SBSM - Caring for Patients with Complex Sleep Problems: Advanced Topics in Behavioral Sleep Medicine
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What activities did you attend at the event?
September 17, 2016 - 8:30AM-9:45AM Morning Session
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When a CBT-I Manual is Not Enough: Treating Insomnia in Complex Cases
September 17, 2016 - 10:00AM-11:00AM Morning Session
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CBT-I and Challenges Associated with Sleep Medication Use
September 17, 2016 - 11:00AM-12:00PM
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Case Presentations and Discussions
September 17, 2016 - 1:30PM - 2:45PM Afternoon Session
-- Select an Activity --
Sleep and Menopause: It’s a hot mess!
September 17, 2016 - 3:00PM - 4:00PM Afternoon Session
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Sleep during Pregnancy and the Postpartum Period
September 17, 2016 - 4:00PM - 5:00PM Afternoon Session
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Case Presentations and Discussions
September 18, 2016 - 8:30AM-9:45AM Morning Session
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The Science and Art of CBT-I for Child and Adolescent Insomnias: Fitting Treatments to Phenotypes
September 18, 2016 - 10:00AM-11:00AM Morning Session
-- Select an Activity --
Insomnia in the Littlest Ones: Behavioral Sleep intervention for Infants, Toddlers, and Preschoolers
September 18, 2016 - 11:00AM-12:00PM
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Case Presentations and Discussions
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Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
I agree
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The extent to which the activity met the learning objectives as described in the brochure/syllabus. Did the conference
Identify treatment targets and link them to cognitive behavioral strategies
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
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Good
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Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Tailor behavioral treatments for insomnia in patients with co-morbidities
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Employ effective techniques to address non-adherence to behavioral treatments for insomnia
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Recognize the challenges resulting from combined pharmacological and cognitive behavioral treatments for insomnia
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Outline common challenges and strategies associated with sleep medication tapering
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Describe normal sleep patterns and sleep disorders in women during menopause
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Tailor CBT-I to women during menopause
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Identify intrinsic factors and behavior phenotypes of sleep disturbance in school-age children and adolescents
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Formulate a cognitive behavioral sleep treatment plan tailored for pediatric patients' needs and preferences
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Describe adaptations for the use of CBT-I in adolescents with co-morbid delayed sleep wkae phase disorder
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Utilize behavioral sleep interventions to improve bedtime problems and night awakings in young children
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
List special considerations for behavioral sleep treatment in children with Autism Spectrum Disorder and Developmental Delay
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If there was an objective you felt did not meet, please not the number and why:
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My knowledge and skill level on this topic
PRIOR
to this activity:
Knowledgeable
Very Familiar
Somewhat Familiar
Unfamiliar
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Having completed the activity, please rate your ability to meet each of the following objectives:
Identify treatment targets and link them to cognitive behavioral strategies
Excellent
Very Good
Good
Fair
Poor
Tailor behavioral treatments for insomnia in patients with comorbidities (e.g., major depressive disorder)
Excellent
Very Good
Good
Fair
Poor
Employ effective techniques to address non-adherence to behavioral treatments for insomnia
Excellent
Very Good
Good
Fair
Poor
Recognize the challenges resulting from combined pharmacological and cognitive behavioral treatments for insomnia
Excellent
Very Good
Good
Fair
Poor
Outline common challenges and strategies associated with sleep medication tapering
Excellent
Very Good
Good
Fair
Poor
Identify special considerations for sleep medication use in patients with co-occurring medical conditions
Excellent
Very Good
Good
Fair
Poor
1
Excellent
Very Good
Good
Fair
Poor
Describe normal sleep patterns and sleep disorders in women during menopause
Excellent
Very Good
Good
Fair
Poor
Tailor CBT-I to women during menopause
Excellent
Very Good
Good
Fair
Poor
Integrate BSM services within the medical model (Obstetrics & Gynecology clinics)
