“Go! to Sleep”: A Web-Based Therapy for Insomnia
Background: Insomnia is a common complaint of individuals presenting to healthcare providers and is associated with decreased quality of life and higher healthcare utilization. In-person cognitive behavioral therapy (CBT) is an effective treatment for insomnia but is hindered by cost and limited acc...
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| Veröffentlicht in: | Telemedicine journal and e-health 2017-07, Vol.23 (7), p.59-599 |
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| creator | Bernstein, Adam M. Allexandre, Didier Bena, James Doyle, Jonathan Gendy, Gina Wang, Lu Fay, Susan Mehra, Reena Moul, Douglas Foldvary-Schaefer, Nancy Roizen, Michael F. Drerup, Michelle |
| description | Background:
Insomnia is a common complaint of individuals presenting to healthcare providers and is associated with decreased quality of life and higher healthcare utilization. In-person cognitive behavioral therapy (CBT) is an effective treatment for insomnia but is hindered by cost and limited access to treatment. Initial research suggests that Web-based CBT may mitigate these obstacles.
Introduction:
This study tests the effectiveness of a Web-based program for insomnia based on principles of CBT and stress management.
Materials and Methods:
We conducted a randomized trial with wait-list controls among adults with primary insomnia (
n
= 88). Two hundred sixty-three adults with comorbid insomnia were also included and analyzed separately. The intervention was a 6-week online program, and effectiveness was measured via the Insomnia Severity Index (ISI).
Results:
Baseline ISI score for the intervention group (
n
= 43) was 17.0; 16.6 for the control group (
n
= 45). At first follow-up, the intervention group (
n
= 25) had a mean change from baseline of −7.3 (95% CI: −9.0, −5.6), sustained through second follow-up, while the control group (
n
= 35) had a change of −1.3 (−2.7, 0.1). The between-group difference was statistically significant (
p
|
| doi_str_mv | 10.1089/tmj.2016.0208 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1861597156</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1861597156</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-abba4400f75f1f3cd566d2940c0c3b2f402806ef8ff3f15caef4c178368f9d933</originalsourceid><addsrcrecordid>eNqFkL1OwzAURi0EoqUwsqKwsaRc27HjsLUVlEqVGChitBzHFqnyh50O3fog8HJ9EhK1sDLdT1dHZzgIXWMYYxDJfVuuxwQwHwMBcYKGmDEeUs6T035TCBkn8QBdeL8GgAjH5BwNiMCYsASGKNrvvub1bdDWwWthTLPffT8Ek-DdpOFUeZMFqw_jVLMNbO2CReXrssrVJTqzqvDm6nhH6O3pcTV7Dpcv88Vssgw1pXEbqjRVUQRgY2axpTpjnGckiUCDpimxERAB3FhhLbWYaWVspHEsKBc2yRJKR-ju4G1c_bkxvpVl7rUpClWZeuMlFhyzJMaMd2h4QLWrvXfGysblpXJbiUH2oWQXSvahZB-q42-O6k1amuyP_i3TAfQA9G9VVUVuUuPaf7Q_o210Zg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1861597156</pqid></control><display><type>article</type><title>“Go! to Sleep”: A Web-Based Therapy for Insomnia</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Bernstein, Adam M. ; Allexandre, Didier ; Bena, James ; Doyle, Jonathan ; Gendy, Gina ; Wang, Lu ; Fay, Susan ; Mehra, Reena ; Moul, Douglas ; Foldvary-Schaefer, Nancy ; Roizen, Michael F. ; Drerup, Michelle</creator><creatorcontrib>Bernstein, Adam M. ; Allexandre, Didier ; Bena, James ; Doyle, Jonathan ; Gendy, Gina ; Wang, Lu ; Fay, Susan ; Mehra, Reena ; Moul, Douglas ; Foldvary-Schaefer, Nancy ; Roizen, Michael F. ; Drerup, Michelle</creatorcontrib><description>Background:
Insomnia is a common complaint of individuals presenting to healthcare providers and is associated with decreased quality of life and higher healthcare utilization. In-person cognitive behavioral therapy (CBT) is an effective treatment for insomnia but is hindered by cost and limited access to treatment. Initial research suggests that Web-based CBT may mitigate these obstacles.
Introduction:
This study tests the effectiveness of a Web-based program for insomnia based on principles of CBT and stress management.
Materials and Methods:
We conducted a randomized trial with wait-list controls among adults with primary insomnia (
n
= 88). Two hundred sixty-three adults with comorbid insomnia were also included and analyzed separately. The intervention was a 6-week online program, and effectiveness was measured via the Insomnia Severity Index (ISI).
Results:
Baseline ISI score for the intervention group (
n
= 43) was 17.0; 16.6 for the control group (
n
= 45). At first follow-up, the intervention group (
n
= 25) had a mean change from baseline of −7.3 (95% CI: −9.0, −5.6), sustained through second follow-up, while the control group (
n
= 35) had a change of −1.3 (−2.7, 0.1). The between-group difference was statistically significant (
p
< 0.001). Participants in the comorbid insomnia group had a baseline ISI score of 16.7 with improvement similar to the primary insomnia group (−6.9; −7.6, −6.2).
