P28 Digital sleep treatments in libraries? A scoping review and behaviour change wheel analysis exploring digital healthcare in public libraries 2002-2025

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Chan, Xavier and Hartness, Tracey and Curran, Rebekkah and Flowers, Paul and Crawford, Megan (2026) P28 Digital sleep treatments in libraries? A scoping review and behaviour change wheel analysis exploring digital healthcare in public libraries 2002-2025. BMJ Open Respiratory Research, 13 (Suppl ). A32-A33. (https://doi.org/10.1136/bmjresp-2026-bss.51)

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Abstract

Introduction Increasing reliance on digital healthcare, such as digital cognitive behavioural therapy for insomnia (dCBT-I), has exacerbated inequalities in healthcare access for those who do not have the skills or resources to access the internet. Public libraries offer an opportunity to bridge this divide in digital healthcare given they 1) are embedded in the community 2) are used as a health resource for underserved populations and 3) provide access to and support using technology. Our aim was to explore the use of digital healthcare in public libraries, and adopt behavioural change wheel (BCW) analysis to identify behaviours to target for successful implementation of dCBT-I in public libraries. Methods A JBI scoping review was conducted to identify publications relating to digital healthcare in public libraries between 2002-2025 (figure 1). Barriers and facilitators to implementation of digital healthcare in public libraries were extracted. Some of these will be selected for BCW analysis, producing theory-based suggestions for the implementation of dCBT-I in public libraries. Results Studies identified were published between 2016-2024 and 11 studies were based in the US while 1 was based in the UK. In terms of study approach, 7 were qualitative, 3 quantitative and 2 were mixed methods studies. 11 studies had at least 1 barrier or facilitator that could be extracted. BCW analysis of the barriers and facilitators is currently ongoing. The results will be ready for presentation at the BSS conference. Discussion The potential for public libraries to improve access to digital healthcare remains under-researched. Further research is needed to ascertain whether dCBT-I can be implemented in public libraries outside of the U.S context. Suggestions from the BCW analysis will be used to structure coproduction workshops with relevant stakeholders to develop an implementation manual for dCBT-I in the context of Scottish libraries.

ORCID iDs

Chan, Xavier ORCID logoORCID: https://orcid.org/0000-0001-9651-8063, Hartness, Tracey, Curran, Rebekkah, Flowers, Paul ORCID logoORCID: https://orcid.org/0000-0001-6239-5616 and Crawford, Megan ORCID logoORCID: https://orcid.org/0000-0002-3167-1398;
CORE (COnnecting REpositories)