Cited by 482Sleep and related disordersDigital Mental Health InterventionsObstructive Sleep Apnea Research

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Efficacy of an Internet-Based Behavioral Intervention for Adults With Insomnia

Open access

Ritterband, Lee M., Thorndike, Frances P., Gonder-Frederick, Linda A., Magee, Joshua C., Bailey, Elaine T., Saylor, Drew K., Morin, Charles M.·2009·Archives of General Psychiatry

DOI 10.1001/archgenpsychiatry.2009.66PMC PMC3723339

Open this paper in CoChat — free account

Abstract

CONTEXT: Insomnia is a major health problem with significant psychological, health, and economic consequences. However, availability of one of the most effective insomnia treatments, cognitive behavioral therapy, is significantly limited. The Internet may be a key conduit for delivering this intervention. OBJECTIVE: To evaluate the efficacy of a structured behavioral Internet intervention for adults with insomnia. DESIGN, SETTING, AND PARTICIPANTS: Forty-five adults were randomly assigned to an Internet intervention (n = 22) or wait-list control group (n = 23). Forty-four eligible participants (mean [SD] age, 44.86 [11.03] years; 34 women) who had a history of sleep difficulties longer than 10 years on average (mean [SD], 10.59 [8.89] years) were included in the analyses. INTERVENTION: The Internet intervention is based on well-established face-to-face cognitive behavioral therapy incorporating the primary components of sleep restriction, stimulus control, sleep hygiene, cognitive restructuring, and relapse prevention. MAIN OUTCOME MEASURES: The Insomnia Severity Index and daily sleep diary data were used to determine changes in insomnia severity and the main sleep variables, including wake after sleep onset and sleep efficiency. RESULTS: Intention-to-treat analyses showed that scores on the Insomnia Severity Index significantly improved from 15.73 (95% confidence interval [CI], 14.07 to 17.39) to 6.59 (95% CI, 4.73 to 8.45) for the Internet group but did not change for the control group (16.27 [95% CI, 14.61 to 17.94] to 15.50 [95% CI, 13.64 to 17.36]) (F(1,42) = 29.64; P < .001). The Internet group maintained their gains at the 6-month follow-up. Internet participants also achieved significant decreases in wake after sleep onset (55% [95% CI, 34% to 76%]) and increases in sleep efficiency (16% [95% CI, 9% to 22%]) compared with the nonsignificant control group changes of wake after sleep onset (8% [95% CI, -17% to 33%) and sleep efficiency (3%; 95% CI, -4% to 9%). CONCLUSIONS: Participants who received the Internet intervention for insomnia significantly improved their sleep, whereas the control group did not have a significant change. The Internet appears to have considerable potential in delivering a structured behavioral program for insomnia. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00328250.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1001/archgenpsychiatry.2009.66

Cites

54 of 54 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

1 retracted

Interactive Health Communication Applications for people with chronic disease
Murray, E., Burns, J., Tai, S. S., Lai, R., & Nazareth, I. (2004) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004274.pub2 · Cited by 56
Retracted
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,766
Validation and Utility of a Self-report Version of PRIME-MD<SUBTITLE>The PHQ Primary Care Study</SUBTITLE>
Spitzer, R. L. (1999) · JAMA · doi:10.1001/jama.282.18.1737 · Cited by 9,802
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067 · cited 3×
“The ISI has been shown to be a valid and reliable measure that is sensitive to changes in treatment studies.(27) It was administered at preassessment and postassessment for all participants as well as at the 6-month follow-up and before each of the program cores for participants who received SHUTi.”
BackgroundMethod
Epidemiology of insomnia: what we know and what we still need to learn
Ohayon, M. M. (2002) · Sleep Medicine Reviews · doi:10.1053/smrv.2002.0186 · Cited by 3,743
Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
Ford, D. E. (1989) · JAMA · doi:10.1001/jama.262.11.1479 · Cited by 2,440
Untitled work
(1993) · Medical Entomology and Zoology · Cited by 2,324
Self-citation
Psychological and behavioral treatment of insomnia: update of the recent evidence (1998-2004)
Morin, C. M., Bootzin, R. R., Buysse, D. J., Edinger, J. D., Espie, C. A., & Lichstein, K. L. (2006) · Sleep · doi:10.1093/sleep/29.11.1398 · Cited by 1,345
Self-citation
Recommendations for a standard research assessment of insomnia
Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006) · Sleep · doi:10.1093/sleep/29.9.1155 · Cited by 1,206
Self-citation

Show all 52 references

Research works printed but not linked: 1

[30]Bootzin RR Stimulus control treatment for insomnia Proceedings of the American Psychological Association 1972 7 395 396