Excellent
Very Good
Good
Fair
Poor
Outline changes in sleep patterns in women during pregnancy and postpartum
Excellent
Very Good
Good
Fair
Poor
Identify the key hormonal changes that impact sleep during pregnancy and the postpartum period
Excellent
Very Good
Good
Fair
Poor
Develop a treatment plan for sleep disorders (e.g., insomnia, obstructive sleep apnea, and restless legs syndrome) in women during pregnancy and the postpartum period
Excellent
Very Good
Good
Fair
Poor
1
Excellent
Very Good
Good
Fair
Poor
Identify intrinsic factors and behavior phenotypes of sleep disturbance in school-age children and adolescents
Excellent
Very Good
Good
Fair
Poor
Formulate a cognitive behavioral sleep treatment plan tailored for pediatric patients’ needs and preferences
Excellent
Very Good
Good
Fair
Poor
Describe adaptations for the use of CBT-I in adolescents with co-morbid delayed sleep wake phase disorder
Excellent
Very Good
Good
Fair
Poor
Utilize behavioral sleep interventions to improve bedtime problems and night wakings in young children
Excellent
Very Good
Good
Fair
Poor
List special considerations for behavioral sleep treatment in children with Autism Spectrum Disorder and Developmental Delay
Excellent
Very Good
Good
Fair
Poor
1
Excellent
Very Good
Good
Fair
Poor
My knowledge and skill level on this topic
AFTER
to this activity:
Knowledgeable
Much more familiar
Somewhat more familiar
Unchanged
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The Accreditation Council for CME requires us to analyze changes in learners' competence, performance, or patient outcomes. Competence is defined as the ability to apply knowledge, skills, and judgement in practice (knowing how to do something)
Increased my competence (knowing how to do something)
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Will improve my performance
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Will improve my patient outcomes
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
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Identify how you will change your practice as a result of attending this activity (select all that apply)
Create/revise protocols, policies, and/or procedures
Change the management and/or treatment of my patients
It will help me communicate with others with in my practice
Validated my current practice, no changes will be made
I do not work directly with patients any longer
Other, specify below
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If you selected other, please specify. If you indicated a commitment to change in your practice, please describe
Will you attempt to address these barriers in order to implement changes in your competence, performance and/or patient outcomes?
Yes
No
Unsure
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The content of this conference matched my current (or potential) scope of practice:
Yes
No
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Please explain your response from the question above
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How might the format of this activity be improved for the content presented
Format was appropriate, no changes needed
Include more case based presentations
Increase interactivity with attendees
Add break outs for subtopics
Schedule more time for questions and answers
Other, specify below
If you selected other, please specify
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Overall, were the speakers knowledgeable regarding the content?
Yes
No
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Any additional comments on speaker presentations? (please note speaker name first. Example:
Dr. Conference had a great lecture...
)
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What kinds of topics and/or speakers would you like to see included at future activities?
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To be free of promotional influences, educational activities must promote quality or improvements in health care and not a specific bsuiness interest of a commercial entity. Training
content (lectures)
must give a balanced view of therapeutic options. Did you feel that the
content (lectures)
offered at this conference had any commerical influence?
Yes
No
If you answered yes above, this is what I saw or heard that was biased:
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How do you prefer to hear about future conferences?
Email me a brochure
Send me a brochure
Both email and send to my house
Get it myself form the AKN or Allina.com
From a committee or faculty member
Other
If you stated Other, please specify
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Please rate the following:
The program was relevant to my work
Strongly Agree
Agree
Undecided
Disagree
Strongly Disagree
Usefulness of handouts/AV
Excellent
Very Good
Good
Fair
Poor
Quality of facilities
Excellent
Very Good
Good
Fair
Poor
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
Excellent
Very Good
Good
Fair
Poor
If you rated any of the above questions with 'strongly disagree' or 'poor', please explain in detail (e.g. session title, speaker name, situation):
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Additional comment about the overall conference:
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