0408 Evaluation Of A CBT-I Self-help Program Administered By A Mobile App
Abstract Introduction As of 2016, the American College of Physicians recommends Cognitive-Behavioral Therapy for Insomnia (CBT-I) as the first line treatment for insomnia. Because many consumers cannot access traditional CBT-I due to financial obstacles or time constraints, these authors developed a...
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| Veröffentlicht in: | Sleep (New York, N.Y.) N.Y.), 2018-04, Vol.41 (suppl_1), p.A155-A155 |
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| creator | Harbison, B R Cole, J Wetzler, R Gorzynski, A |
| description | Abstract
Introduction
As of 2016, the American College of Physicians recommends Cognitive-Behavioral Therapy for Insomnia (CBT-I) as the first line treatment for insomnia. Because many consumers cannot access traditional CBT-I due to financial obstacles or time constraints, these authors developed a mobile phone application called Night Owl: Sleep Coach, a 56-day self-help program based on CBT-I, and conducted an evaluation of the program based on data collected since 2015.
Methods
Anonymized, daily participant sleep log data was examined. A total of 157 users completed at least 14 days of sleep logs. Days 1–7 were considered the baseline period, and the last seven days were the outcome period. Data was included for analysis for participants who completed sleep logs through day 35 of the behavioral components and through day 49 for all components and who had baseline scores of WASO>29 and SOL>29, constituting chronic insomnia.
Results
Paired-samples t-tests were conducted to compare baseline and outcome measures. For the 70 participants who completed at least 3/6 program components, significant differences emerged for sleep log measures of sleep onset latency (SOL; M=55.1, SD=61.4 vs. M=27.9, SD=33.3; t(69)=-6.4, p |
| doi_str_mv | 10.1093/sleep/zsy061.407 |
| format | Article |
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Introduction
As of 2016, the American College of Physicians recommends Cognitive-Behavioral Therapy for Insomnia (CBT-I) as the first line treatment for insomnia. Because many consumers cannot access traditional CBT-I due to financial obstacles or time constraints, these authors developed a mobile phone application called Night Owl: Sleep Coach, a 56-day self-help program based on CBT-I, and conducted an evaluation of the program based on data collected since 2015.
Methods
Anonymized, daily participant sleep log data was examined. A total of 157 users completed at least 14 days of sleep logs. Days 1–7 were considered the baseline period, and the last seven days were the outcome period. Data was included for analysis for participants who completed sleep logs through day 35 of the behavioral components and through day 49 for all components and who had baseline scores of WASO>29 and SOL>29, constituting chronic insomnia.
Results
Paired-samples t-tests were conducted to compare baseline and outcome measures. For the 70 participants who completed at least 3/6 program components, significant differences emerged for sleep log measures of sleep onset latency (SOL; M=55.1, SD=61.4 vs. M=27.9, SD=33.3; t(69)=-6.4, p<.001), minutes awake after sleep onset (WASO; M=68, SD=80.9 vs M=39.1, SD=45.6; t(69)=-5.9, p<.001), sleep efficiency (SE; M=75.9, SD=85.8 vs. M=85.8, SD=12.7; t(69)=9.1, p<.001), and total sleep time (TST; M=6.5, SD=2.3 vs. M=6.9, SD=2.0; t(69)=-2.9, p<.002). Number of awakenings after sleep onset did not reach statistical significance (M=2.6, SD=3.1 vs. M=2.2, SD=2.6; t(69)=-1.5, p<.07). Effect sizes were medium to large for primary measures (SOL: d=-.82; WASO: d=-.63; SE: d=.77). Effect sizes were larger for the 51 users completing all 6/6 components (SOL: d=-1.2; WASO: d=-.70; SE: d=1.00).
Conclusion
Application-based delivery of CBT-I is a promising self-help approach for the treatment of clinical insomnia. The implementation examined in this study yielded results that are consistent in magnitude with previous outcome reports.