Sorted by citations

Items 301–400 of 481

Digital cognitive behaviour therapy for insomnia in individuals with self‐reported insomnia and chronic fatigue: A secondary analysis of a large scale randomized controlled trial
Ramfjord, L. S., Faaland, P. M., Scott, J. L., Saksvik, S. B., Lydersen, S., Vedaa, Ø., Kahn, N., Langsrud, K., Stiles, T. C., Ritterband, L. M., et al. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13888 · Cited by 8
Self-citation
Efficacy of an Internet-Based Behavioral Intervention for Adults With Insomnia
Jones, S. (2010) · Yearbook of Pulmonary Disease · doi:10.1016/s8756-3452(09)79335-1 · Cited by 8
Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel
Pruiksma, K. E., Fina, B. A., Dietch, J. R., Dondanville, K. A., Williams, J. M., Wright, E. C., Molino, A. T. C., Hall‐Clark, B. N., Nicholson, K. L., Peterson, A. L., et al. (2018) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2017.12.007 · Cited by 9
Sleepless nights and sleepy days: a qualitative study exploring the experiences of patients with chronic heart failure and newly verified sleep‐disordered breathing
Gullvåg, M., Gjeilo, K. H., Fålun, N., Norekvål, T. M., Mo, R., & Broström, A. (2019) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12672 · Cited by 17
Effectiveness of internet-supported cognitive behavioral and chronobiological interventions and effect moderation by insomnia subtype: study protocol of a randomized controlled trial
Dekker, K., Benjamins, J. S., van Straten, A., Hofman, W. F., & Someren, E. J. W. V. (2015) · Trials · doi:10.1186/s13063-015-0790-2 · Cited by 9
“This saves a lot of time for a therapist and subsequently may help to solve the discrepancy between care needed and care available [33, 34], thus allowing for large-scale implementation.”
Study protocol for a randomized trial of a supportive care mobile application to improve symptoms, coping, and quality of life in patients with advanced non-small cell lung cancer
Waldman, L. P., Centracchio, J. A., Jacobs, J. M., Petrillo, L. A., El-Jawahri, A. R., Temel, J. S., & Greer, J. A. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1184482 · Cited by 7
“Mobile behavioral interventions have shown promising efficacy in addressing a variety of health problems including depression, anxiety, substance use disorder, and insomnia in the general population and in patients with psychiatric conditions (Bewick et al., 2008; Andersson and Cuijpers, 2009; Cuijpers et al., 2009; R…”
Background
Using the Person-Based Approach to Co-Create and Optimize an App-Based Intervention to Support Better Sleep for Adolescents in the United Kingdom: Mixed Methods Study
Bennett, S., Johnston, M., Treneman‐Evans, G., Denison‐Day, J., Duffy, A., Brigden, A., Kuberka, P., Christoforou, N., Ritterband, L. M., Koh, J., et al. (2024) · JMIR Human Factors · doi:10.2196/63341 · Cited by 9
“Bite Back [53] and SHUTi [51] are offered if adolescents score highly on measures of anxiety and depression (RCADS) or insomnia (Insomnia Severity Index) after 6 weeks of access to Sleep Solved.”
BackgroundMethodInfluentialSelf-citation
Using network intervention analysis to explore associations between participant expectations of and difficulties with cognitive behavioural therapy for insomnia and clinical outcome: A proof of principle study
Scott, J. L., Vedaa, Ø., Sivertsen, B., Langsrud, K., & Kallestad, H. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.01.054 · Cited by 7
Cognitive behavioral therapy for the management of poor sleep in insomnia disorder
Kyle, S. D., Miller, C. B., & Espie, C. A. (2014) · ChronoPhysiology and Therapy · doi:10.2147/cpt.s54220 · Cited by 9
“Recently, RCTs have evaluated the use of the Internet to deliver a standardized and low-cost form of CBT-I and found improvements in subjective measures of both sleep and daytime functioning.(57,66) The integration of this approach into primary care is a current area of interest that should be adopted and evaluated fo…”
An Approach to Symptoms at the Interface of Medicine and Psychiatry: Pain, Insomnia, Weight Loss and Anorexia, Fatigue and Forgetfulness, and Sexual Dysfunction
Freudenreich, O., Kontos, N. J., Nejad, S. H., & Gross, A. F. (2010) · Medical Clinics of North America · doi:10.1016/j.mcna.2010.08.006 · Cited by 7
Implementation of Health Information Technology in Routine Care for Fibromyalgia: Pilot Study
Sparks, T., Kawi, J., Menzel, N. N., & Hartley, K. (2015) · Pain Management Nursing · doi:10.1016/j.pmn.2015.10.001 · Cited by 7
“Improved management in outpatient healthcare settings can potentially reduce direct and indirect healthcare costs (Ritterband et al., 2009).”
Background
Introduction to Modern Sleep Technology
Chiang, R. P., & Kang, S.-C. (2012) · International series on intelligent systems, control and automation: science and engineering · doi:10.1007/978-94-007-5470-6 · Cited by 8
“Another study by Findley and colleagues also showed a reduction in accident rate with the use of CPAP in OSA patients [53].”
Background
Designing and Conducting Interventions to Enhance Physical and Mental Health Outcomes
Westmaas, J. L., Gil‐Rivas, V., & Silver, R. C. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780195342819.013.0004 · Cited by 7
