Making insomnia treatment more accessible

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PHOTO: Pixabay
PHOTO: Pixabay

Cognitive behavioural therapy for insomnia, or CBTi, is the standard of care for treating insomnia, but traditional one-on-one therapy isn’t always easily available. To test a more widely scalable modification, 88 US veterans with insomnia were given a self-directed course on CBTi paired with six weekly phone calls with a non-specialist nurse who took an online course on CBTi. The control group of another 90 veterans only received general health education content paired with weekly nurse calls. While still not as effective as traditional therapy, the patients that learned about CBTi were able to lessen the severity of their insomnia and sleep better than the control group. When resources are limited, the researchers say making such modifications available could help free up expertise for the most complex cases of insomnia.

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Research JAMA, Web page
Journal/
conference:
JAMA Internal Medicine
Research:Paper
Organisation/s: Durham VA Healthcare System, USA
Funder: This material is based on work supported (or supported in part) by the US Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Health Services Research and Development (grant IIR HX003366), and the Center of Innovation for Health Services Research in Primary Care (CIN 13-410) at the Durham VA Health Care System.
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