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Logging on for Better Sleep: RCT of the Effectiveness of Online Treatment for Insomnia
Open accessAbstract
STUDY OBJECTIVES: Despite effective cognitive behavioral treatments for chronic insomnia, such treatments are underutilized. This study evaluated the impact of a 5-week, online treatment for insomnia. DESIGN: This was a randomized controlled trial with online treatment and waiting list control conditions. PARTICIPANTS: Participants were 118 adults with chronic insomnia. SETTING: Participants received online treatment from their homes. INTERVENTION: Online treatment consisted of psychoeducation, sleep hygiene, and stimulus control instruction, sleep restriction treatment, relaxation training, cognitive therapy, and help with medication tapering. MEASUREMENT AND RESULTS: From pre- to post-treatment, there was a 33% attrition rate, and attrition was related to referral status (i.e., dropouts were more likely to have been referred for treatment rather than recruited from the community). Using a mixed model analysis of variance procedure (ANOVA), results showed that online treatment produced statistically significant improvements in the primary end points of sleep quality, insomnia severity, and daytime fatigue. Online treatment also produced significant changes in process variables of pre-sleep cognitive arousal and dysfunctional beliefs about sleep. CONCLUSIONS: Implications of these findings are that identification of who most benefits from online treatment is a worthy area of future study.
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“The program has shown efficacy in a controlled trial involving 118 persons with chronic insomnia (20).”
From Implementing computer-based psychotherapy among veterans in outpatient treatment for substance use disorders (2016) · cites this paper as [20]
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Metadata
- Authors
- Vincent, N., & Lewycky, S.
- Affiliations
- University of Manitoba (CA)
- Corresponding author
- Vincent, Norah
- ORCID
- Vincent, Norah
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-06
- Volume
- 32
- Issue
- 6
- Pages
- 807-815
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC2690569
- OpenAlex
- W1534297593
- Cited by
- 206
- References
- 54
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 3 · 2023: 16 · 2022: 8 · 2021: 7 · 2020: 12 · 2019: 8 · 2018: 6 · 2017: 18 · 2016: 17 · 2015: 20 · 2014: 12 · 2013: 21 · 2012: 13
- FWCI
- 19.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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
- chronic insomnia, online therapy, internet-based cognitive behavioral therapy, sleep hygiene, stimulus control, sleep restriction, relaxation training, cognitive therapy, medication tapering, treatment discontinuation, referral status, sleep quality, daytime fatigue, dysfunctional beliefs about sleep
- MeSH terms
- Adult, Circadian Rhythm, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Hypnotics and Sedatives, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Education as Topic, Relaxation Therapy, Therapy, Computer-Assisted, Health Behavior, Comorbidity, Cognitive Behavioral Therapy, Internet
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