“…example, a recent study found that adults who were randomly assigned to an internet-based structured cognitive-behavioral intervention for insomnia versus a waiting-list con-trol group demonstrated superior sleep outcomes up to 6 months after the intervention had ended (Ritterband et al., 2009 ).”
Background
Employing Environmental Data and Machine Learning to Improve Mobile Health Receptivity
Theilig, M.-M., Korbel, J. J., Mayer, G., Hoffmann, C., & Zarnekow, R. (2019) · IEEE Access · doi:10.1109/access.2019.2958474 · Cited by 10
“for anxiety [12], depression [13], insomnia [14], and diet [15].”
Background
The efficacy of attendance and semi-attendance group cognitive-behavioral therapy (CBT) on the anxiety disorders of adolescent girls.
Karbasi, A., Arman, S., & Maracy, M. R. (2010) · Europe PMC (PubMed Central) · Cited by 7
A Digital Intervention to Address Sexual Health in Hematopoietic Stem Cell Transplant Survivors
El-Jawahri, A. R., Reese, J. B., Traeger, L. N., Dizon, D. S., Cutler, C. S., Bober, S. L., Greer, J. A., Vanderklish, J., Rabideau, D. J., Cronin, K. G., et al. (2025) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2024.7076 · Cited by 6
Digital cognitive–behavioural therapy for insomnia compared with digital patient education about insomnia in individuals referred to secondary mental health services in Norway: protocol for a multicentre randomised controlled trial
Kallestad, H., Saksvik, S. B., Vedaa, Ø., Langsrud, K., Morken, G., Lydersen, S., Simpson, M. R., Dørheim, S. K., Holmøy, B., Selvik, S. G., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-050661 · Cited by 7
Self-citation
Testing delivery of components of cognitive behavioral therapy for insomnia to breast cancer survivors by smart speaker: a study protocol
Starling, C. M., Greenberg, D., Zhou, E. S., Lewin, D. S., Morrow, A. S., Lieberman, D. Z., Shaw, C., & Arem, H. E. (2022) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-022-01902-w · Cited by 7
INFLUENCE OF PERSUASIVE REMINDERS AND VIRTUAL REHEARSAL ON INFORMATION SYSTEMS FOR SLEEP DEPRIVATION
Langrial, S. U., B, H. O.-K. A., Lappalainen, P., & Lappalainen, R. I. (2014) · Journal of the Association for Information Systems · Cited by 6
The Association Between Age and Ethics-Related Issues in Using Social Media for HIV Prevention in Peru
Chiu, C. J., Menacho, L. A., & Young, S. D. (2014) · Ethics & Behavior · doi:10.1080/10508422.2014.991868 · Cited by 6
“…of California, Los Angeles 10880 Wilshire Blvd. #1800 Los Angeles, CA 90024 youngsean@ucla.edu 310-794-8530. uthor M anuscript A uthor M anuscript A uthor M anuscript Donovan, 2009; Napolitano et al., 2003; Ritterband et al., 2009; Wantland, Portillo, Holzemer, Slaughter, & McGhee, 2004).”
Background
Cognitive Behavioral and Psychological Therapies for Chronic Insomnia
Espie, C. A., & Kyle, S. D. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4377-1703-7.10012-x · Cited by 6
Telephone Support in an Internet-Based Treatment for Sleep Problems in Early Childhood
Schlarb, A. A., Brandhorst, I., Peters, E., & Hautzinger, M. (2017) · Journal of psychiatry · doi:10.4172/2378-5756.1000435 · Cited by 6
“Research groups already indicated the efficacy of Internet-based cognitive-behavioural treatment for insomnia in adults [50-53].”
BackgroundResult
Cognitive behavior therapy for insomnia
Lee, E. M. (2020) · Journal of Korean Medical Association · doi:10.5124/jkma.2020.63.8.477 · Cited by 6
Using technology to engage boys and men in the prevention of sexual assault
Oesterle, D. W., Schipani‐McLaughlin, A. M., Salazar, L. F., & Gilmore, A. K. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-819202-3.00006-7 · Cited by 6
Development and Initial Evaluation of Web-Based Cognitive Behavioral Therapy for Insomnia in Rural Family Caregivers of People With Dementia (NiteCAPP): Mixed Methods Study
McCrae, C. S., Curtis, A. F., Stearns, M. A., Nair, N., Golzy, M., Shenker, J. I., Beversdorf, D. Q., Cottle, A., & Rowe, M. A. (2023) · JMIR Aging · doi:10.2196/45859 · Cited by 5
“These individuals tested the NiteCAPP website on their own computers, tablets, or phones in their homes and then completed a modified structured internet intervention usefulness questionnaire (modified from existing surveys [34,40] as well as other studies evaluating web-based behavioral interventions [27,41,42]) to p…”
BackgroundMethod
The effects of the new guidance ‘take your sleeping pills 7 h before your wake-up time’: a pilot study
Youn, S., Hann, C.-W. C., Park, B., Lee, S., Yi, K., & Chung, S. (2016) · Sleep and Biological Rhythms · doi:10.1007/s41105-016-0073-7 · Cited by 6
The Effect of Sleep Hygiene Education on the Quality of Sleep of Elderly Women
Lemrasky, M. M., Shamsalinia, A., Nasiri, M., & Hajiahmadi, M. (2019) · Aging Medicine and Healthcare · doi:10.33879/amh.2019.1830 · Cited by 7
Future Sleep Medicine: Mobile Health and Big Data
Kim, J., & Cho, J. W. (2019) · Journal of Sleep Medicine · doi:10.13078/jsm.18016 · Cited by 6
“50 으로 유의한 변화를 보이지 않았다.(34) 또한 불면증 심각 척도 의 개선은 웹 기반 불면증 인지행동치료군에서 치료 중단 6 개월 후에도 지속되는 것이 확인되었다.”
Delivering real-time support for self-injury: A systematic review on ecological momentary interventions
Julià, A., Jaén, I., García‐Palacios, A., Pascual, J. C., Sintes, A., Lara, A., Méndez, I., Romero, S., Puntí, J., Soler, J., et al. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100826 · Cited by 5
