Cited by 37Sleep and related disordersDigital Mental Health InterventionsObstructive Sleep Apnea Research

Internet-Based Cognitive-Behavioral Therapy for Insomnia in Adults With Asthma: A Pilot Study

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Luyster, Faith S., Ritterband, Lee M., Sereika, Susan M., Buysse, Daniel J., Wenzel, Sally E., Strollo, Patrick J.·2020·Behavioral Sleep Medicine

Abstract

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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Crossref · 10.1080/15402002.2018.1518229

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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.
Venue
Behavioral Sleep Medicine
Published
2018-09-25
Volume
18
Issue
1
Pages
10-22
ISSN
  • 1540-2002 (ISSN-L)
  • 1540-2010
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
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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