Web- vs telehealth-based delivery of cognitive behavioral therapy for insomnia: a randomized controlled trial

Holmqvist, Maxine; Vincent, Norah; Walsh, Kaitlyn T.

doi:10.1016/j.sleep.2013.10.013

Cited by 95 publications

(75 citation statements)

References 25 publications

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“…In addition, improvements in resources and outcomes were maintained at 3 months following intervention cessation (i.e., Month6). These findings are consistent with results from a growing portfolio of effective virtual‐based psycho‐educational interventions .…”

Section: Discussionsupporting

confidence: 88%

Evaluation of Pillars4life: a virtual coping skills program for cancer survivors

et al. 2015

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Objective Pillars4Life is an educational program that teaches coping skills to cancer patients in a virtual group setting; it was recently implemented at 17 hospitals across the USA. The cost-effective, scalable, and assessable Pillars4Life curriculum targets psychosocial resources (e.g., self-efficacy and coping skills) as a means to reduce symptoms (e.g., depression, anxiety, and posttraumatic stress) and enhance quality of life. Methods Cancer patients were recruited from hospitals that received the LIVESTRONG Community Impact Project Award to enroll in a pilot study of Pillars4Life. Consenting participants met with a certified instructor weekly for 10 weeks in a virtual environment; the manualized intervention trained participants in personal coping skills. Longitudinal assessments over 6 months were assessed using validated instruments to determine changes in Pillars4Life targeted resources and outcomes. Multiple linear regression models examined the relationship between changes in targeted resources and changes in outcome from baseline to 3 months post-intervention. Results Participants (n = 130) had the following characteristics: mean age of 56 ± 11 years, 87% women, 11% non-Caucasian, and 77% with college degree. At 3- and 6-month follow-up, mean scores improved on all key outcome measures such as depression (Patient Health Questionnaire), anxiety (Generalized Anxiety Disorder), posttraumatic stress (Posttraumatic Stress Disorder Checklist), fatigue (Functional Assessment of Chronic Illness Therapy—Fatigue), and well-being (Functional Assessment of Cancer Therapy—General) from baseline (all p<0.01); results were most pronounced among participants who reported ≥4/10 on the Distress Thermometer at baseline (all p<0.001). Changes in each targeted resource were associated with 3-month improvements in at least one outcome. Conclusions Participation in the Pillars4Life program was associated with statistically and clinically significant improvements in scores on pre-specified outcomes and targeted resources.

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Section: Discussionsupporting

confidence: 88%

Evaluation of Pillars4life: a virtual coping skills program for cancer survivors

et al. 2015

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“…This group actually was a waitlist group. The trials were conducted in Sweden (4 trials),32 42 43 45 the Netherlands (5 trials),36 38 41 44 Canada (2 trials),34 40 the USA (2 trials),33 37 the UK (1 trial),35 and China (1 trial) 39. The intervention durations ranged between 5 and 9 weeks.…”

Section: Resultsmentioning

confidence: 99%

Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials

Chen²,

Chen³

et al. 2016

BMJ Open

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ObjectiveTo evaluate the effectiveness of internet-based cognitive–behavioural therapy for insomnia (ICBT-i) in adults.DesignA meta-analysis of ICBT-i.Data sourcesSystematic searches of randomised controlled trials of ICBT-i were performed in the PubMed, EMBASE, PsycINFO and Cochrane Library databases up to 19 June 2016.Review method2 reviewers independently performed study selection, quality assessment and data extraction. Outcomes of interest included sleep onset latency (SOL), total sleep time (TST), sleep efficiency (SE), wake after sleep onset (WASO), number of nocturnal awakenings (NWAK), and Insomnia Severity Index (ISI). RevMan 5.2 and Stata 13.0 meta-analysis software were used to perform statistical analysis.Results14 records for 15 studies (1013 experimental group participants, 591 waiting list group participants) were included. The meta-analysis indicated that, at the post-test time point, SOL decreased by 18.41 min (95% CI 13.60 to 23.21), TST increased by 22.30 min (95% CI 16.38 to 28.23), SE increased by 9.58% (95% CI 7.30% to 11.85%), WASO decreased by 22.31 min (95% CI 13.50 to 31.11), NWAK decreased by 0.52 (95% CI 0.28 to 0.76), and ISI decreased by 5.88 points (95% CI 4.29 to 7.46). Additionally SOL, TST, SE, and WASO exhibited statistically significant improvements at follow-up versus before treatment.ConclusionsICBT-i is an effective treatment for adults with insomnia. This conclusion should be verified in further studies.

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“…71 There was no significant difference in insomnia symptoms or patients' preferences compared with people receiving cCBT-I, but the dropout rate was lower with tCBT-I (P<0.05). 72 There are no head-to-head comparison studies between face-to-face CBT-I and tCBT-I.…”

Section: Sources and Selection Criteriamentioning

confidence: 99%

Advances in the management of chronic insomnia

Kay-Stacey

Attarian

2016

BMJ

116

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Chronic insomnia is a common condition that affects people worldwide and has negative effects on patients' health and wellbeing. The treatment of insomnia can be complex and time consuming for patients and providers. Although behavioral interventions are the first line therapy, there are barriers to access for these treatments. However, in recent years, alternative ways of providing these behavioral therapies that make them more widely available have been investigated. Drugs also play an important role in the treatment of insomnia and new drugs have been introduced as options for treating patients with sleep initiation and sleep maintenance insomnia. In this review, we will discuss advances in the past six years in both non-pharmacologic and pharmacologic treatments for patients with chronic insomnia. We will also review the controversies surrounding some of the current drug treatments, as well as the role that technology and personal activity monitoring devices may play in treating insomnia.

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Web- vs telehealth-based delivery of cognitive behavioral therapy for insomnia: a randomized controlled trial

Cited by 95 publications

References 25 publications

Evaluation of Pillars4life: a virtual coping skills program for cancer survivors

Evaluation of Pillars4life: a virtual coping skills program for cancer survivors

Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials

Advances in the management of chronic insomnia

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