“Similarly, Ritterband et al. (2009) reported that a digital intervention for chronic insomnia led to sustained sleep improvements and greater patient satisfaction.”
Pre S cription Digita L Th E rap E utic for P atients with I nsomnia ( SLEEP-I ): a protocol for a pragmatic randomised controlled trial
Dreyer, R. P., Berkowitz, A., Yaggi, H. K., Schneeberg, L., Shah, N. D., Emanuel, L., Kolla, B. P., Jeffery, M. M., Deeg, M. A., Ervin, K. R., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-062041 · Cited by 5
Self-citation
Sleepless No More: Techniques and Interventions for Sleep Disorders
Katsanis, J., & Newman-Smith, K. C. (2015) · ATHENS JOURNAL OF HEALTH & MEDICAL SCIENCES · doi:10.30958/ajh.2-1-1 · Cited by 4
“In some web-based treatments, patients are unable to move to the next module until the appropriate time and completion of diaries has passed (Ritterband et al., 2009), while others use an automated media-rich web application that delivers CBT-I via a ‘virtual therapist’ (Espie et al.”
Influential
Remote consultations in sleep disorders
Fauroux, B., Bonsignore, M. R., & Verbraecken, J. A. (2023) · European Respiratory Society eBooks · doi:10.1183/2312508x.10002323 · Cited by 5
Industry sponsorship bias in randomized controlled trials of digital cognitive behavioral therapy for insomnia: a meta-research study based on the 2023 Brazilian guidelines on the diagnosis and treatment of insomnia in adults
Kakazu, V. A., Assis, M., Bacelar, A., Bezerra, A. G., Ciutti, G. L. R., Conway, S. G., Galduróz, J. C. F., Drager, L. F., Khoury, M. P., Leite, I. P. A., et al. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1600767 · Cited by 5
Comorbid Insomnia and Sleep Disordered Breathing
Glidewell, R. N. (2013) · Current Treatment Options in Neurology · doi:10.1007/s11940-013-0259-0 · Cited by 5
Insomnische Störungen
Baglioni, C., Spiegelhalder, K., Nissen, C., Hirscher, V., Frase, L., Feige, B., Unbehaun, T., & Riemann, D. W. (2013) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-013-0602-4 · Cited by 5
Reciprocal Associations between Job Strain and Disturbed Sleep—Opportunities for Sleep Health
Hall, M. H. (2015) · SLEEP · doi:10.5665/sleep.4798 · Cited by 5
A Digital Sleep Restriction System for Insomnia Therapy Based on Sleep Window Shift Negotiation
Uyumaz, B. E., Overeem, S., Feijs, L. M. G., Rama, M. D., & Hu, J. (2018) · International Conference on PErvasive Technologies Related to Assistive Environments (PETRA) · doi:10.1145/3197768.3201531 · Cited by 5
“Several digital CBT-I systems have been described in which SRT is included as a component; these include Sleepio [5], Shut-i [10], and SleepCare [1].”
Method
Psychological and Behavioral Treatments for Insomnia II
Edinger, J. D., Means, M. K., Carney, C. E., & Manber, R. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-6645-3.00080-3 · Cited by 5
Effectiveness of digital cognitive-behavioral therapy for insomnia alone or combined with sleep medication: A real-world evidence study
Vallim, J. R. D. S., Pires, G. N., Bonaldi, R. R., Zanini, M. A., Soster, L. A., Garbuio, S. A., & Sousa, K. M. M. (2023) · Sleep Epidemiology · doi:10.1016/j.sleepe.2023.100061 · Cited by 5
Caregiver Experiences With an Internet-Delivered Insomnia Intervention: SHUTi-CARE Trial Primary Qualitative Analysis
Shaffer, K. M., Perepezko, K. M., Glazer, J. V., Mattos, M. K., Klinger, J., Buysse, D. J., Ritterband, L. M., & Donovan, H. S. (2024) · Annals of Behavioral Medicine · doi:10.1093/abm/kaae041 · Cited by 5
Self-citation
An Open Uncontrolled Pilot Trial of Online Cognitive-Behavioral Therapy for Insomnia for Ukrainian Alcohol-Dependent Patients
Zhabenko, O., Zhabenko, N., Conroy, D. A., Чабан, О., Oliinyk, A. Y., Frankova, I., Mazur, A., Brower, K. J., & Zucker, R. A. (2016) · Springer eBooks · doi:10.1007/978-3-319-43172-7_10 · Cited by 5
Internetbasierte kognitive Verhaltenstherapie der Insomnie und Albtraumstörung
Frase, L., Duss, S. B., Gieselmann, A., Penzel, T., Wetter, T. C., & Pollmächer, T. (2019) · Der Nervenarzt · doi:10.1007/s00115-019-00803-0 · Cited by 6
Cognitive Behavioral Treatment as a Digital Therapeutic for Insomnia
Lee, E. M. (2020) · Chronobiology in Medicine · doi:10.33069/cim.2020.0007 · Cited by 5
Modularized iCBT‑I self-learn training for university staff—prevention and early intervention in the SARS-CoV-2 crisis
Schlarb, A. A., Fründ, J. P., Kovačević, T., & Faber, J. (2021) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-021-00301-z · Cited by 5
Future outlook of nonpharmacological treatments for insomnia in adults: clinical trial progress
Bootzin, R. R., & Manber, R. (2013) · Clinical Investigation · doi:10.4155/cli.13.95 · Cited by 5
Entwicklung und Evaluation einer internetbasierten begleiteten Selbsthilfe-Intervention zur Bewältigung von Albträumen
Böckermann, M., Gieselmann, A., Sorbi, M. J., & Pietrowsky, R. (2015) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000230 · Cited by 5
Efficacy of Remote Cognitive Behavioural Therapy for Insomnia in Improving Health Status of Patients with Insomnia Symptoms: A Meta-analysis
Xu, D., Li, Z., Leitner, U., & Sun, J. (2024) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10458-6 · Cited by 5
