Table 3 Facilitators and barriers of conducting an insomnia intervention within a therapeutic community
Level | Facilitators | Barriers |
|---|---|---|
Patient | Patient interest in learning about sleep and treating insomnia | Maintenance of treatment integrity because participants missed gCBT-I sessions |
Provider | Staff and students willing to complete sleep medicine training and conduct gCBT-I sessions | Efforts to minimize workload for staff that limited opportunity to recruit gCBT-I participants |
Staff and volunteer turnover that delayed recruitment | ||
Sleep medicine training that was time- and resource-intensive | ||
Organizational | Well-established clinical research infrastructure within the behavioral health program | Limited opportunities to collect weekly paper sleep diaries as part of standard clinical practice |
gCBT-I sessions that did not conflict with scheduled SUD treatment | Time gap from behavioral health program enrollment to 1st gCBT-I session | |
Consistent communication with staff and leadership in the behavioral health program and therapeutic community |