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Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol

BACKGROUND: Brief behavioral therapy for insomnia (BBT-I) has been proven to be a simple and effective alternative to cognitive behavioral therapy. However, low adherence limits the application in Chinese primary medical institutions, resulting in delayed or irregular treatment for many patients. Th...

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Autores principales: Zheng, Yongliang, Qin, Yiyu, Lyu, Yumeng, Li, Liangliang, Chen, Ya, Yao, Zhaojuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663807/
https://www.ncbi.nlm.nih.gov/pubmed/34889248
http://dx.doi.org/10.1097/MD.0000000000028046
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author Zheng, Yongliang
Qin, Yiyu
Lyu, Yumeng
Li, Liangliang
Chen, Ya
Yao, Zhaojuan
author_facet Zheng, Yongliang
Qin, Yiyu
Lyu, Yumeng
Li, Liangliang
Chen, Ya
Yao, Zhaojuan
author_sort Zheng, Yongliang
collection PubMed
description BACKGROUND: Brief behavioral therapy for insomnia (BBT-I) has been proven to be a simple and effective alternative to cognitive behavioral therapy. However, low adherence limits the application in Chinese primary medical institutions, resulting in delayed or irregular treatment for many patients. This study aimed to explore the efficacy of traditional Chinese medicine external treatments on the adherence to behavioral therapy for insomnia in Chinese primary healthcare institutions, with a particular focus on patients who live in regions with weak healthcare systems. METHODS: This randomized controlled clinical trial will be conducted in primary medical institutions and will recruit 98 adult participants with insomnia. BBT-I will be used as the base treatment. The participants will be divided into experimental (combined with Wuqinxi and other traditional Chinese medicine [TCM] external treatment n = 49) and control (combined with trazodone treatment, n = 49) groups, and each group will be treated for 4 consecutive weeks. The severity index of insomnia will be used as the main indicator of disease evaluation, with an 8-point reduction in the score considered as effective and a score <8 considered as cured. The secondary indicators of the disease evaluation will include the Pittsburgh sleep quality index, Zung's self-rating anxiety scale, Zung's self-rating depression scale, treatment adherence, and adverse event reports. All participants will be followed up at the time of enrollment, 4 weeks after treatment, and 3 months after the end of treatment. DISCUSSION: This clinical trial will provide evidence for the efficacy of traditional Chinese medicine external treatment on the adherence to behavioral therapy for insomnia in primary medical institutions. This cheap and accessible model may benefit insomnia patients in medically underserved areas. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100042845. Registered on 30 January 2021, dataset: http://www.chictr.org.cn/showproj.aspx?proj=65691. Official scientific title of the research topic: Wuqinxi and other external treatment of Chinese Medicine combined with brief behavior therapy for insomnia.
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spelling pubmed-86638072021-12-13 Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol Zheng, Yongliang Qin, Yiyu Lyu, Yumeng Li, Liangliang Chen, Ya Yao, Zhaojuan Medicine (Baltimore) 3700 BACKGROUND: Brief behavioral therapy for insomnia (BBT-I) has been proven to be a simple and effective alternative to cognitive behavioral therapy. However, low adherence limits the application in Chinese primary medical institutions, resulting in delayed or irregular treatment for many patients. This study aimed to explore the efficacy of traditional Chinese medicine external treatments on the adherence to behavioral therapy for insomnia in Chinese primary healthcare institutions, with a particular focus on patients who live in regions with weak healthcare systems. METHODS: This randomized controlled clinical trial will be conducted in primary medical institutions and will recruit 98 adult participants with insomnia. BBT-I will be used as the base treatment. The participants will be divided into experimental (combined with Wuqinxi and other traditional Chinese medicine [TCM] external treatment n = 49) and control (combined with trazodone treatment, n = 49) groups, and each group will be treated for 4 consecutive weeks. The severity index of insomnia will be used as the main indicator of disease evaluation, with an 8-point reduction in the score considered as effective and a score <8 considered as cured. The secondary indicators of the disease evaluation will include the Pittsburgh sleep quality index, Zung's self-rating anxiety scale, Zung's self-rating depression scale, treatment adherence, and adverse event reports. All participants will be followed up at the time of enrollment, 4 weeks after treatment, and 3 months after the end of treatment. DISCUSSION: This clinical trial will provide evidence for the efficacy of traditional Chinese medicine external treatment on the adherence to behavioral therapy for insomnia in primary medical institutions. This cheap and accessible model may benefit insomnia patients in medically underserved areas. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100042845. Registered on 30 January 2021, dataset: http://www.chictr.org.cn/showproj.aspx?proj=65691. Official scientific title of the research topic: Wuqinxi and other external treatment of Chinese Medicine combined with brief behavior therapy for insomnia. Lippincott Williams & Wilkins 2021-12-10 /pmc/articles/PMC8663807/ /pubmed/34889248 http://dx.doi.org/10.1097/MD.0000000000028046 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 3700
Zheng, Yongliang
Qin, Yiyu
Lyu, Yumeng
Li, Liangliang
Chen, Ya
Yao, Zhaojuan
Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol
title Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol
title_full Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol
title_fullStr Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol
title_full_unstemmed Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol
title_short Community promotion and application of Wuqinxi combined with brief behavioral therapy for insomnia: A study protocol
title_sort community promotion and application of wuqinxi combined with brief behavioral therapy for insomnia: a study protocol
topic 3700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663807/
https://www.ncbi.nlm.nih.gov/pubmed/34889248
http://dx.doi.org/10.1097/MD.0000000000028046
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