“…2016; Lok-man et al., 2017; Lorenz et al., 2019; McCurry et al., 2016, 2021; Morris et al., 2016; Oswald et al., 2022; Rajabi Majd et al., 2020; Ritterband et al., 2009, 2017; Siebmanns et al., 2021; Straten et al., 2014; Thorndike et al., 2013; Vedaa et al., 2020; Vincent & Lewycky, 2009;…”
Üniversite Öğrencilerine Yönelik Ruh Sağlığı Hizmetlerinde İnternet Tabanlı Müdahaleler: Bir Gözden Geçirme
Özer, Ö., & Köksal, B. (2023) · OSMANGAZİ JOURNAL OF MEDICINE · doi:10.20515/otd.1309551 · Cited by 5
Insomnia Treatment in the Digital Healthcare Era: Present and Future
Cho, J. W., Kim, H.-W., Jeong, J., & Baek, K. (2023) · Journal of Sleep Medicine · doi:10.13078/jsm.230021 · Cited by 4
“구성(cognitive restructuring), 6) 재발 방지의 6개 핵심모듈 로 구성되었다.(17,18) SHUTi (및 Somryst) 프로그램은 인터넷 기반으로 수행하는 6주 간의 완전 자동식 dCBT로 여러 RCT 연구에서 풍부한 임상적 근거를 확보하였다.”
The effects of a personalized sleep improvement app in subclinical poor sleepers: A randomized controlled trial
Munt, O., Schredl, M., Gottlieb, E., Fischer, S., Gautschi, D., Gahan, L., & Schoebel, C. (2025) · Journal of Sleep Research · doi:10.1111/jsr.14445 · Cited by 4
“…(Behrendt et al., 2020; Christensen et al., 2016; Ebert et al., 2015; Hinterberger et al., 2024; Horsch et al., 2017; Lorenz et al., 2019; Ritterband et al., 2009; Thiart et al., 2015), but comparable to app studies including participants with mild sleep problems (Huberty et al., 2021;…”
Cognitive Behavioral Therapy for Insomnia
Baron, K. G., Perlis, M. L., Nowakowski, S., Smith, M. T., Jungquist, C. R., & Orff, H. J. (2016) · Springer eBooks · doi:10.1007/978-3-319-41400-3_6 · Cited by 4
Factors influencing the efficiency of cellphone-based CBT for treating sleep disorders
Hu, N., Xu, Y., & Mao, H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.974888 · Cited by 4
“With the increasing popularity of the internet and smartphones in recent years, it has become possible to administer online CBT-I (24).”
Background
Internet delivered, non-inferiority, two-arm, assessor-blinded intervention comparing mindfulness-based stress reduction and cognitive-behavioral treatment for insomnia: a protocol study for a randomized controlled trial for nursing staff with insomnia
Li, Y., Nazari, N., & Sadeghi, M. (2022) · Trials · doi:10.1186/s13063-022-06986-3 · Cited by 4
“Regarding effectiveness, a significant number (30 to 40%) of insomnia patients did not respond or remit, and over half (50–60%) experienced a varying degree of insomnia symptoms following a CBT-I intervention [41].”
Background
Family cancer caregiver use of and benefit from an internet-delivered insomnia intervention: results from a single-group feasibility trial
Shaffer, K. M., Glazer, J. V., Chow, P. I., Ingersoll, K. S., & Ritterband, L. M. (2024) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000129 · Cited by 4
Self-citation
Een begeleide internetcursus voor de behandeling van slaapproblemen
van Straten, A., & Dozeman, E. (2014) · Nederlands Tijdschrift voor Evidence Based Practice · doi:10.1007/s12468-014-0023-9 · Cited by 4
Untitled work
(2018) · Europe PMC (PubMed Central) · Cited by 4
Future Directions in Insomnia Diagnosis and Treatment
Baglioni, C., Spiegelhalder, K., Nissen, C., & Riemann, D. W. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-378610-4.00212-6 · Cited by 4
Applying a mobile intervention for chronic insomnia in routine care: Study protocol for a multicenter randomized controlled trial
Moon, D. U., Kim, J., Sun, J. H., & Lee, Y. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100848 · Cited by 3
“The ISI was selected as the primary outcome measure based on evidence from previous meta-analyses and studies with similar designs (Behrendt et al., 2020; Schuffelen et al., 2023; Ritterband et al., 2009).”
A randomized controlled trial comparing sleep hygiene advice with a self-help book focusing on cognitive behavioral therapy for insomnia: a study among patients with prescribed hypnotics from the GP
Bjorvatn, B., Lundetræ, R. S., Vedaa, Ø., Pallesen, S., & Evanger, L. N. (2025) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813432.2025.2525423 · Cited by 2
“Meta-analyses of self-help therapies for insomnia conclude that such interventions are effective [1]. however, more studies are needed [1,13,14].”
Efficacy and safety of non-pharmacological therapies for primary insomnia: a network meta-analysis
Zhang, Q., Liu, Y., Yang, G., Zhu, M.-Y., Yang, J.-H., Li, L., Yan, X., Liu, Q., Yue, J., Li, X., et al. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1607903 · Cited by 3
Effectiveness of an online cognitive behavioral therapy for insomnia
Friðgeirsdóttir, G., Jóhannsson, G., Area, H. C. O. T. C., Ellertsson, S., Area, H. C. O. T. C., & Björnsdóttir, E. (2015) · Læknablaðið · doi:10.17992/lbl.2015.04.20 · Cited by 3
Single-Group Trial of an Internet-Delivered Insomnia Intervention Among Higher-Intensity Family Caregivers: Rationale and Protocol for a Mixed Methods Study
Shaffer, K. M., Ritterband, L. M., You, W., Buysse, D. J., Mattos, M. K., Camacho, F., Glazer, J. V., Klinger, J., & Donovan, H. S. (2021) · JMIR Research Protocols · doi:10.2196/34792 · Cited by 3
Self-citation
The effectiveness of remote methods of cognitive behavioral therapy for chronic insomnia and the possibilities of combined interventions
