Co-design to increase implementation of insomnia guidelines in primary care.
Kristien Coteur, Catharina Matheï, Birgitte Schoenmakers and 1 others
PMID 36075810WHAT IT FOUND
Patients with insomnia wanted plain, non-blaming education, estimated sleep diaries, and help with daily-life impact.
A co-designed Dutch leaflet was positively received by professionals, but the study does not show it improves sleep or reduces hypnotics.
Key findings
01Patients found exact-hour sleep diaries stressful and preferred estimating sleep or no diary.
02Health professionals said insomnia care may require other disciplines, such as psychologists for rumination or physiotherapists for physical relaxation.
03Seventeen of twenty-one survey respondents reported using the leaflet in practice, and overall respondents were pleased with it.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The co-design group was small, with 10 patients and 15 healthcare professionals, so the themes may not represent all patients or clinicians. No patient sleep, medication or function outcomes were measured, so the study cannot show that the leaflet improves insomnia or reduces hypnotic use. The post-design survey had 21 respondents and focused on two questions about product use, so implementation feedback was limited. The leaflet is only available in Dutch, and adaptation to other languages and cultures may be needed. Field notes were used instead of verbatim transcripts, and some recordings were deleted, so exact wording cannot be checked.
Declared interests
This work was supported by ebpracticenet, the Belgian platform for Evidence Based Practice in healthcare. The authors declared no competing interests.
The easy way to misread this
Do not conclude that the leaflet improves insomnia or reduces hypnotic use. This was a co-design and evaluation study, and it reported no patient sleep or medication outcomes, so the positive feedback only describes how professionals used and liked the material.