The Development and Evaluation of a Large-Scale Self-Referral CBT-I Intervention for Men Who Have Insomnia: An Exploratory Study

Archer, Marc; Brown, June; Idusohan, Helen; Coventry, Shirley; Andiappan, Manoharan; Espie, Colin A.

doi:10.1017/s1352465809005256

Cited by 23 publications

(24 citation statements)

References 29 publications

(33 reference statements)

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“…As hypothesised, on average insomnia reduced from the moderate insomnia range to sub--clinical levels of insomnia at four week follow--up, and this reduction represented a large effect size. This finding offers further supporting evidence for the effectiveness of CBT--I (Morin & Espie, 2003;2006a), as well as its effective delivery in the format of a one--day group workshop (Archer et al, 2009;Prytys et al, 2010;Swift et al, 2012). Greater reduction of insomnia symptoms was seen in those with more severe levels of insomnia at baseline, supporting the use of this format even with those individuals with more severe insomnia.…”

Section: Clinical Effectivenesssupporting

confidence: 57%

“…More recently this model has been applied, with success, to the treatment of insomnia (Archer et al, 2009;Prytys et al, 2010). Swift and colleagues (2012) report the results of a randomised controlled trial (RCT) showing significant reductions in clinical levels of insomnia in those who attended a CBT--I workshop compared with waitlist controls.…”

Section: Access To Treatment For Insomniamentioning

confidence: 99%

“…Archer et al, 2009;Horrell et al, 2012;Swift et al, 2012). Collecting follow--up data depended largely on the efforts of researchers on the study in encouraging participants to attend a follow--up meeting or to complete a follow--up pack by postal return.…”

Section: Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

Let's Talk About Psychosis

Steele¹,

Chadwick²

2018

Clinical Schizophrenia & Related Psychoses

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Section: Clinical Effectivenesssupporting

confidence: 57%

Section: Access To Treatment For Insomniamentioning

confidence: 99%

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Let's Talk About Psychosis

Steele¹,

Chadwick²

2018

Clinical Schizophrenia & Related Psychoses

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“…An exploratory study found that for a community sample of men with sleep difficulties, this approach was associated with improvements in both insomnia and depression symptoms (Archer et al, 2009). In a randomized controlled trial that Swift et al (2012Swift et al ( ) conducted in 2008Swift et al ( -2009, participants who attended a one-day, self-referral CBT workshop for sleep difficulties were compared with a control group on insomnia severity three months after baseline.…”

mentioning

confidence: 99%

“…The main objective of this study was to carry out a qualitative investigation using a sample of adults who had participated in the randomized controlled trial of a CBT-I intervention cited above (Swift et al, 2012). This large-scale workshop format has demonstrated success in improving insomnia and depression symptoms (Archer et al, 2009) and may last for up to two years (Brown et al, 2008). However, we do not know how participants explain the changes that have been observed over time and if these changes are associated with workshop-specific or more general factors.…”

mentioning

confidence: 99%

Participant Experiences of Attending a Community CBT Workshop for Insomnia: A Qualitative Six-Year Follow-Up

Barnes

Lawrence

Khondoker

et al. 2017

Behavioral Sleep Medicine

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Objective/Background: Our aim was to qualitatively explore the experiences of people who attended a one-day sleep workshop six years previously. Participants: Of the 95 people who originally attended the workshop and a three-month follow-up, 14 individuals (mean age = 63.6 years) participated. Methods: Semi-structured interviews were used to explore: participants' experiences of insomnia since the workshop, memories of the techniques and information provided and the perceived impact of the workshop on their lives. Qualitative data were analyzed using the principles of Framework Analysis. Results: Interviews produced rich accounts of attributions of changes in sleep, the application of taught strategies and general experiences of the workshop. Conclusions: This research highlights which aspects of a large-scale intervention may be most helpful for individuals experiencing sleep difficulties and what factors may contribute to changes in sleep over time.

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A retrospective cost‐effectiveness analysis of different cognitive‐behavioral therapy for insomnia intervention delivery approaches in adult cancer survivors

Pilehvari,

Recklitis,

Zhou

et al. 2024

Psycho-Oncology

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BackgroundCognitive‐behavioral therapy for insomnia (CBT‐I) is considered the gold standard treatment for insomnia. Prior trials have delivered CBT‐I across a range of treatment sessions. Understanding the economics of varying treatment approaches is essential for future implementation considerations.MethodsWe conducted a retrospective cost‐effectiveness analysis from the provider's perspective, comparing the implementation of a three‐session CBT‐I program for cancer survivors (CBT‐I‐CS) versus a stepped care treatment approach consisting of an initial single sleep education session followed by CBT‐I‐CS if elevated insomnia symptoms persisted. The effectiveness measure used was the percentage of participants whose insomnia had remitted by the end of each program.ResultsStepped care delivery was more effective than CBT‐I‐CS alone, resulting in 35.4% more remitted patients by the end of the overall program. For a $480 willingness to pay threshold per percentage of remitted patients, stepped care CBT‐I‐CS reached a 98% probability of being cost‐effective, while CBT‐I‐CS alone had only a 2% probability. Larger group sessions in the first step of a stepped care delivery model resulted in more favorable cost‐effectiveness.ConclusionsA stepped care delivery model may be a more cost‐effective approach if it can be implemented efficiently. These findings inform policies aimed at improving cancer survivors' access to much‐needed insomnia treatment in settings where financial resources for CBT‐I may be limited, and be an important barrier to treatment dissemination.Clinical Trial RegistrationThese analyses were not registered.

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The Development and Evaluation of a Large-Scale Self-Referral CBT-I Intervention for Men Who Have Insomnia: An Exploratory Study

Abstract: Given these promising results, further work is now proposed for a larger controlled study with a longer-term follow-up.

Cited by 23 publications

References 29 publications

Let's Talk About Psychosis

Let's Talk About Psychosis

Participant Experiences of Attending a Community CBT Workshop for Insomnia: A Qualitative Six-Year Follow-Up

A retrospective cost‐effectiveness analysis of different cognitive‐behavioral therapy for insomnia intervention delivery approaches in adult cancer survivors

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