Golovatyuk, A. O., & Poluektov, M. G. (2023) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202312305258 · Cited by 3
Caregivers’ Internet-Delivered Insomnia Intervention Engagement and Benefit: SHUTi-CARE Trial Primary Quantitative Analysis
Shaffer, K. M., Ritterband, L. M., You, W., Mattos, M. K., Buysse, D. J., Glazer, J. V., Klinger, J., & Donovan, H. S. (2024) · Annals of Behavioral Medicine · doi:10.1093/abm/kaae031 · Cited by 3
Self-citation
An exploratory study of an online mind–body program for poor sleepers in a community sample
Lipschitz, D. L., Landward, R. S., & Nakamura, Y. (2013) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2013.10.002 · Cited by 3
Monitoring Progress and Adherence with PAP Therapy for OSA: the Roles of Telemedicine and Mobile Health Applications
Hwang, D., & Doctorian, T. (2017) · Current Pulmonology Reports · doi:10.1007/s13665-017-0187-7 · Cited by 3
Clinical practice guidelines for insomnia disorder
Malan, L., & Dlamini, N. (2017) · South African Family Practice · doi:10.4102/safp.v59i3.4691 · Cited by 3
E‐Coaching: Accept it, It's Here, and It's Evolving!
Boyce, L. A., & Clutterbuck, D. (2010) · doi:10.1002/9781118255995.ch11 · Cited by 3
CBT‐I Protocols for Insomnia Co‐morbid with Somatic Disorders
Bjorvatn, B. (2022) · Wiley eBooks · doi:10.1002/9781119891192.ch14 · Cited by 2
A novel psychosocial virtual reality intervention (BMT-VR) for patients undergoing hematopoietic stem cell transplantation: Pilot randomized clinical trial design and methods
Amonoo, H. L., Newcomb, R., Lorenz, K. A., Psenka, R., Holmbeck, K., Farnam, E. J., Tse, A., Desai, S., Vassev, N., Waldman, L. P., et al. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107550 · Cited by 2
CBT-I for adolescents
Moore, M. E., & Hartman, A. R. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822872-2.00010-4 · Cited by 2
A Systematic Review on the Clinical Efficacy of Digital Therapeutics for Sleep Disorders: Subgroup Analysis by Control Groups
Jeon, H., Kang, E., & Yoo, S. (2023) · Korean Journal of Clinical Pharmacy · doi:10.24304/kjcp.2023.33.4.221 · Cited by 2
The role of racial discrimination in medical care: A secondary analysis of the effect of culturally tailored, internet‐delivered CBT for insomnia in Black women
Daniel, K. E., Volpe, V. V., Bethea, T. N., Rosenberg, L. A., Ritterband, L. M., & Zhou, E. S. (2025) · British Journal of Clinical Psychology · doi:10.1111/bjc.12556 · Cited by 2
“Extensive evidence has demonstrated that an Internet-delivered CBT-I program called Sleep Healthy Using the Internet (SHUTi) is effective (Ritterband et al., 2009), but users must remain engaged to receive benefits (Batterham et al., 2017; Kalmbach et al., 2023).”
Self-citation
Effects of Digital Cognitive Behavioral Therapy for Insomnia on Self-Reported Sleep Parameters: Systematic Review and Meta-Analysis
Leite, I. P. A., Kakazu, V. A., de Carvalho, L. A. T., Tufik, S., & Pires, G. N. (2025) · Clocks & Sleep · doi:10.3390/clockssleep7040069 · Cited by 4
Special Section: Health Information Technology and Mental Health Services Research: A Path Forward Behavioral Intervention Technologies: Evidence review and recommendations for future research in mental health
Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G. N., & Klinkman, M. S. (2013) · Cited by 2
Remote non-pharmacologic interventions for sleep problems in healthcare workers during the COVID-19 pandemic
Torrente, F. M., López, P. L., Comandé, D., Ailán, D., Nievas, S. E. F., Robertson, L., & Ciapponi, A. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd015132 · Cited by 2
Can people with poststroke insomnia benefit from blended cognitive behavioral therapy? A single case experimental design
Ford, M. E., Geurtsen, G., Schmand, B., Groet, E., van Bennekom, C. V., & van Someren, E. V. (2022) · Brain Impairment · doi:10.1017/brimp.2022.12 · Cited by 2
“In the general population, availability of face-to-face CBT-I is limited for different reasons, including a lack of trained therapists (Ritterband et al., 2009).”
Background
Sleep-specific outcomes attributable to digitally delivered cognitive behavioral therapy for insomnia in adults with insomnia and depressive symptoms
Batterham, P. J., Thorndike, F. P., Gerwien, R. W., Botbyl, J. D., Ritterband, L. M., Maricich, Y. A., & Christensen, H. M. (2023) · Behavioral Sleep Medicine · doi:10.1080/15402002.2023.2285799 · Cited by 3
“The findings are comparable to those of previous trials examining the efficacy of SHUTi in samples selected on the basis of insomnia symptoms but not depression symptoms (Ritterband et al., 2009, 2012).”
ResultSelf-citation
Digital cognitive–behavioural therapy application compared with zolpidem for the treatment of insomnia: protocol for an exploratory randomised controlled trial
Shimizu, E., Sato, D., Hirano, Y., Ebisu, H., Kagayama, Y., & Hanaoka, H. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-081205 · Cited by 2
Does format matter? A naturalistic study of digital and provider-led cognitive behavioral therapy for insomnia implemented in a healthcare system
Reed, A. C., Rogers, D. G., Berlin, G. S., Burrone, L., Dante, G., DeViva, J. C., McCarthy, E., Niculete, M. E., Santoro, G. M., & Hermes, E. D. A. (2024) · Behavioral Sleep Medicine · doi:10.1080/15402002.2024.2385822 · Cited by 2
