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Primary care patients with cardiovascular disease eligible for nurse-led internet-based cognitive behavioural therapy for insomnia: Characteristics and motives for participation
Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.ORCID iD: 0000-0001-9100-2674
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0001-7101-3165
Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science.ORCID iD: 0000-0002-9854-7690
Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden.
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2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 7, p. 4676-4689Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

Aim: To describe demographic, physical and psychological characteristics associated with insomnia in patients with cardiovascular disease (CVD) participating in nurse-led Internet-based cognitive behavioural therapy for insomnia (I-CBTI), and their motives and expectations regarding participation in I-CBTI.

Design: A mixed method design was applied, including primary care patients with angina pectoris, myocardial infarction, heart failure, atrial fibrillation and atrial flutter or arrhythmia in southern Sweden.

Methods: Data on demographics, insomnia severity and physical and psychological characteristics were collected through self-rated validated questionnaires (n = 126). Motives and expectations were collected through interviews (n = 19) and analysed using the ‘personas’ model.

Results: Physical symptoms and psychological characteristics were associated with insomnia. Three personas were identified: the pragmatist (a curious and optimistic persona), the philosopher (a problem-solving persona) and the philanthropist (an altruistic persona). Expectations were positive among the three personas, but comorbid conditions reduced the perceived ability to make necessary behavioural changes.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023. Vol. 10, no 7, p. 4676-4689
Keywords [en]
cardiac disease, characteristics, cognitive behavioural therapy, insomnia, internet-based intervention, mixed method design, nurse-led, sleep problems
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-60058DOI: 10.1002/nop2.1717ISI: 000952996600001PubMedID: 36929685Scopus ID: 2-s2.0-85150835055Local ID: GOA;;873445OAI: oai:DiVA.org:hj-60058DiVA, id: diva2:1748292
Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2023-06-27Bibliographically approved

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Öberg, SandraJohansson, LindaGeorgsson, MattiasBroström, Anders

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