Home-Based Behavioral Sleep Training for Shift Workers: A Pilot Study
Abstract
This pilot study evaluated a home-based cognitive-behavioral intervention-the Sleep Enhancement Training System for Shift Workers (SETS-SW)-in a sample of 21 nurses working night shifts. Participants (20 women and 1 man) received 2 home-based cognitive-behavioral interventions: a 4-week active control intervention, followed by the 4-week SETS-SW intervention. Sleep and circadian rhythms were assessed at baseline and after each intervention using questionnaires and 1 week of wrist actigraphy. After the SETS-SW intervention, participants reported better sleep quality, although no change in actigraphy outcomes was observed. Over the course of the study, participants also reported improved wellbeing and less appetite disturbance. A home-based cognitive-behavioral intervention may be useful for managing effects of shift work, but needs further evaluation in larger samples.
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Ito-Masui et al. conclude that CBT-I adapted to shift workers is effective, based on studies by Booker et al. and Lee et al.
“Referring to the studies by Booker et al. [17] and Lee et al. [19], Ito-Masui et al. [20] conclude that CBT-I adapted to shift workers is effective.”
From Efficacy study comparing a CBT-I developed for shift workers (CBT-I-S) to standard CBT-I (cognitive behavioural therapy for insomnia) on sleep onset latency, total sleep time, subjective sleep quality, and daytime sleepiness: study protocol for a parallel group randomised controlled trial with online therapy groups of seven sessions each (2024) · cites this paper as [19]
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- Authors
- Lee, K. A., Gay, C. L., & Alsten, C. R.
- Affiliations
- University of California, San Francisco (US)
- Inner Health, Inc., San Diego, CA
- Corresponding author
- Lee, Kathryn A.
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2013-11-14
- Volume
- 12
- Issue
- 6
- Pages
- 455-468
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- OpenAlex
- W1993571132
- Cited by
- 35
- References
- 26
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 5 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 2
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (R43HL090110)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- shift work, night shift nurses, home-based intervention, cognitive behavioral therapy, sleep quality, circadian rhythm, sleep disruption, appetite disturbance, well-being
- MeSH terms
- Adult, Aged, Female, Humans, Male, Medical Records, Middle Aged, Monitoring, Physiologic, Nursing Staff, Hospital, Personnel Staffing and Scheduling, Pilot Projects, Prospective Studies, Surveys and Questionnaires, San Francisco, Time Factors, Cognitive Behavioral Therapy, Sleep Disorders, Circadian Rhythm, Young Adult, Actigraphy
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