Introducing brief behavioral treatment for insomnia to Vietnamese hospitals: local adaptations - 14/05/26
, Bao Gia Vuong c, Hien Vo Thu Nguyen b, Hien Thi Thuc Nguyen b, Quynh Thi Huong Bui a, d, Hung Thanh Quach eAbstract |
Background |
Insomnia is highly prevalent mental disorder among the elderly. Current Brief Behavioral Treatment for Insomnia (BBT-I) is only confirmed for patients in high-income countries (HICs). The social-economic gap between HICs and low- and middle-income countries (LMICs) necessitates local adaptations. This study assessed the efficacy of modified BBT-I (mBBT-I) on the sleep quality of elderly patients with chronic insomnia in Vietnam.
Methods |
A quasi-experiment was conducted with two groups: control group (standard care) and intervention group (mBBT-I and standard care). In mBBT-I, we adjusted one core principle from the original BBT-I, integrated relaxation techniques, simplified sleep logs and delivered the intervention mostly via telephone by pharmacists. Sleep quality was assessed at baseline and after the treatment course, using PSQI questionnaire.
Results |
Eligible patients were assigned to the mBBT-I group (63 patients) and the control group (64 patients). mBBT-I significantly decreased PSQI score (Mean difference 1.93; 95% CI [0.98; 2.88]) and improved sleep efficiency (Mean difference 11.80%; 95%CI [7.04; 16.57]) compared to the control group. Dropouts from mBBT-I showed higher frequencies of sleep disturbance due to pain or breathing discomfort.
Conclusions |
The mBBT-I is promising for future randomized controlled trials before incorporating it into routine practice at primary care hospitals in LMICs.
Le texte complet de cet article est disponible en PDF.Keywords : Insomnia, Older adults, Brief Behavioral Treatment for Insomnia, Sleep Quality
Plan
Vol 36 - N° 2
Article 100572- mai 2026 Retour au numéro
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