Design of a treatment pathway for insomnia in prison settings in England: a modified Delphi study

BMJ Open
Lindsay H DewaJane Senior

Abstract

Insomnia is highly prevalent in prisoners and is a risk factor for poor mental well-being, depression, suicidality and aggression, all common concerns in this vulnerable population. Improving sleep management options in prison offers the potential to impact positively on a number of these common risk factors. The study aim was to design a treatment pathway for insomnia in prisons informed by stakeholders with professional or lived experience of insomnia and prison-based interventions. A modified Delphi technique, adapted to the stakeholder (either receiving controlled feedback online or face to face on a series of statements), was used over three rounds to gain consensus on a final treatment pathway design. Academic sleep researchers, prison staff and prisoners were invited to develop the treatment pathway. Fifteen stakeholders took part in round 1 and thirteen in round 2. There were six statements of contention that comprised concerns over the inclusion of sleep observations, sleep restriction therapy and promethazine. Consensus was high (>80%). Thirteen stakeholders agreed the final pathway in round 3. The final treatment pathway comprised a standardised stepped-care approach for insomnia in prison populations. The pathway re...Continue Reading

References

Sep 1, 1984·American Journal of Public Health·A FinkR H Brook
Jan 18, 2003·Sleep Medicine Reviews·Maurice M Ohayon
Aug 26, 2004·Health Education Research·Emely De VetNanne K De Vries
Dec 3, 2005·BMC Medical Research Methodology·Ralitsa B AkinsBryan R Cole
Aug 16, 2006·BMJ : British Medical Journal·Glyn ElwynUNKNOWN International Patient Decision Aids Standards (IPDAS) Collaboration
Dec 29, 2006·Pharmacotherapy·Anna K MorinAnn M Lynch
Dec 7, 2007·Journal of Psychosomatic Research·Balaji Yegneswaran, Colin Shapiro
Dec 8, 2009·Sleep Medicine Reviews·Simon D KyleColin A Espie
Feb 9, 2010·Sleep Medicine Reviews·Chiara BaglioniDieter Riemann
Feb 7, 2012·Sleep Medicine·Jeanine KamphuisMarike Lancel
Jan 27, 2015·European Journal of Public Health·Martin McKeePeter Allebeck
Jun 20, 2015·Nutrition Journal·Heather H KellerKhursheed Jeejeebhoy
Jan 16, 2016·BMJ Open·Fiona G KouyoumdjianStephen W Hwang
May 3, 2016·Annals of Internal Medicine·Amir QaseemUNKNOWN Clinical Guidelines Committee of the American College of Physicians
May 10, 2016·International Journal of Law and Psychiatry·Lyndsie Fiona BarkerCarol A Ireland
Feb 28, 2017·Journal of Sleep Research·Lindsay H DewaJane Senior

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Citations

Jun 18, 2020·International Journal of Environmental Research and Public Health·Giulia D'AurizioGiuseppe Curcio
Aug 14, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Nathaniel P MorrisRenée L Binder

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Methods Mentioned

BETA
cognitive behavioural therapy

Software Mentioned

NVivo

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