Support (If Any)
None.</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/zsy061.407</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Cognitive behavioral therapy ; Cognitive therapy ; Insomnia ; Self help ; Sleep</subject><ispartof>Sleep (New York, N.Y.), 2018-04, Vol.41 (suppl_1), p.A155-A155</ispartof><rights>Sleep Research Society 2018. Published by Oxford University Press [on behalf of the Sleep Research Society]. All rights reserved. For permissions, please email: journals.permissions@oup.com 2018</rights><rights>Copyright © 2018 Sleep Research Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1947-d8db525e442e15a1715d2405982ae64b0dce16c7d9482c1b841347feacec33e23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27903,27904</link.rule.ids></links><search><creatorcontrib>Harbison, B R</creatorcontrib><creatorcontrib>Cole, J</creatorcontrib><creatorcontrib>Wetzler, R</creatorcontrib><creatorcontrib>Gorzynski, A</creatorcontrib><title>0408 Evaluation Of A CBT-I Self-help Program Administered By A Mobile App</title><title>Sleep (New York, N.Y.)</title><description>Abstract
Introduction
As of 2016, the American College of Physicians recommends Cognitive-Behavioral Therapy for Insomnia (CBT-I) as the first line treatment for insomnia. Because many consumers cannot access traditional CBT-I due to financial obstacles or time constraints, these authors developed a mobile phone application called Night Owl: Sleep Coach, a 56-day self-help program based on CBT-I, and conducted an evaluation of the program based on data collected since 2015.
Methods
Anonymized, daily participant sleep log data was examined. A total of 157 users completed at least 14 days of sleep logs. Days 1–7 were considered the baseline period, and the last seven days were the outcome period. Data was included for analysis for participants who completed sleep logs through day 35 of the behavioral components and through day 49 for all components and who had baseline scores of WASO>29 and SOL>29, constituting chronic insomnia.
Results
Paired-samples t-tests were conducted to compare baseline and outcome measures. For the 70 participants who completed at least 3/6 program components, significant differences emerged for sleep log measures of sleep onset latency (SOL; M=55.1, SD=61.4 vs. M=27.9, SD=33.3; t(69)=-6.4, p<.001), minutes awake after sleep onset (WASO; M=68, SD=80.9 vs M=39.1, SD=45.6; t(69)=-5.9, p<.001), sleep efficiency (SE; M=75.9, SD=85.8 vs. M=85.8, SD=12.7; t(69)=9.1, p<.001), and total sleep time (TST; M=6.5, SD=2.3 vs. M=6.9, SD=2.0; t(69)=-2.9, p<.002). Number of awakenings after sleep onset did not reach statistical significance (M=2.6, SD=3.1 vs. M=2.2, SD=2.6; t(69)=-1.5, p<.07). Effect sizes were medium to large for primary measures (SOL: d=-.82; WASO: d=-.63; SE: d=.77). Effect sizes were larger for the 51 users completing all 6/6 components (SOL: d=-1.2; WASO: d=-.70; SE: d=1.00).
Conclusion
Application-based delivery of CBT-I is a promising self-help approach for the treatment of clinical insomnia. The implementation examined in this study yielded results that are consistent in magnitude with previous outcome reports.