Discussion:
We observed clinically meaningful improvements in insomnia severity in adults with primary or comorbid insomnia. Sustained improvement over 4 months underscores the effectiveness of a well-constructed online CBT for insomnia program.
Conclusions:
Go! to Sleep© offers a potentially effective treatment option for adults with insomnia by eliminating geographical barriers to care.</description><identifier>ISSN: 1530-5627</identifier><identifier>EISSN: 1556-3669</identifier><identifier>DOI: 10.1089/tmj.2016.0208</identifier><identifier>PMID: 28112590</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cognitive Therapy - methods ; Female ; Humans ; Internet ; Male ; Middle Aged ; Original Research ; Sleep Initiation and Maintenance Disorders - therapy ; Telemedicine - methods ; Treatment Outcome</subject><ispartof>Telemedicine journal and e-health, 2017-07, Vol.23 (7), p.59-599</ispartof><rights>2017, Mary Ann Liebert, Inc.</rights><rights>offers a potentially effective treatment option for adults with insomnia by eliminating geographical barriers to care.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-abba4400f75f1f3cd566d2940c0c3b2f402806ef8ff3f15caef4c178368f9d933</citedby><cites>FETCH-LOGICAL-c337t-abba4400f75f1f3cd566d2940c0c3b2f402806ef8ff3f15caef4c178368f9d933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28112590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bernstein, Adam M.</creatorcontrib><creatorcontrib>Allexandre, Didier</creatorcontrib><creatorcontrib>Bena, James</creatorcontrib><creatorcontrib>Doyle, Jonathan</creatorcontrib><creatorcontrib>Gendy, Gina</creatorcontrib><creatorcontrib>Wang, Lu</creatorcontrib><creatorcontrib>Fay, Susan</creatorcontrib><creatorcontrib>Mehra, Reena</creatorcontrib><creatorcontrib>Moul, Douglas</creatorcontrib><creatorcontrib>Foldvary-Schaefer, Nancy</creatorcontrib><creatorcontrib>Roizen, Michael F.</creatorcontrib><creatorcontrib>Drerup, Michelle</creatorcontrib><title>“Go! to Sleep”: A Web-Based Therapy for Insomnia</title><title>Telemedicine journal and e-health</title><addtitle>Telemed J E Health</addtitle><description>Background:
Insomnia is a common complaint of individuals presenting to healthcare providers and is associated with decreased quality of life and higher healthcare utilization. In-person cognitive behavioral therapy (CBT) is an effective treatment for insomnia but is hindered by cost and limited access to treatment. Initial research suggests that Web-based CBT may mitigate these obstacles.
Introduction:
This study tests the effectiveness of a Web-based program for insomnia based on principles of CBT and stress management.
Materials and Methods:
We conducted a randomized trial with wait-list controls among adults with primary insomnia (
n
= 88). Two hundred sixty-three adults with comorbid insomnia were also included and analyzed separately. The intervention was a 6-week online program, and effectiveness was measured via the Insomnia Severity Index (ISI).
Results:
Baseline ISI score for the intervention group (
n
= 43) was 17.0; 16.6 for the control group (
n
= 45). At first follow-up, the intervention group (
n
= 25) had a mean change from baseline of −7.3 (95% CI: −9.0, −5.6), sustained through second follow-up, while the control group (
n
= 35) had a change of −1.3 (−2.7, 0.1). The between-group difference was statistically significant (
p
< 0.001). Participants in the comorbid insomnia group had a baseline ISI score of 16.7 with improvement similar to the primary insomnia group (−6.9; −7.6, −6.2).
Discussion:
We observed clinically meaningful improvements in insomnia severity in adults with primary or comorbid insomnia. Sustained improvement over 4 months underscores the effectiveness of a well-constructed online CBT for insomnia program.
