Internet and In-Person Cognitive Behavioral Therapy for Insomnia in Military Personnel: A Randomized Clinical Trial

Taylor, Daniel J.; Peterson, Alan L.; Pruiksma, Kristi E.; Young‐McCaughan, Stacey; Nicholson, Karin L.; Mintz, Jim

doi:10.1093/sleep/zsx075

Cited by 73 publications

(107 citation statements)

References 77 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…Direkte Vergleichsstudien von internetbasierter KVT-I zu F2F-psychotherapeutischer Behandlung zeigten bislang keine ganz einheitlichen Ergebnisse. Während in einer Arbeit aus den Niederlanden die F2F-Behandlung ei-ner internetbasierten Behandlung mit Therapeutenunterstützung per E-Mail deutlich überlegen war [32], war diese Überlegenheit etwas geringer in einer Studie an US-Militärangehörigen ausgeprägt, in der eine F2F-Behandlung mit einer internetbasierten Behandlung ohne Therapeutenunterstützung verglichen wurde [48]. In einer anderen Arbeit zeigte sich eine Nicht-Unterlegenheit einer internetbasierten Behandlung mit Therapeutenunterstützung per E-Mail und Telefonkontakten mit einer Gruppenbehandlung im F2F-Format [7].…”

Section: Randomisierte Kontrollierte Studienunclassified

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

et al. 2020

View full text Add to dashboard Cite

ZusammenfassungDigital angebotene psychologische Interventionen gegen Schlafstörungen sind aktuell ein sehr intensiv bearbeitetes Forschungsthema. In dieser Übersichtsarbeit werden Originalarbeiten und Metaanalysen zu diesem Thema zusammengefasst. Hierbei zeigt sich, dass die internetbasierte kognitive Verhaltenstherapie für Insomnie (KVT-I) bei Erwachsenen durchweg sehr effektiv ist mit allenfalls leicht geringeren Effektstärken als die gleiche Behandlung mit physischer Präsenz von Therapeuten und Patienten. Behandlungseffekte zeigen sich dabei auch für sekundäre Outcome-Parameter wie Depressivität, Angst, Fatigue und Lebensqualität. Hingegen lassen die Forschung zur Wirksamkeit der internetbasierten KVT‑I bei Erwachsenen mit komorbiden psychischen Störungen oder körperlichen Erkrankungen sowie die Forschung zur Frage, wieviel Therapeutenkontakt in die Behandlung integriert werden sollte, anscheinend noch keine abschließenden Antworten zu. In diesen Bereichen scheint weitere Forschung notwendig zu sein scheint.

show abstract

Section: Randomisierte Kontrollierte Studienunclassified

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

et al. 2020

View full text Add to dashboard Cite

show abstract

“…One study directly comparing face-to-face CBT with dCBT demonstrated that face-to-face CBT outperformed dCBT [ 43 •]. A later study in military personnel confirmed this [ 50 ]. A comparison of dCBT against group CBT did however not show any significant differences in improvement in insomnia [ 24 ].…”

Section: Evidence For Dcbt For Insomniamentioning

confidence: 96%

Digital Delivery of Cognitive Behavioral Therapy for Insomnia

Luik

Zweerde

Straten

et al. 2019

Curr Psychiatry Rep

View full text Add to dashboard Cite

Purpose of Review Digital cognitive behavioral therapy (dCBT) has been available for over a decade. We reviewed the evidence that accumulated over the past 5 years and discuss the implications for introducing dCBT into standard healthcare. Recent Findings Studies have consistently supported the use of dCBT to treat insomnia. Evidence is now demonstrating large short-term effects and smaller long-term effects up to 1.5 years after treatment across populations with various co-occurring health problems. The effects also extend into a range of psychological well-being factors. Mediators and moderators have been studied to understand mechanisms and create new opportunities to enhance effectiveness and reduce dropout. Incorporating personalized guidance in dCBT may further enhance effectiveness. Summary The evidence for dCBT for insomnia is strong and suggests that dCBT is ready for application in standard healthcare. Further research, digital innovation, and development of effective implementation methods are required to ensure dCBT fulfills its potential.

show abstract

“…The 5-point Likert scale is used to rate each item (e.g., 0 = no problem; 4 = very severe problem), yielding a total score ranging from 0 to 28. The total score is interpreted as follows: absence of insomnia (0-7); sub-threshold insomnia (8)(9)(10)(11)(12)(13)(14); moderate insomnia (15-21); and severe insomnia (22-28) (51). The response criterion is determined as decrease of the ISI score of more than 7 points compared to baseline (52).…”

Section: Primary Outcome Measuresmentioning

confidence: 99%

“…In direct comparisons, individual face-to-face CBT-I showed better outcomes than internet-based CBT-I (iCBT-I) (13,14).…”

Section: Introductionmentioning

confidence: 95%

Effectiveness and Cost-Effectiveness of Internet-Based Cognitive Behavioral Therapy for Insomnia in Clinical Settings

et al. 2020

View full text Add to dashboard Cite

Background: Internet-delivered cognitive-behavior treatment for insomnia (iCBT-I) has the potential to fill the gap created by the discrepancy between insomnia cases and number of trained professionals. Although the effectiveness of this method was proven in multiple studies conducted in research settings, its feasibility in routine care is still unclear. Predictors, mediators, and moderators of treatment effect remain uncertain since previous studies often give contradictory results. The present study aims to investigate clinical effectiveness and cost-effectiveness of an internet-based CBT-I program Sleepsy in comparison with care as usual (CAU) among patients with CI recruited from clinical settings. Baseline data will be further analyzed to find predictors of treatment outcome. Methods/Design: The proposed study is a parallel-group randomized controlled trial comparing CAU plus iCBT-I with CAU in a clinical setting. One hundred ten participants will be referred from the medical doctors in Moscow. Both groups will have access to CAU, which corresponds to the treatment prescribed by the referring doctor. Patients of the first group will additionally get access to the iCBT-I program with the opportunity to contact a specialist (guidance on request) in a secured environment. The primary outcome is insomnia severity change from pre-to post-treatment. Secondary outcomes include change of subjective sleep characteristics, life quality, fatigue, daytime sleepiness, comorbid affective disorders, dysfunctional beliefs about sleep, sleep hygiene, healthcare consumption, productivity losses, and longer term outcomes at 3 months follow-up. Predictor analysis will include baseline scores of the aforementioned outcomes along with treatment expectancies and personality traits. Discussion: The proposed study is one of the first studies evaluating whether iCBT-I also works in routine care. We expect that recruitment of the participants let us determine the target group more precisely and exclude health problems interfering with treatment. Using CAU as control condition may result in a loss of power to detect a meaningful difference.

show abstract

Internet and In-Person Cognitive Behavioral Therapy for Insomnia in Military Personnel: A Randomized Clinical Trial

Cited by 73 publications

References 77 publications

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

Digital Delivery of Cognitive Behavioral Therapy for Insomnia

Effectiveness and Cost-Effectiveness of Internet-Based Cognitive Behavioral Therapy for Insomnia in Clinical Settings

Contact Info

Product

Resources

About