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- Blom, Kerstin, et al.
(författare)
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Internet-vs. group-delivered cognitive behavior therapy for insomnia : A randomized controlled non-inferiority trial
- 2015
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Ingår i: Behaviour Research and Therapy. - : Elsevier. - 0005-7967 .- 1873-622X. ; 70, s. 47-55
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to compare guided Internet-delivered to group-delivered cognitive behavioral therapy (CBT) for insomnia. We conducted an 8-week randomized controlled non-inferiority trial with 6-months follow-up. Participants were forty-eight adults with insomnia, recruited via media. Interventions were guided Internet-delivered CBT (ICBT) and group-delivered CBT (GCBT) for insomnia. Primary outcome measure was the Insomnia Severity Index (ISI), secondary outcome measures were sleep diary data, depressive symptoms, response- and remission rates. Both treatment groups showed significant improvements and large effect sizes for ISI (Within Cohen's d: ICBT post = 1.8, 6-months follow-up = 2.1; GCBT post = 2.1, 6-months follow-up = 2.2). Confidence interval of the difference between groups posttreatment and at FU6 indicated non-inferiority of ICBT compared to GCBT. At post-treatment, two thirds of patients in both groups were considered responders (ISI-reduction > 7p). Using diagnostic criteria, 63% (ICBT) and 75% (GCBT) were in remission. Sleep diary data showed moderate to large effect sizes. We conclude that both guided Internet-CBT and group-CBT in this study were efficacious with regard to insomnia severity, sleep parameters and depressive symptoms. The results are in line with previous research, and strengthen the evidence for guided Internet-CBT for insomnia. Trial registration: The study protocol was approved by, and registered with, the regional ethics review board in Linkoping, Sweden, registration number 2010/385-31. (C) 2015 The Authors. Published by Elsevier Ltd.
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| 2. |
- Ullsten, Alexandra, 1967-, et al.
(författare)
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A Nordic perspective on family-centered neonatal music therapy
- 2019
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Konferensbidrag (refereegranskat)abstract
- Nordic neonatal music therapy (NICU MT) and research is still in its infancy. Systematic implementation work was first initiated in Karlstad, Sweden in 2010. In Norway, a few music therapists have for shorter periods worked in neonatal intensive care, but a more systematic implementation was initiated in Oslo in 2017. An ongoing paradigm shift in neonatal health care globally isthe concept of family-centered care. The Nordic countries are in the front line of welcoming and including both parents in the care of their infant around the clock. The Nordic neonatal music therapists and researchers have here unique opportunities to be truly family-centered working in partnership with both parents, including parents from non-Nordic cultures, guiding them to be equally involved in the infant-directed communication. A research area of great interest globally is parental participation in neonatal pain management. Nordic NICU MT has pioneer status in researching the pain alleviating effect of live singing during painful procedures. Family-centered NICU MT has potential to improve procedural pain care for both infants and their parents.The authors of this paper, who are also the Nordic implementation pioneers in NICU MT in Sweden and Norway, will discuss early experiences from our implementation work and show that models of practice are not directly transferable between different cultural contexts and health care systems. The authors will emphasize the importance of a cultural sensitivity in NICU MT implementation, where parents’ participation can be included already on the planning stage when building clinical programs and designing research studies.
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| 3. |
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| 4. |
- Ullsten, Alexandra, 1967-, et al.
(författare)
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Development of family-centred care informing Nordic neonatal music therapy
- 2019
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Ingår i: Music in paediatric hospitals – Nordic perspectives. - Oslo : CREMAH, Norwegian Academy of Music. ; , s. 1-25
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Bokkapitel (refereegranskat)abstract
- Since the 1990s, the concept of family-centred care, where the family and healthcare staff share responsibility for the infant’s hospital care, has been part of an ongoing paradigm shift in neonatal care globally. The public health care system with family-friendly parental leave policies might be one of the reasons that the Nordic countries today are at the forefront of welcoming and including parents and partners in the care of their infant round the clock. When implementing neonatal music therapy (NICU MT) in the context of Nordic health care, music therapy models of practice as well as research ought to be defined and shaped by the family-centred care model, which today is considered best practice. The Nordic context also offers favourable conditions for further developing NICU MT approaches in line with family-centred care. NICU MT was first developed in the USA in the 1980s and the interventions were infantfocused, emphasising the infant’s physical and medical needs, which was the existing care focus in neonatal care at that time. Neonatal music therapy and research in the Nordic countries is still in its infancy. Systematic implementation work was first initiated in Karlstad, Sweden in 2010 and in Akershus and Oslo, Norway in 2017. This essay provides the international music therapy field as well as other professionals in paediatric and neonatal health care an insight into the evolving Nordic approach of NICU MT. The conclusion of this essay is that the familycentred care approach in the Nordic NICUs, combined with the progressive family politics in the Nordic countries with generous parental leave schemes and gender equality in childcare, afford important prerequisites to further develop NICU MT as a truly family-centred approach.
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