around 30%. Gui\u00adde\u00adline The SLEEP\u00adex\u00adpert tre\u00adat\u00adment [\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-753","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/pages\/753","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=753"}],"version-history":[{"count":6,"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/pages\/753\/revisions"}],"predecessor-version":[{"id":930,"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/pages\/753\/revisions\/930"}],"wp:attachment":[{"href":"https:\/\/www.sleepexpert.ch\/en\/wp-json\/wp\/v2\/media?parent=753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}