Conclusions:
Go! to Sleep© offers a potentially effective treatment option for adults with insomnia by eliminating geographical barriers to care.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cognitive Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Internet</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Research</subject><subject>Sleep Initiation and Maintenance Disorders - therapy</subject><subject>Telemedicine - methods</subject><subject>Treatment Outcome</subject><issn>1530-5627</issn><issn>1556-3669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkL1OwzAURi0EoqUwsqKwsaRc27HjsLUVlEqVGChitBzHFqnyh50O3fog8HJ9EhK1sDLdT1dHZzgIXWMYYxDJfVuuxwQwHwMBcYKGmDEeUs6T035TCBkn8QBdeL8GgAjH5BwNiMCYsASGKNrvvub1bdDWwWthTLPffT8Ek-DdpOFUeZMFqw_jVLMNbO2CReXrssrVJTqzqvDm6nhH6O3pcTV7Dpcv88Vssgw1pXEbqjRVUQRgY2axpTpjnGckiUCDpimxERAB3FhhLbWYaWVspHEsKBc2yRJKR-ju4G1c_bkxvpVl7rUpClWZeuMlFhyzJMaMd2h4QLWrvXfGysblpXJbiUH2oWQXSvahZB-q42-O6k1amuyP_i3TAfQA9G9VVUVuUuPaf7Q_o210Zg</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Bernstein, Adam M.</creator><creator>Allexandre, Didier</creator><creator>Bena, James</creator><creator>Doyle, Jonathan</creator><creator>Gendy, Gina</creator><creator>Wang, Lu</creator><creator>Fay, Susan</creator><creator>Mehra, Reena</creator><creator>Moul, Douglas</creator><creator>Foldvary-Schaefer, Nancy</creator><creator>Roizen, Michael F.</creator><creator>Drerup, Michelle</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170701</creationdate><title>“Go! to Sleep”: A Web-Based Therapy for Insomnia</title><author>Bernstein, Adam M. ; Allexandre, Didier ; Bena, James ; Doyle, Jonathan ; Gendy, Gina ; Wang, Lu ; Fay, Susan ; Mehra, Reena ; Moul, Douglas ; Foldvary-Schaefer, Nancy ; Roizen, Michael F. ; Drerup, Michelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-abba4400f75f1f3cd566d2940c0c3b2f402806ef8ff3f15caef4c178368f9d933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cognitive Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Internet</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Research</topic><topic>Sleep Initiation and Maintenance Disorders - therapy</topic><topic>Telemedicine - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bernstein, Adam M.</creatorcontrib><creatorcontrib>Allexandre, Didier</creatorcontrib><creatorcontrib>Bena, James</creatorcontrib><creatorcontrib>Doyle, Jonathan</creatorcontrib><creatorcontrib>Gendy, Gina</creatorcontrib><creatorcontrib>Wang, Lu</creatorcontrib><creatorcontrib>Fay, Susan</creatorcontrib><creatorcontrib>Mehra, Reena</creatorcontrib><creatorcontrib>Moul, Douglas</creatorcontrib><creatorcontrib>Foldvary-Schaefer, Nancy</creatorcontrib><creatorcontrib>Roizen, Michael F.</creatorcontrib><creatorcontrib>Drerup, Michelle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Telemedicine journal and e-health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bernstein, Adam M.</au><au>Allexandre, Didier</au><au>Bena, James</au><au>Doyle, Jonathan</au><au>Gendy, Gina</au><au>Wang, Lu</au><au>Fay, Susan</au><au>Mehra, Reena</au><au>Moul, Douglas</au><au>Foldvary-Schaefer, Nancy</au><au>Roizen, Michael F.</au><au>Drerup, Michelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Go! to Sleep”: A Web-Based Therapy for Insomnia</atitle><jtitle>Telemedicine journal and e-health</jtitle><addtitle>Telemed J E Health</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>23</volume><issue>7</issue><spage>59</spage><epage>599</epage><pages>59-599</pages><issn>1530-5627</issn><eissn>1556-3669</eissn><abstract>Background:
Insomnia is a common complaint of individuals presenting to healthcare providers and is associated with decreased quality of life and higher healthcare utilization. In-person cognitive behavioral therapy (CBT) is an effective treatment for insomnia but is hindered by cost and limited access to treatment. Initial research suggests that Web-based CBT may mitigate these obstacles.
Introduction:
This study tests the effectiveness of a Web-based program for insomnia based on principles of CBT and stress management.
Materials and Methods:
We conducted a randomized trial with wait-list controls among adults with primary insomnia (
n
= 88). Two hundred sixty-three adults with comorbid insomnia were also included and analyzed separately. The intervention was a 6-week online program, and effectiveness was measured via the Insomnia Severity Index (ISI).
Results:
Baseline ISI score for the intervention group (
n
= 43) was 17.0; 16.6 for the control group (
n
= 45). At first follow-up, the intervention group (
n
= 25) had a mean change from baseline of −7.3 (95% CI: −9.0, −5.6), sustained through second follow-up, while the control group (
n
= 35) had a change of −1.3 (−2.7, 0.1). The between-group difference was statistically significant (
p
< 0.001). Participants in the comorbid insomnia group had a baseline ISI score of 16.7 with improvement similar to the primary insomnia group (−6.9; −7.6, −6.2).
Discussion:
We observed clinically meaningful improvements in insomnia severity in adults with primary or comorbid insomnia. Sustained improvement over 4 months underscores the effectiveness of a well-constructed online CBT for insomnia program.
Conclusions:
Go! to Sleep© offers a potentially effective treatment option for adults with insomnia by eliminating geographical barriers to care.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>28112590</pmid><doi>10.1089/tmj.2016.0208</doi><tpages>541</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1530-5627 |
| ispartof | Telemedicine journal and e-health, 2017-07, Vol.23 (7), p.59-599 |
| issn | 1530-5627 1556-3669 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1861597156 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Cognitive Therapy - methods Female Humans Internet Male Middle Aged Original Research Sleep Initiation and Maintenance Disorders - therapy Telemedicine - methods Treatment Outcome |
| title | “Go! to Sleep”: A Web-Based Therapy for Insomnia |
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