Study Objectives
To analyze the negative factors of return to work of patients with mild traumatic brain injury, and provide suggestions for clinical diagnosis and treatment.
Methods
Patients presenting to the Neurotrauma Clinic of Beijing Tiantan Hospital of head injury and evaluated for mTBI were eligible for our study.Demographic and injury-related information were collected in the outpatient department.Patients completed phone interviews and questionnaire to provide follow-up data on neurological systems symptoms, sleep, anxiety and depressive at 3 and 6 months post-injury. A total of 99 patients provided sufficient data for analysis from August 2021 to July 2022.
Results
Patients with poor sleep quality or low-levels of education were at increased risk for return to work at 3 months after the injury，and patients with multiple injuries were at 6 months.
Conclusion
mTBI have a variety of negative impacts on physiology and psychology，which influence prognosis.Poor sleep quality、low-levels of education and multiple injuries will delay the return to work of mTBI patients.

mild traumatic brain injury，return to work，general practice

This interactive and engaging skill-building session was co-designed by general practitioners, sleep specialists, and implementation researchers, to provide GPs with the hands-on skills and resources to manage patients with insomnia disorder.

Chronic insomnia occurs in 2.5 million Australian adults at any given time. For the past 6 years, the RACGP Health of the Nation survey has reported that sleeping problems are among the 3 most common reasons that people present to general practice. Insomnia substantially reduces daytime functioning, and quality of life, increases risk of Major Depression, and incurs substantial economic costs in Australia and world-wide. Over the past 5 years, an Insomnia Stakeholder Committee has aimed to re-shape the landscape of insomnia management throughout Australian primary care. RACGP Guidelines recommend Cognitive Behavioural Therapy for Insomnia (CBT-I) as the ‘first-line’ treatment for insomnia. However, only 1% of Australians with insomnia access CBT-I. Representatives of the RACGP, ACRRM, Australasian Sleep Association, Sleep Health Foundation, Department of Health, SAX Institute, Australian Psychological Society, consumers, clinicians, and researcher institutes have been co-ordinating an implementation program to improve CBT-I access throughout metropolitan, rural and remote Australia.

This Skill-Building Session will provide GPs and other primary care personnel with the latest evidence-based information on the assessment and management of insomnia in general practice. A new online Sleep Health Primary Care Resource approved as a RACGP accepted clinical resource will be presented in a series of interactive exercises. Evidence on the effect of CBT-I on insomnia, mental health and physical health symptoms will be provided. Practical information about insomnia treatment options including a GP administered Brief Behavioural Therapy for Insomnia (BBT-I) program, evidence-based digital CBT-I, specialist referral options, and pharmacological options will be discussed. Attendees will be invited to become involved in CBT-I implementation trials, to access the latest evidence-based treatment and referral options for insomnia.
This session will be presented by Hailey Meaklim, Nick Zwar, Cathy Andronis, and Alexander Sweetman.

This skill-building session will revive the capacity of GPs to identify and manage insomnia according to the most recent evidence.

Learning Objectives.
After this skill-building session, attendees will be able to:
1. Identify general practice patients with sleep problems, access, implement, and interpret standardised insomnia assessment tools,

2. Develop a comprehensive management plan for patients with chronic insomnia, including management/referral for evidence-based Cognitive Behavioural Therapy for Insomnia (CBT-I) options, and

3. Administer bedtime restriction therapy in the general practice setting, a core therapeutic component of Cognitive Behavioural Therapy for Insomnia.

Take Aways:
1. Attendees will be encouraged to re-connect with colleagues in this engaging session, and access continuing professional development to up-skill in insomnia management, including; a recently updated gpLearning insomnia module, a GP brief behavioural treatment for insomnia module (being developed in collaboration with the GPMHSC), and other online modules and resources developed over the past 4 years.

2. GPs will be encouraged to become involved in clinical implementation trials to access evidence-based digital CBT-I interventions, tailored for the general practice setting.

3. Interactive sessions such as this are required to improve primary care capacity to identify people with insomnia, and increase access to CBT-I in Australia.