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Table 1 Summary of challenges to dissemination of evidence-based behavioral sleep medicine and gap bridging solutions offered by digital technologies, and targeted outcomes

From: Enhancing behavioral sleep care with digital technology: study protocol for a hybrid type 3 implementation-effectiveness randomized trial

Current challenges

Solutions offered by dHealth technologies

Targeted outcomes

Access to evidence-based behavioral sleep care geographically limited to some urban/academic centers

Accessibility not limited by geographical locations

Leverage providers to serve more patients over broader catchment area

Limited number of trained behavioral sleep providers

Provide clinical decision-making support for non-sleep providers and consultation with experts in behavioral sleep medicine

Harness patient preference for treatment delivery format [40]

Delivery of care limited to in-person or synchronous telemedicine encounters

Delivery of synchronous and asynchronous care to match “just-in-time” patient needs and clinical resources

Increased accessibility for individuals with restricted mobility, and individuals with responsibilities that conflict with typical office hours (e.g., childcare, work schedule)

Cost-effectiveness

Independent of brick-and-mortar locations and related costs

Enhanced workflow and patient volume with minimal impact on workload

Harness non-traditional workforce in behavioral health

Fixed treatment protocols, appointment schedules, and communication means

Timely and secure just-in-time communication and exchange of information between provider and patient

Optimize personalization of assessment and intervention plan, prospective monitoring of adherence, side effects, progress, and outcomes