{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T03:50:50Z","timestamp":1768276250374,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T00:00:00Z","timestamp":1637539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neuropsychopharm Rep"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe the development and acceptability of a decision aid (DA) for chronic insomnia considering discontinuation of benzodiazepine (BZD) and benzodiazepine receptor agonist (BZRA) hypnotics, and if discontinuing, tapering with or without cognitive behavioral therapy for insomnia (CBT\u2010I).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed relevant literature describing chronic insomnia to identify options. We used the results of the systematic review and meta\u2010analysis conducted previously to determine the related outcomes of two options: discontinuation of BZD\/BZRA hypnotics by gradual tapering alone and discontinuation of BZD\/BZRA hypnotics by gradual tapering with CBT\u2010I. We then developed a prototype of DA following the International Patient Decision Aid Standards. A mixed methods survey was conducted to assess the acceptability among patients and healthcare providers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prototype consisted of a description of insomnia, options of continuing or discontinuing BZD\/BRZA hypnotics (if discontinuing, the options of tapering hypnotics with or without CBT\u2010I), pros and cons of each option, and a value clarification exercise. Patients (n\u00a0=\u00a024) reported that the DA had acceptable language (79%), adequate information (71%), and well\u2010balanced presentation (91%). Healthcare providers (n\u00a0=\u00a020) also provided favorable feedback.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We developed a DA for chronic insomnia considering discontinuation of BZD\/BRZA hypnotics, which was acceptable for stakeholders. The developed DA was designed to support patients and healthcare providers to make a decision about whether to discontinue BZD\/BRZA hypnotics.<\/jats:p><\/jats:sec>","DOI":"10.1002\/npr2.12219","type":"journal-article","created":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T13:48:41Z","timestamp":1637588921000},"page":"10-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Development and acceptability of a decision aid for chronic insomnia considering discontinuation of benzodiazepine hypnotics"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2674-0707","authenticated-orcid":false,"given":"Yumi","family":"Aoki","sequence":"first","affiliation":[{"name":"Department Psychiatric and Mental Health Nursing Graduate School of Nursing St. Luke\u2019s International University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9169-3249","authenticated-orcid":false,"given":"Yoshikazu","family":"Takaesu","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Graduate School of Medicine University of the Ryukyus  Okinawa Japan"},{"name":"Department of Neuropsychiatry Kyorin University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Nihon University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isa","family":"Okajima","sequence":"additional","affiliation":[{"name":"Department of Psychological Counseling Faculty of Humanities Tokyo Kasei University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0614-7524","authenticated-orcid":false,"given":"Masahiro","family":"Takeshima","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Akita University Graduate School of Medicine  Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akiyoshi","family":"Shimura","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiro","family":"Utsumi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nozomu","family":"Kotorii","sequence":"additional","affiliation":[{"name":"Kotorii Isahaya Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidehisa","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Everyone's Sleep and Stress Care Clinic  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenichi","family":"Kuriyama","sequence":"additional","affiliation":[{"name":"Department of Sleep\u2010Wake Disorders National Institute of Mental Health National Center of Neurology and Psychiatry  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norio","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Soseikai General Hospital  Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuo","family":"Mishima","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Akita University Graduate School of Medicine  Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,22]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2002.0186"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2014.12.008"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2010.10.023"},{"issue":"2","key":"e_1_2_14_5_1","first-page":"S379","article-title":"Quality of life in people with insomnia","volume":"22","author":"Zammit GK","year":"1999","journal-title":"Sleep"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27286"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12594"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp17X691865"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp160381"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2017.04.002"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02805988"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2019.101214"},{"issue":"7","key":"e_1_2_14_13_1","first-page":"Cd006732","article-title":"Interventions for increasing the use of shared decision making by healthcare professionals","volume":"7","author":"L\u00e9gar\u00e9 F","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.3.716"},{"issue":"4","key":"e_1_2_14_16_1","first-page":"Cd001431","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"4","author":"Stacey D","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X20936209"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-S2-S2"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X13501721"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12365"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112531"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/17538068.2019.1612212"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0201533"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1209500"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.12.018"},{"key":"e_1_2_14_26_1","volume-title":"User Manual \u2010 Acceptability","author":"O\u2019Conner AMCA","year":"1996"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2135-0"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2019.08.014"},{"key":"e_1_2_14_29_1","volume-title":"The Japanese guidelines for appropriate use and withdrawal of hypnotics","author":"Mishima K","year":"2014"},{"issue":"10","key":"e_1_2_14_30_1","first-page":"1015","article-title":"Discontinuation of benzodiazepines among older insomniac adults treated with cognitive\u2010behavioural therapy combined with gradual tapering: a randomized trial","volume":"169","author":"Baillargeon L","year":"2003","journal-title":"CMAJ"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.161.2.332"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.182.6.498"},{"key":"e_1_2_14_33_1","unstructured":"Ottawa Hospital Research Institute.Patient Decision Aids. User Manual.https:\/\/decisionaid.ohri.ca\/docs\/develop\/User_Manuals\/UM_Acceptability.pdf"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.2012.04418.x"}],"container-title":["Neuropsychopharmacology Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/npr2.12219","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/npr2.12219","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/npr2.12219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T13:15:15Z","timestamp":1693142115000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/npr2.12219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,22]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1002\/npr2.12219"],"URL":"https:\/\/doi.org\/10.1002\/npr2.12219","archive":["Portico"],"relation":{},"ISSN":["2574-173X","2574-173X"],"issn-type":[{"value":"2574-173X","type":"print"},{"value":"2574-173X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,22]]},"assertion":[{"value":"2021-09-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}