Older adults with comorbid insomnia and medical illness have been excluded from behavioral treatment research, but recent evidence suggested that such treatments would be effective with this population. In this study, 38 older adults with comorbid insomnia were randomized to 1 of 3 conditions: classroom cognitive-behavioral treatment (CBT), home-based audio relaxation treatment (HART), or delayed-treatment control. Compared to the control group, the CBT group had significant changes in 5 of 7 self-report measures of sleep at the 4-month follow-up. The HART group obtained significant outcomes on 3 of 7 measures. Wrist actigraphy measures and secondary-outcome measures did not yield significant findings for either treatment. Clinically significant changes at follow-up were obtained for 54% of patients in CBT, 35% in HART, and 6% in the control group when treatment dropouts were included. Although not as effective as in-person CBT, home interventions may have utility as a first-line, low-cost treatment.
This pilot study evaluated a home-based cognitive-behavioral intervention-the Sleep Enhancement Training System for Shift Workers (SETS-SW)-in a sample of 21 nurses working night shifts. Participants (20 women and 1 man) received 2 home-based cognitive-behavioral interventions: a 4-week active control intervention, followed by the 4-week SETS-SW intervention. Sleep and circadian rhythms were assessed at baseline and after each intervention using questionnaires and 1 week of wrist actigraphy. After the SETS-SW intervention, participants reported better sleep quality, although no change in actigraphy outcomes was observed. Over the course of the study, participants also reported improved wellbeing and less appetite disturbance. A home-based cognitive-behavioral intervention may be useful for managing effects of shift work, but needs further evaluation in larger samples.
Objective-To evaluate the feasibility and efficacy of a home-based cognitive-behavioral training program for sleep during late pregnancy.Methods-A nonrandomized quasi-experimental sample of nulliparous women who received the intervention during pregnancy (n=25) was compared to two control groups (n=76 and n=48) from other intervention studies at similar postintervention time points: approximately 1 month before childbirth and 1-2 months after childbirth. The home-based Sleep Enhancement Training System for Pregnancy consisted of 4 weeks of sound-enhanced audio relaxation programs, readings, and daily sleep diaries. Both control groups received dietary recommendations for improving sleep. Sleep duration (total sleep time) and sleep disruption (wake after sleep onset) were measured using wrist actigraphy for a minimum of 48 hours on consecutive weekdays.Results-The intervention group had significantly longer sleep duration and less sleep disruption than both control groups, particularly at the postpartum assessment. Intervention participants slept an average of 430 (95% confidence interval [CI] 397-464) minutes during pregnancy, compared to 420 (95% CI 403-438) and 417 (95% CI 395-439) minutes for the two control groups. At the postpartum assessment, the intervention group slept 446 (95% CI 415-478) minutes compared to 390 (95% CI 373-408) and 370 (95% CI 348-393) minutes for controls. In terms of sleep disruption, the intervention group had 16.1% (95% CI 11.9-20.2%) wake after sleep onset during pregnancy, while controls had 13.4% (95% CI 11.2-15.5%) and 20.4% (95% CI 17.7-23.0%). Postpartum, the intervention group had 20.3% (95% CI 16.4-24.1%) wake after sleep onset compared to 26.6% (95% CI 24.5-28.8%) and 28.7% (95% CI 26.0-31.5%) among control. Participant feedback about the intervention was generally positive, although intervention adherence was variable.Conclusions-This study provides evidence of the feasibility and efficacy of the Sleep Enhancement Training System for Pregnancy intervention for enhancing sleep that typically worsens during late pregnancy and after childbirth. PrécisA cognitive-behavioral intervention that includes relaxation training demonstrates feasibility and efficacy for minimizing sleep disruption among women in late pregnancy and after childbirth.
Objective To evaluate the feasibility and efficacy of a home-based cognitive-behavioral training program for sleep during late pregnancy. Methods A nonrandomized quasi-experimental sample of nulliparous women who received the intervention during pregnancy (n=25) was compared to two control groups (n=76 and n=48) from other intervention studies at similar postintervention time points: approximately 1 month before childbirth and 1–2 months after childbirth. The home-based Sleep Enhancement Training System for Pregnancy consisted of 4 weeks of sound-enhanced audio relaxation programs, readings, and daily sleep diaries. Both control groups received dietary recommendations for improving sleep. Sleep duration (total sleep time) and sleep disruption (wake after sleep onset) were measured using wrist actigraphy for a minimum of 48 hours on consecutive weekdays. Results The intervention group had significantly longer sleep duration and less sleep disruption than both control groups, particularly at the postpartum assessment. Intervention participants slept an average of 430 (95% confidence interval [CI] 397–464) minutes during pregnancy, compared to 420 (95% CI 403–438) and 417 (95% CI 395–439) minutes for the two control groups. At the postpartum assessment, the intervention group slept 446 (95% CI 415–478) minutes compared to 390 (95% CI 373–408) and 370 (95% CI 348–393) minutes for controls. In terms of sleep disruption, the intervention group had 16.1% (95% CI 11.9–20.2%) wake after sleep onset during pregnancy, while controls had 13.4% (95% CI 11.2–15.5%) and 20.4% (95% CI 17.7–23.0%). Postpartum, the intervention group had 20.3% (95% CI 16.4–24.1%) wake after sleep onset compared to 26.6% (95% CI 24.5–28.8%) and 28.7% (95% CI 26.0–31.5%) among control. Participant feedback about the intervention was generally positive, although intervention adherence was variable. Conclusions This study provides evidence of the feasibility and efficacy of the Sleep Enhancement Training System for Pregnancy intervention for enhancing sleep that typically worsens during late pregnancy and after childbirth.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.