Evidence map›Paper›PMID 42438813›Full record

ArticleOsteoarthritis and cartilage open2026

Physiotherapists experiences with cognitive behavioural therapy for insomnia (CBT-I) training: Mixed methods study.

Michelle Wang, Jillian Eyles, Samantha Bunzli, David Klyne, Belinda Lawford, Susan M McCurry, Amanda Dinh, Robert Schütze, Alan Nguyen, Daniel I Rhon and 5 more

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Michelle WangMusculoskeletal Research Hub, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2050, Australia.
Jillian EylesSydney Musculoskeletal Health, The Kolling Institute, The University of Sydney, Sydney, NSW 2050, Australia.
Samantha BunzliNathan Campus, School of Health Sciences and Social Work, Griffith University, Brisbane, QLD 4029, Australia.
David KlyneThe University of Queensland, Centre for Innovation in Pain and Health Research (CIPHeR), School of Health and Rehabilitation Sciences, Brisbane, QLD 4072, Australia.
Belinda LawfordCentre for Health, Exercise & Sports Medicine, The University of Melbourne, Melbourne, VIC 3053, Australia.
Susan M McCurrySchool of Nursing, University of Washington, Seattle, WA 98195, USA.
Amanda DinhSydney Musculoskeletal Health, The Kolling Institute, The University of Sydney, Sydney, NSW 2050, Australia.
Robert SchützeCurtin School of Allied Health, Curtin University, Perth, WA 6102, Australia.
Alan NguyenMusculoskeletal Research Hub, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2050, Australia.
Daniel I RhonDepartment of Rehabilitation, School of Medicine, Uniformed Services University of Health Sciences, Bethesda, MD 20814, USA.
Rana S HinmanCentre for Health, Exercise & Sports Medicine, The University of Melbourne, Melbourne, VIC 3053, Australia.
Simon S SmithARC Centre of Excellence for Children and Families over the Life Course, Brisbane, QLD 4067, Australia.
Peter WindowPhysiotherapy Department, Royal Brisbane and Women's Hospital, Herston, QLD 4006, Australia.
Stacey GrealisUCD Centre for Arthritis Research, School of Medicine, Conway Institute of Biomolecular & Biomedical Research, University College Dublin, Dublin 4, Belfield, Ireland.
Michelle HallMusculoskeletal Research Hub, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2050, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Explore physiotherapists' experiences with Cognitive Behavioural Therapy for Insomnia (CBT-I) training to understand factors that may influence implementation and upscaling of CBT-I training for physiotherapists. Method: Using a mixed-methods approach, data were collected through questionnaires and semi-structured interviews from twelve physiotherapists (3-27 years' experience) who completed a CBT-I training program consisting of online workshops and a pilot case. The Educational Course Assessment Toolkit (EDUCATOOL) evaluated reaction, learning, expected outcomes and behaviours in relation to the CBT-I training, and the Determinants of Implementation Behaviour Questionnaire (DIBQ), assessed barriers and enablers to the implementation of CBT-I. Interviews explored physiotherapists' experiences of the training, guided by the theoretical framework of acceptability. Data were analysed thematically, with themes subsequently mapped to the Theoretical Domains Framework. Results: The median EDUCATOOL overall score was 92.38 (IQR = 87.35-99.00) out of 100.87% of DIBQ items were rated favourably to their respective domains (>4 on 7-point Likert scale). Four themes were generated from the interviews. Physiotherapists reported confidence in their capability to deliver CBT-I, reflecting (1) readiness for implementation in their professional role. (2) Training delivery and design contributed positively to knowledge acquisition. (3) Experiential learning enhanced understanding and confidence. However, physiotherapists noted (4) barriers affecting the integration of CBT-I in physiotherapy practice, including stakeholder engagement, and feasibility considerations related to billing, and delivery. Conclusion: Physiotherapists felt confident to deliver CBT-I following a training program. For successful upscaling, future initiatives must address identified systemic and practical barriers, including stakeholder engagement and delivery feasibility.

Indexed as

Chronic musculoskeletal painCognitive behavioural therapy for insomniaConservative therapies

Identifiers

PMID42438813
PMCPMC13356622

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.