1. Topic: The impact of socioeconomic disparities and related factors (e.g., financial and/or housing insecurity) on treatment outcomes: Considerations for BSM assessment and adapting interventions
Category: Position Statement, Consensus Statement, or Clinical Practice Guideline
Potential Questions:
- What are the barriers to BSM access faced by socioeconomically disadvantaged groups?
- What evidence-based assessments and/or measures should be modified or newly-developed to address socioeconomic disparity within BSM evaluations?
- What evidenced-based assessment tools are available to detect various types of bias within BSM assessment and intervention?
- What components of cognitive-behavioral interventions need to be modified or adapted to address socioeconomic differences and improve treatment outcomes?
- What cognitive-behavioral components/strategies best support desired outcomes in socioeconomically disadvantaged groups?
Potential Objectives:
- Summarize the literature addressing socioeconomic disparities and related factors on BSM treatment outcomes
- Identify gaps in BSM assessment that do not capture important socioeconomic differences that can impact treatment effectiveness.
- Identify behavioral treatments that need modification for socioeconomically disadvantaged groups and what those modifications might be.
- Identify effective interventions for socioeconomically disadvantaged groups.
- Evaluate acceptance of behavioral treatments by patients who are socioeconomically disadvantaged.
- Summarize effectiveness of BSM providers when providing services to socioeconomically disadvantaged populations.
- Summarize the barriers to digital delivery of CBT-I in socioeconomically disadvantaged populations
2. Topic: The definition of “CBT-I” and core components
Category: Position Statement, Consensus Statement, or Clinical Practice Guideline
Potential Question(s):
- What acronym should be used for cognitive behavioral therapy for insomnia (e.g., CBT-I CBTi, CBTI, etc.)?
- What is the definition of CBT-I?
- How does CBT-I differ from other CBTs?
- What are the core components of CBT-I?
- What is the recommended framework for delivery of CBT-I and what alterations or departures from this format are acceptable/unacceptable within this framework?
Potential Objectives:
- Identify a concise definition for what CBT-I is, and contrast with what CBT-I is not
- Identify and describe the core components of CBT-I.
- Identify and describe additional behavioral components that may be included in CBT-I.
- Describe the general framework for delivery of CBT-I (e.g. number of sessions, duration, any pre-post-testing, use of sleep logs, etc).
- Review common evidence-based modifications to CBT-I including brief behavioral treatment for insomnia, digital CBT-I, etc.
3. Topic: Interventions to increase adherence with PAP therapy
Category: Position Statement, Consensus Statement, or Clinical Practice Guideline
Potential Question(s):
- Do cognitive-behavioral or motivational enhancement interventions increase PAP adherence?
- Does treatment of insomnia via CBT-I increase PAP adherence in patients with insomnia?
- How long are intervention-related increases in PAP adherence maintained over time?
Potential Objectives:
- Summarize findings to identify the most prominent promotors and/or barriers impacting adherence to PAP therapy
- Identify behavioral interventions and motivational enhancements that increase PAP compliance.
- Evaluate role of CBT-I on adherence in patients with insomnia on PAP
- Evaluate patient acceptance of BSM interventions for PAP adherence or related conditions (e.g., insomnia, nightmares, anxiety)
- Identify the most effective treatment sequences when integrating cognitive-behavioral interventions into treatment plans for management of OSA via PAP
- Evaluate cost/benefit ratio of implementing BSM interventions for PAP adherence vs. treatment-as-usual
Paper topic proposals should be based on instructions for paper development within the SBSM Guidelines for Development of Position Statements, Consensus Statements, and Clinical Practice Guidelines
SBSM papers can cover a variety of topics related to behavioral sleep medicine and each paper type serves a different purpose as described below:
Position Statements: A Position Statement is a relatively-briefer (compared to other document types) pronouncement that describes an official position of the organization. It may explain, justify, or suggest an opinion about an issue or emerging topic. It contains sufficient background information and explanation to provide an understanding of the issues involved and the rationale behind the position adopted. Thus, the main function of a position statement is to describe the official position of the organization on a specific issue, in the context of the best available evidence. Panels consist of 3-8 experts and/or stakeholders who participate equally in the process of developing a Position Statement.
Consensus Statements: A Consensus Statement is developed by subject matter experts based on a systematic review of the available literature, for the purpose of understanding a clinically-relevant issue or procedure. Thus, the main function of a consensus statement is to comprehensively summarize a specific topic. Panels consist of 3-8 experts who participate equally in the process of developing a Consensus Statement.
Clinical Practice Guidelines: A Clinical Practice Guideline (CPG) describes best practices so as to reduce inappropriate clinical care variations, minimize patient harm, promote cost-effective practice, and produce optimal patient outcomes. The guidelines are developed through systematic review and meta-analysis (if possible) using the strongest available evidence in the literature. The information is combined with expert opinions where appropriate, to produce a specific set of directives intended to influence practitioner and patient behavior. Thus, the main function of a CPG is to specify best practices for clinical care. Panels for CPGs may be larger than other projects and can consist of 8-12 experts and/or stakeholders.