The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring

Carney, Colleen E.; Buysse, Daniel J.; Ancoli‐Israel, Sonia; Edinger, Jack D.; Krystal, Andrew D.; Lichstein, Kenneth L.; Morin, Charles M.

doi:10.5665/sleep.1642

Cited by 1,565 publications

(1,033 citation statements)

References 15 publications

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“…This is a common phenomenon in research on older adults, and a recent study found that older adults, particularly if they were using benzodiazepines, showed deterioration in sleep quality over a 1-year period. 42 Improvements in patient-reported outcomes were modest, with only one PSQI component (daily disturbances) showing significantly better (lower) scores in the SIP condition at the 4-month follow-up but not at post-treatment. It is possible that, given the duration of sleep difficulties for many of these older patients, sustained improvements in sleep were needed before patients began to feel better during the daytime hours.…”

Section: Discussionmentioning

confidence: 93%

“…We also were not able to obtain completed sleep diaries, which are typically used in studies of behavioral treatments for insomnia. We asked the first 11 enrolled participants to complete a daily sleep diary based on the American Academy of Sleep Medicine consensus sleep diary 42 during their baseline assessment, and none of the patients fully completed the diary during the 3-day baseline. As a result, we used a very simple four-item diary (bedtime, rise time, sleep quality, and daytime sleepiness), which did not allow for computation of traditional sleep diary measures such as sleep efficiency or total sleep time from daily diaries but could be used for actigraphy scoring and to establish adherence to the assigned sleep schedule in the SIP program.…”

Section: Discussionmentioning

confidence: 99%

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A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial

Martin

Song

Hughes

et al. 2017

Sleep

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Study Objective: To test the effectiveness of a 4-week behavioral Sleep Intervention Program (SIP: sleep compression, modified stimulus control, and sleep hygiene) compared to a 4-week information-only control (IC) among older adults attending a VA Adult Day Health Care (ADHC) program in a double-blind, randomized, clinical trial. Methods: Forty-two individuals (mean age: 77 years, 93% male) enrolled in a VA ADHC program were randomized to receive SIP or IC. All completed in-person sleep and health assessments at baseline, post-treatment and 4-months follow-up that included 3 days/nights of wrist actigraphy, the Pittsburgh Sleep Quality Index (PSQI), and the Insomnia Severity Index (ISI). Mixed repeated measures analysis was used to compare sleep outcomes at post-treatment and 4-months follow-up, with baseline values as covariates. Results: SIP participants (n = 21) showed significant improvement on actigraphy sleep efficiency (p = .007), number of nighttime awakenings (p = .016), and minutes awake at night (p = .001) at post-treatment, compared to IC participants (n = 21). Benefits were slightly attenuated but remained significant at 4-month follow-up (all p's < .05). There were no differences in total sleep time between groups. There was significant improvement on PSQI factor 3 (daily disturbances) at 4-month follow-up (p = .016), but no differences were observed between SIP and IC on other PSQI components or ISI scores at post-treatment or 4-month follow-up. Conclusions: A short behavioral sleep intervention may have important benefits in improving objectively measured sleep in older adults participating in ADHC. Future studies are needed to study implementation of this intervention into routine clinical care within ADHC.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial

Martin

Song

Hughes

et al. 2017

Sleep

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“…Daily monitoring of sleep takes place throughout treatment using the Consensus Sleep Diary. 23 The sleep diary is used for assessing baseline sleep patterns, tracking change over time, and setting and adjusting the time spent in bed. The Insomnia Severity Index (ISI 24 ) is also part of the continued assessment.…”

Section: The Va Cbt-i Protocolmentioning

confidence: 99%

CBT-I Coach: A Description and Clinician Perceptions of a Mobile App for Cognitive Behavioral Therapy for Insomnia

Kuhn

Weiß

Taylor

et al. 2016

Journal of Clinical Sleep Medicine

117

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Study Objectives: This paper describes CBT-I Coach, a patient-facing smartphone app designed to enhance cognitive behavioral therapy for insomnia (CBT-I). It presents findings of two surveys of U.S. Department of Veterans Affairs (VA) CBT-I trained clinicians regarding their perceptions of CBT-I Coach before it was released (n = 138) and use of it two years after it was released (n = 176). Methods: VA-trained CBT-I clinicians completed web-based surveys before and two years after CBT-I Coach was publicly released. Results: Prior to CBT-I Coach release, clinicians reported that it was moderately to very likely that the app could improve care and a majority (87.0%) intended to use it if it were available. Intention to use the app was predicted by smartphone ownership (β = 0.116, p < 0.05) and perceptions of relative advantage to existing CBT-I practices (β = 0.286, p < 0.01), compatibility with their own needs and values (β = 0.307, p < 0.01), and expectations about the complexity of the app (β = 0.245, p < 0.05). Two years after CBT-I Coach became available, 59.9% of participants reported using it with patients and had favorable impressions of its impact on homework adherence and outcomes. Conclusions: Findings suggest that before release, CBT-I Coach was perceived to have potential to enhance CBT-I and address common adherence issues and clinicians would use it. These results are reinforced by findings two years after it was released suggesting robust uptake and favorable perceptions of its value. I NTRO DUCTI O NCognitive behavioral therapy for insomnia (CBT-I) is an evidence-based psychotherapy shown to effectively treat chronic insomnia. Numerous randomized controlled trials, summarized in several meta-analyses, have demonstrated that CBT-I leads to significant decreases in symptoms of insomnia and improvement in sleep efficiency, sleep fragmentation, and sleep onset latency.

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“…Sleep diaries have been recommended as a useful way of prospectively assessing treatment effects within insomnia research [35,41] and provide reliable data due to being less susceptible to memory bias than retrospective reports over a longer duration. Furthermore, it has been found recently that perceptions of sleep, measured by sleep diaries, can predict following day fatigue in CFS [9], whereas objective sleep was not a significant predictor.…”

Section: Measurement Of Sleep Outcomesmentioning

confidence: 99%

Do evidence based interventions for chronic fatigue syndrome improve sleep? A systematic review and narrative synthesis

Russell

Kyle

Wearden

2017

Sleep Medicine Reviews

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SummaryCognitive behavioural therapy (CBT) and graded exercise therapy (GET) are recommended evidence based treatments for chronic fatigue syndrome (CFS), with research supporting their effectiveness in reducing fatigue and functional impairment. However, little research has focussed on the effect of these treatments on sleep, despite high reported sleep disturbance in CFS. Using a narrative synthesis approach, we aimed to 1) Systematically identify and summarise the current evidence for the effectiveness of CBT and GET in improving sleep; 2) Consider factors influencing treatment effectiveness, including incorporation of sleep management techniques; and 3) Consider the appropriateness of sleep outcome measures used within evaluations. Studies evaluating CBT and/or GET for CFS, and including a sleep outcome were eligible for inclusion. Eight studies were identified.We found that that GET interventions can improve sleep but this effect is inconsistent across studies.For CBT the evidence is limited with only one of two evaluations demonstrating sleep-related improvements. We conclude from existing research that we know little about the effects of including sleep management components within CBT and GET interventions. We suggest that future research should explore the effectiveness of sleep components within interventions, and sleep specific interventions, using comprehensive outcome measures that fully capture the range of sleep difficulties experienced in CFS.

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The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring

Cited by 1,565 publications

References 15 publications

A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial

A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial

CBT-I Coach: A Description and Clinician Perceptions of a Mobile App for Cognitive Behavioral Therapy for Insomnia

Do evidence based interventions for chronic fatigue syndrome improve sleep? A systematic review and narrative synthesis

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