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Aim

Insomnia treatment acceptability and preferences of male Iraq and Afghanistan combat Veterans and their healthcare providers. Dana R. Epstein, PhD, RN; Judith L. Babcock-Parziale, PhD; Patricia L. Haynes, PhD; Christine A. Herb, MC, RN. Aim

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Aim

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  1. Insomnia treatment acceptability and preferences of male Iraq and Afghanistan combat Veterans and their healthcare providers Dana R. Epstein, PhD, RN; Judith L. Babcock-Parziale, PhD; Patricia L. Haynes, PhD; Christine A. Herb, MC, RN

  2. Aim • Determine acceptability of insomnia treatments and preferences for interventions and treatment delivery among Veterans and their healthcare providers. • Relevance • Sleep difficulty is prevalent among returning veterans. • Cognitive-behavioral treatment for insomnia may need to be modified to meet needs of Veterans who have experienced blast-related injuries and other traumas.

  3. Methods • We interviewed 18 Operation Iraqi Freedom/Enduring Freedom Veterans who screened positive for mild traumatic brain injury and 19 healthcare providers to determine acceptability of insomnia treatments and preference for interventions and treatment delivery.

  4. Results • Veterans and providers had distinct preferences for insomnia treatment and its delivery. • Veterans • Treatments: Relaxation treatment and pharmacotherapy both most acceptable and preferred. • Format/Delivery: Individual treatment and electronic methods. • Providers • Relaxation therapy most acceptable.

  5. Conclusions • Despite some differences between patients’ and providers’ perspective, modification of empirically supported behavioral treatments is feasible. • Implications for preference-based insomnia intervention development and testing are discussed.

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