Support (If Any)
None.</description><subject>Cognitive behavioral therapy</subject><subject>Cognitive therapy</subject><subject>Insomnia</subject><subject>Self help</subject><subject>Sleep</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkE1Lw0AQhhdRsFbvHhc8yrYz2d18HNPSaqFSwXpeNslEU9Im7jZC_fVG493T8DLPOwMPY7cIE4RETn1N1E6__AlCnCiIztgItQaR9NtzNgIMUcQI-pJdeb-DPqtEjtgKFMR88Wnrzh6r5sA3JU_5fLYVK_5CdSneqW75s2venN3ztNhXh8ofyVHBZ6eefGqyqiaetu01uyht7enmb47Z63KxnT-K9eZhNU_XIsdERaKIi0wHmpQKCLXFCHURKNBJHFgKVQZFThjmUZGoOMgxixVKFZVkc8qlpECO2d1wt3XNR0f-aHZN5w79SxOADMMQtIx6CgYqd433jkrTumpv3ckgmB9h5leYGYSZXlhfuR8qTdf-T38DRjBrkQ</recordid><startdate>20180427</startdate><enddate>20180427</enddate><creator>Harbison, B R</creator><creator>Cole, J</creator><creator>Wetzler, R</creator><creator>Gorzynski, A</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20180427</creationdate><title>0408 Evaluation Of A CBT-I Self-help Program Administered By A Mobile App</title><author>Harbison, B R ; Cole, J ; Wetzler, R ; Gorzynski, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1947-d8db525e442e15a1715d2405982ae64b0dce16c7d9482c1b841347feacec33e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Cognitive behavioral therapy</topic><topic>Cognitive therapy</topic><topic>Insomnia</topic><topic>Self help</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harbison, B R</creatorcontrib><creatorcontrib>Cole, J</creatorcontrib><creatorcontrib>Wetzler, R</creatorcontrib><creatorcontrib>Gorzynski, A</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harbison, B R</au><au>Cole, J</au><au>Wetzler, R</au><au>Gorzynski, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>0408 Evaluation Of A CBT-I Self-help Program Administered By A Mobile App</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><date>2018-04-27</date><risdate>2018</risdate><volume>41</volume><issue>suppl_1</issue><spage>A155</spage><epage>A155</epage><pages>A155-A155</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><abstract>Abstract
Introduction
As of 2016, the American College of Physicians recommends Cognitive-Behavioral Therapy for Insomnia (CBT-I) as the first line treatment for insomnia. Because many consumers cannot access traditional CBT-I due to financial obstacles or time constraints, these authors developed a mobile phone application called Night Owl: Sleep Coach, a 56-day self-help program based on CBT-I, and conducted an evaluation of the program based on data collected since 2015.
Methods
Anonymized, daily participant sleep log data was examined. A total of 157 users completed at least 14 days of sleep logs. Days 1–7 were considered the baseline period, and the last seven days were the outcome period. Data was included for analysis for participants who completed sleep logs through day 35 of the behavioral components and through day 49 for all components and who had baseline scores of WASO>29 and SOL>29, constituting chronic insomnia.
Results
Paired-samples t-tests were conducted to compare baseline and outcome measures. For the 70 participants who completed at least 3/6 program components, significant differences emerged for sleep log measures of sleep onset latency (SOL; M=55.1, SD=61.4 vs. M=27.9, SD=33.3; t(69)=-6.4, p<.001), minutes awake after sleep onset (WASO; M=68, SD=80.9 vs M=39.1, SD=45.6; t(69)=-5.9, p<.001), sleep efficiency (SE; M=75.9, SD=85.8 vs. M=85.8, SD=12.7; t(69)=9.1, p<.001), and total sleep time (TST; M=6.5, SD=2.3 vs. M=6.9, SD=2.0; t(69)=-2.9, p<.002). Number of awakenings after sleep onset did not reach statistical significance (M=2.6, SD=3.1 vs. M=2.2, SD=2.6; t(69)=-1.5, p<.07). Effect sizes were medium to large for primary measures (SOL: d=-.82; WASO: d=-.63; SE: d=.77). Effect sizes were larger for the 51 users completing all 6/6 components (SOL: d=-1.2; WASO: d=-.70; SE: d=1.00).
Conclusion
Application-based delivery of CBT-I is a promising self-help approach for the treatment of clinical insomnia. The implementation examined in this study yielded results that are consistent in magnitude with previous outcome reports.
Support (If Any)
None.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/sleep/zsy061.407</doi><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Cognitive behavioral therapy Cognitive therapy Insomnia Self help Sleep |
| title | 0408 Evaluation Of A CBT-I Self-help Program Administered By A Mobile App |
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