“Clinical trials of the SHUTi digital CBTi program also showed an ISI improvement of approximately nine points (Christensen et al., 2016; Ritterband et al., 2009).”
Applying Instructional Design Guidelines for Community Health Programs in Health Education
Adams, L. L., & Shambaugh, N. (2018) · Advances in higher education and professional development book series · doi:10.4018/978-1-5225-4975-8.ch006 · Cited by 2
Psychological and Behavioral Treatments for Insomnia
Byrne, B. G. (2014) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.12.1.31 · Cited by 2
Tips for Parents: Prevention and Management of Sleep Problems
Weiss, S. K. (2010) · Cited by 2
Advances in the Management of Primary and Secondary Insomnia
McCall, W. V. (2014) · doi:10.2217/9781780844800 · Cited by 2
Treating Sleep Disorders with an ACT-Based Behavior Change Support System
Langrial, S. U., B, H. O.-K. A., Lappalainen, P., & Lappalainen, R. I. (2017) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/978-1-5225-3241-5.ch003 · Cited by 2
“Earlier, Ritterband et al. (2009) examined effects of CBT-based intervention for people suffering from insomnia.”
Background
Cognitive Behaviour Therapy for Insomnia in Co-morbid Psychiatric Disorders
O'Regan, D. J. (2018) · Springer eBooks · doi:10.1007/978-3-642-54836-9_9 · Cited by 2
Digital Therapies for Insomnia
Jackson, M. L., Meaklim, H., & Mason, E. C. (2023) · Springer eBooks · doi:10.1007/978-3-031-10698-9_6 · Cited by 2
An interactive thought visualization tool for insomnia treatment
Uyumaz, B. E., Hendrikx, R. W. M., Quaedackers, L., Feijs, L. M. G., Rama, M. D., Overeem, S., & Hu, J. (2017) · Procedia Computer Science · doi:10.1016/j.procs.2017.11.043 · Cited by 2
“Some of the existing CBT-I tools on the market are Sleepio [8], Shut-I [17], Go!”
Method
A secondary analysis of the role of geography in engagement and outcomes in a clinical trial of an efficacious Internet intervention for insomnia
Chow, P. I., Gonzalez, B. D., Ingersoll, K. S., Thorndike, F. P., Shaffer, K. M., CAMACHO, F. T., Perlis, M. L., & Ritterband, L. M. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100294 · Cited by 2
Self-citation
Bevorzugen Frauen Face-to-Face-Beratung bei Insomnie?
Retzer, L., Reindl, R., Zauter, S., & Richter, K. (2021) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-020-00292-3 · Cited by 2
Assessment and Management of Insomnia
Huntley, E. D., & Arnedt, J. T. (2015) · Springer eBooks · doi:10.1007/978-3-319-18054-0_10 · Cited by 2
Sleep and Sleep–Wake Disorders
Buysse, D. J., Soehner, A. M., Abbott, S. M., Kapur, V. K., Mahowald, M. W., Parker, K. P., Honeycutt, E. F., Redline, S. S., Schenck, C. H., & Zee, P. C. (2015) · Wiley eBooks · doi:10.1002/9781118753378.ch66 · Cited by 2
Boosting Access to Insomnia Treatment for Cancer Patients
Davidson, J. R. (2014) · SLEEP · doi:10.5665/sleep.3908 · Cited by 2
Is it time to get some SHUT-i?
Ellis, J. G., Seed, J. A., Bastien, C., & Grandner, M. A. (2017) · Annals of Translational Medicine · doi:10.21037/atm.2017.04.28 · Cited by 2
“Interestingly the effect sizes reported broadly match those typically seen in CBT-I studies employing face-to-face methods (15).”
Result
Cognitive–behavioral therapy for insomnia
Leggett, M. K. (2014) · doi:10.2217/fmeb2013.13.162 · Cited by 2
Application of online cognitive-behavioral therapy for insomnia among individuals with epilepsy
Alimoradi, Z., Griffiths, M. D., & Pakpour, A. H. (2023) · Handbook of Cognitive Behavioral Therapy by Disorder · doi:10.1016/b978-0-323-85726-0.00027-2 · Cited by 1
Diagnóstico e Tratamento de Distúrbios do Sono: Abordagens Atuais e Futuras Perspectivas
Bevilacqua, G. O., Wolff, A. B., Guastaldi, G. P., Brito, G. D. L. G., Aguiar, C. C., Colmiran, I. R., Colmiran, I. R., Lins, L., Júnior, J. P. D. O., de Azevedo, J. T. F., et al. (2023) · Brazilian Journal of Implantology and Health Sciences · doi:10.36557/2674-8169.2023v5n5p3828-3842 · Cited by 1
Personalized Physician-Assisted Sleep Advice for Shift Workers: Algorithm Development and Validation Study
Shen, Y., Olivier, A. C., Yu, H., Ito-Masui, A., Sakamoto, R., Shimaoka, M., & Sano, A. (2025) · JMIR Formative Research · doi:10.2196/65000 · Cited by 1
“For example, Sleep Healthy Using the Internet [18] and Sleepio [19] provide automated web-based CBTI modules equipped with interactive web design elements and user-tailored recommendations, and multiple randomized controlled trials have demonstrated their effectiveness against insomnia and related…”
Inclusivity in Insomnia: Adolescents’ Perspectives on the Sleep Solved App: Qualitative Interview Study
Bennett, S., Lewis, G., Chambers, S., Johnston, M., Denison‐Day, J., Duffy, A., Treneman‐Evans, G., Kuberka, P., Christoforou, N., Ritterband, L. M., et al. (2026) · JMIR Formative Research · doi:10.2196/82410 · Cited by 1
“Adolescents shown to have more persistent sleep difficulties, anxiousness, or low mood could then be guided toward the extensive support provided by existing apps: SHUTi (Sleep Healthy Using the Internet) [51], Bite Back [52], and Project YES (Youth Empowerment and Support) [52].”
Self-citation
[Self-help program: a new tool to facilitate the access to treatment for problem gamblers].
Saeremans, M., Noël, X., & Verbanck, P. (2015) · PubMed · Cited by 1

