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CBT-I Coach: A Description and Clinician Perceptions of a Mobile App for Cognitive Behavioral Therapy for Insomnia
Open accessAbstract
Study objectives This paper describes CBT-I Coach, a patient-facing smartphone app designed to enhance cognitive behavioral therapy for insomnia (CBT-I). It presents findings of two surveys of U.S. Department of Veterans Affairs (VA) CBT-I trained clinicians regarding their perceptions of CBT-I Coach before it was released (n = 138) and use of it two years after it was released (n = 176). Methods VA-trained CBT-I clinicians completed web-based surveys before and two years after CBT-I Coach was publicly released. Results Prior to CBT-I Coach release, clinicians reported that it was moderately to very likely that the app could improve care and a majority (87.0%) intended to use it if it were available. Intention to use the app was predicted by smartphone ownership (β = 0.116, p < 0.05) and perceptions of relative advantage to existing CBT-I practices (β = 0.286, p < 0.01), compatibility with their own needs and values (β = 0.307, p < 0.01), and expectations about the complexity of the app (β = 0.245, p < 0.05). Two years after CBT-I Coach became available, 59.9% of participants reported using it with patients and had favorable impressions of its impact on homework adherence and outcomes. Conclusions Findings suggest that before release, CBT-I Coach was perceived to have potential to enhance CBT-I and address common adherence issues and clinicians would use it. These results are reinforced by findings two years after it was released suggesting robust uptake and favorable perceptions of its value.
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Metadata
- Authors
- Kuhn, E., Weiss, B. J., Taylor, K. L., Hoffman, J. E., Ramsey, K. M., Manber, R., Gehrman, P., Crowley, J. J., Ruzek, J. I., & Trockel, M.
- Affiliations
- VA Palo Alto Health Care System (US)
- Stanford University (US)
- Philadelphia VA Medical Center (US)
- Corresponding author
- Kuhn, Eric
- ORCID
- Venue
- Journal of Clinical Sleep Medicine
- Published
- 2016-04-15
- Volume
- 12
- Issue
- 4
- