Family Engagement in Services During COVID-19: A Mixed-Methods Study of Caregiver and Staff Perspectives.

Introduction: We examined changes in family engagement before versus during the pandemic in pediatric and family services and perceived facilitators and barriers to family engagement.

Method: We employed a mixed-methods assessment of staff and caregiver perspectives related to pediatric and family medicine clinics and family resource centers in rural northern New England. We used narrative synthesis to analyze qualitative interviews (n = 29) and descriptive statistics for quantitative surveys (n = 108).

A pilot feasibility trial of cognitive-behavioural therapy for insomnia in people with inflammatory bowel disease.

Objective: Poor sleep is common in inflammatory bowel disease (IBD), associated with worse overall disease course and predominantly attributable to insomnia. While cognitive-behavioural therapy for insomnia (CBT-I) is the recommended first-line treatment for chronic insomnia, it is untested in IBD. It is unclear if CBT-I will be as effective in this group given the extent of night-time symptoms people with IBD experience.

Poor Sleep in Inflammatory Bowel Disease Is Reflective of Distinct Sleep Disorders.

Background: Poor sleep is common in inflammatory bowel disease (IBD), predicting increased risk of flares, surgery, and/or hospitalization and reducing quality of life.

Aims: To profile specific sleep disorder symptoms in IBD, informing intervention efforts.

Methods: 312 adults with Crohn's disease or ulcerative colitis were recruited from an academic medical center in New Hampshire, USA.