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Direct to psychology for sleep disorders: Innovating models of care in the hospital and health service.

A 'Direct to Psychology Insomnia' pathway was developed for implementation within a multidisciplinary sleep disorders service in a tertiary hospital in Brisbane, Australia. The project was informed by implementation science principles and methodology to re-design the model of care (MoC). A consensus...

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Published in:Journal of Health Psychology Vol. 30; no. 5; pp. 989 - 1004
Main Authors: Winter, Sara, Crocker, Sara, Rolls, Tricia, Curtin, Deanne, Haratsis, Jessica, Szollosi, Irene
Format: research tables/charts Journal Article
Published: Sage Publications Inc. Apr2025
Online Access:View this record in EBSCOhost
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      dt: Apr2025
      vid: 30
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Direct to psychology for sleep disorders: Innovating models of care in the hospital and health service.
      aug:
        au:
          Winter, Sara
          Crocker, Sara
          Rolls, Tricia
          Curtin, Deanne
          Haratsis, Jessica
          Szollosi, Irene
        affil: The Prince Charles Hospital, Australia
      sug:
        subj:
          Sleep Disorders Psychosocial Factors
          Health Psychology
          Diffusion of Innovation
          Sleep Disorders Therapy
          Tertiary Health Care Australia
          Human
          Australia
          Implementation Science
          Consensus
          Seminars and Workshops
          Insomnia Psychosocial Factors
          Sleep Apnea, Obstructive Psychosocial Factors
          Funding Source
      ab: A 'Direct to Psychology Insomnia' pathway was developed for implementation within a multidisciplinary sleep disorders service in a tertiary hospital in Brisbane, Australia. The project was informed by implementation science principles and methodology to re-design the model of care (MoC). A consensus group workshop using the Nominal Group Technique (NGT) with 12 multidisciplinary staff was undertaken to develop the new MoC. The workshop explored inclusion and exclusion criteria for a Direct to Psychology pathway including patient flow and enablers. The team endorsed a MoC that was acceptable to stakeholders and addressed service-level imperatives. The findings highlighted that patient inclusion or exclusion should be overseen by the Sleep Physician team and an Advanced Psychologist with behavioural sleep medicine expertise. Continuum of care for patients referred via primary care providers was considered. Barriers and risks to the MoC changes were identified which informed the refinement of the MoC.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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