Authors: Ritterband, L. M., Thorndike, F. P., Gonder-Frederick, L. A., Magee, J. C., Bailey, E. T., Saylor, D. K., & Morin, C. M.
Affiliations: University of Virginia Health System (US)
ORCID: Ritterband, Lee M.
Thorndike, Frances P.
Gonder-Frederick, Linda A.
Magee, Joshua C.
Saylor, Drew K.
Morin, Charles M.
Venue: Archives of General Psychiatry
Publisher: American Medical Association (AMA)
Published: 2009-07-01
Volume: 66
Issue: 7
Pages: 692
ISSN: 0003-990X (ISSN-L)
DOI: 10.1001/archgenpsychiatry.2009.66
PMC: PMC3723339
OpenAlex: W2126133436
Cited by: 482
References: 52
Citations by year: 2026: 19 · 2025: 18 · 2024: 25 · 2023: 28 · 2022: 28 · 2021: 26 · 2020: 23 · 2019: 24 · 2018: 31 · 2017: 31 · 2016: 30 · 2015: 44 · 2014: 28 · 2013: 33 · 2012: 33
FWCI: 39.71
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Archives of General Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R34 MH70805, R34MH070805)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Keywords: insomnia, online intervention, cognitive behavioral therapy, sleep restriction, stimulus control, sleep hygiene, cognitive restructuring, relapse prevention, insomnia severity, wake after sleep onset, sleep efficiency, treatment efficacy, maintenance of treatment gains, waitlist control, follow-up outcomes, Insomnia Severity Index, sleep diary, cost-effectiveness, acceptability
MeSH terms: Adult, Feasibility Studies, Female, Follow-Up Studies, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Education as Topic, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Self Efficacy, Internet

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Efficacy of an Internet-Based Behavioral Intervention for Adults With Insomnia

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks