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Understanding Insomnia Treatment Preferences Among Iraq and Afghanistan Combat Veterans

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This study explores the acceptability of insomnia treatments and preferences for intervention delivery among combat Veterans and their healthcare providers. With a focus on those who screened positive for mild traumatic brain injury, interviews were conducted with 18 Veterans and 19 providers. Results indicated distinct preferences: Veterans favored relaxation therapy and pharmacotherapy for insomnia, with individual and electronic delivery methods being preferred. Meanwhile, providers found relaxation therapy most acceptable. The study suggests the need for modifying existing treatments to better address the needs of Veterans.

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Understanding Insomnia Treatment Preferences Among Iraq and Afghanistan Combat Veterans

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  1. Insomnia treatment acceptability and preferences of male Iraq and Afghanistan combat Veterans and their healthcare providers Dana R. Epstein, PhD, RN; Judith L. Babcock-Parziale, PhD; Patricia L. Haynes, PhD; Christine A. Herb, MC, RN

  2. Aim • Determine acceptability of insomnia treatments and preferences for interventions and treatment delivery among Veterans and their healthcare providers. • Relevance • Sleep difficulty is prevalent among returning veterans. • Cognitive-behavioral treatment for insomnia may need to be modified to meet needs of Veterans who have experienced blast-related injuries and other traumas.

  3. Methods • We interviewed 18 Operation Iraqi Freedom/Enduring Freedom Veterans who screened positive for mild traumatic brain injury and 19 healthcare providers to determine acceptability of insomnia treatments and preference for interventions and treatment delivery.

  4. Results • Veterans and providers had distinct preferences for insomnia treatment and its delivery. • Veterans • Treatments: Relaxation treatment and pharmacotherapy both most acceptable and preferred. • Format/Delivery: Individual treatment and electronic methods. • Providers • Relaxation therapy most acceptable.

  5. Conclusions • Despite some differences between patients’ and providers’ perspective, modification of empirically supported behavioral treatments is feasible. • Implications for preference-based insomnia intervention development and testing are discussed.

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