Randomized Controlled Trial to Test the Efficacy of an Unguided Online Intervention with Automated Feedback for the Treatment of Insomnia

Lorenz, Noah; Heim, Eva; Roetger, Alexander; Birrer, Eva; Maercker, Andreas

doi:10.1017/s1352465818000486

Cited by 64 publications

(51 citation statements)

References 48 publications

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“…B. BARMER, DAK-Gesundheit, Techniker Krankenkasse), gibt es bislang vergleichsweise wenige wissenschaftliche Untersuchungen zur Effektivität dieser Behandlungen. So liegen bislang drei Publikationen aus einer Arbeitsgruppe aus Lüneburg und Erlangen in Zusammenarbeit mit dem GET.ON Institut [17,49,50], eine Publikation aus der Schweiz [33] sowie die oben bereits beschriebenen Arbeiten zur Behandlung von Schlafstörungen bei Kleinkindern [44,45] vor.…”

Section: Publikationen Aus Dem Deutschsprachigen Raumunclassified

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

et al. 2020

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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.

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Section: Publikationen Aus Dem Deutschsprachigen Raumunclassified

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

et al. 2020

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“…So, we assessed all of them as 'high' risk. For blinding of outcome assessment, 4 RCTs [23,31,34,35] blinded the outcome assessors, and we assessed them as 'low' risk. 13 RCTs [24-30, 32, 33, 36-39] did not mention blinding of outcome assessment.…”

Section: Methodological Quality Evaluationmentioning

confidence: 99%

“…For incomplete outcome data, 16 RCTs [23][24][25][27][28][29][30][31][32][33][34][35][36][37][38][39] reported the drop-outs, lost patients, and the reasons, so we assessed them as 'low' risk. One RCT [26] did not mention incomplete outcome data.…”

Section: Methodological Quality Evaluationmentioning

confidence: 99%

“…ere was no statistic difference between the intervention group and the control group in all 17 RCTs [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]. We assessed all of them as 'low' risk.…”

Section: Methodological Quality Evaluationmentioning

confidence: 99%

“…(1) Insomnia Outcome Measurements. In comparison between CBT-I and no treatment, we included 5 RCTs [24,[31][32][33][34] (total 455 participants) for ISI. e result of meta-analysis showed that CBT-I was more effective than no treatment with MD-4.88, 95% CI [−5.80, −3.95], I 2 � 88%.…”

Section: Patients Without Underlying Diseasesmentioning

confidence: 99%

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The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta‐Analysis

Feng

Han

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Background. Insomnia and depression often co-occurr. However, there is lack of effective treatment for such comorbidity. CBT-I has been recommended as the first-line treatment for insomnia; whether it is also effective for comorbidity of insomnia and depression is still unknown. Therefore, we conducted this meta-analysis of randomized controlled trials to assess the clinical effectiveness and safety of CBT-I for insomnia comorbid with depression. Data Sources. Seven electronic databases, including China National Knowledge Infrastructure (CNKI), Wanfang Database, China Science Technology Journal Database, SinoMed Database, PubMed, the Cochrane Library, and EMBASE, as well as grey literature, were searched from the beginning of each database to July 1, 2019. Study Eligibility Criteria. Randomized controlled trials that compared CBT-I to no treatment or hypnotics (zopiclone, estazolam, and benzodiazepine agonist) for insomnia comorbid with depression and reported both insomnia scales and depression scales. Study Assessment and Synthesis Methods. Cochrane Reviewer’s Handbook was used for evaluating the risk of bias of included studies. Review Manager 5.3 software was used for meta-analysis. Online GRADEpro was used to assess the quality of evidence. Results. The pooled data showed that CBT-I was superior to no treatment for insomnia, while it was unsure whether CBT-I was better than no treatment for depression. And the effectiveness of CBT-I was comparable to hypnotics for both insomnia and depression. CBT-I was likely to be safe due to its noninvasive nature. The methodological quality varied across these trials. The evidence quality varied from moderate to very low, and the recommendation level was low. Conclusions. Currently, findings support that CBT-I seems to be effective and safe for insomnia comorbid with depression to improve the insomnia condition, while it is unsure whether CBT-I could improve depression condition. More rigorous trials are needed to confirm our findings.

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Digitale Gesundheitsanwendungen und ihre Evidenzgrundlage

Vollmer,

Walzer

2022

E-Health-Ökonomie II

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Randomized Controlled Trial to Test the Efficacy of an Unguided Online Intervention with Automated Feedback for the Treatment of Insomnia

Cited by 64 publications

References 48 publications

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit

The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta‐Analysis

Digitale Gesundheitsanwendungen und ihre Evidenzgrundlage

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