Internet-Based Cognitive-Behavioral Therapy for Insomnia in Adults With Asthma: A Pilot Study
Open accessAbstract
Background/Objective: Insomnia is common among adults with asthma and is associated with worse asthma control. Cognitive-behavioral therapy for insomnia (CBT-I) is an effective treatment for insomnia with medical comorbidities, but it has not been tested in asthma. The purpose of this study was to assess the feasibility and acceptability of an Internet-based CBT-I intervention, called Sleep Healthy Using the Internet (SHUTi), among adults with asthma and comorbid insomnia, and to gather preliminary efficacy data on changes in insomnia severity, sleep quality, asthma control, and asthma-related quality of life. Methods: A single-group, pretest–posttest design was employed, where all participants completed the SHUTi program. Online questionnaires were completed pre- and postintervention. Individual telephone interviews were conducted after posttreatment data collection to obtain participants’ experiences with SHUTi and suggestions for improvement. Results: The sample (N = 23) comprised men and women aged 18–75 years with moderate to severe, not well-controlled asthma, and comorbid insomnia. Nineteen (83%) completed postintervention assessments. Improvements on the Insomnia Severity Index, Pittsburgh Sleep Quality Index, Asthma Control Test, and Asthma Quality of Life Questionnair–Marks were observed at postintervention. Data from the telephone interviews suggest that most participants had a positive experience with SHUTi. Participants suggested incorporating asthma-specific content into future versions of the intervention. Conclusions: Internet-based CBT-I is a potential treatment option for adults with asthma and comorbid insomnia.
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Internet-based CBT improves asthma severity in patients with insomnia and asthma.
“Luyster and colleagues discovered that not only did internet-based CBT seem to improve the insomnia experiences by individual patients, but on a group level there was also an improvement in the severity of the patients’ asthma [32].”
From Internet-based cognitive behavioural therapy programme as an intervention for people diagnosed with adult-onset, focal, isolated, idiopathic cervical dystonia: A feasibility study protocol (2020) · cites this paper as [32]
The Results (Asthma outcomes; page unavailable) report improved asthma control and asthma-related quality of life after internet-based CBT-I. The Conclusions describe the asthma finding as a preliminary association with better control, not a demonstrated reduction in asthma severity caused by treatment. (LLM, conf=0.84)
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Self-citation
- Authors
- Luyster, F. S., Ritterband, L. M., Sereika, S. M., Buysse, D. J., Wenzel, S. E., & Strollo, P. J.
- Affiliations
- University of Pittsburgh (US)
- University of Virginia (US)
- Corresponding author
- Luyster, Faith S.
- ORCID
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2018-09-25
- Volume
- 18
- Issue
- 1
- Pages
- 10-22
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- PMC
- PMC6433549
- OpenAlex
- W2893101221
- Cited by
- 37
- References
- 48
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 2 · 2021: 7 · 2020: 8 · 2019: 2
- FWCI
- 5.56
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Behavioral Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR001857, R03HL135213)
- 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 › Obstructive Sleep Apnea Research
- Keywords
- cognitive behavioral therapy for insomnia, insomnia, asthma, online intervention, feasibility, acceptability, asthma control, sleep quality, asthma quality of life, comorbid insomnia
- MeSH terms
- Internet-Based Intervention, Adolescent, Adult, Aged, Asthma, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pilot Projects, Quality of Life, Surveys and Questionnaires, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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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 ›
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