Date of Conferral



Doctor of Nursing Practice (DNP)




Melissa Rouse


AbstractThis doctoral project addressed the issue of prescribing cognitive-behavioral therapy (CBT) as the first-line treatment for insomnia. Despite being less efficacious, medications are the most preferred form of treatment for insomnia among most psychiatric clinicians. Providers at the clinical site where the project took place were foregoing CBT in preference to medications. Providers preferred the pharmacotherapeutic approach due to its ease of prescription compared to the psychotherapeutic intervention. An educational program was provided for the providers regarding the advantages of prescribing CBT over medications, for the treatment of insomnia. The program was in the form of a PowerPoint presentation, which lasted for 40 minutes, two psychiatrists and three nursing practitioners participated in the program. The project also included a pre and post-survey of provider knowledge about the significance of CBT for insomnia, and their willingness to adopt the intervention as the first-line treatment for insomnia, particularly in adults. The outcome of the surveys indicated that the care providers were willing to adopt CBT as the first-line treatment for insomnia among adults, following the provision of the education program. This is because the participant's mean scores were significantly higher in the post-intervention survey compared to the preintervention survey. The doctoral project will result in positive social change, since it will lead to enhanced mental health among the patient population, particularly among individuals with insomnia comorbid with various psychiatric disorders.

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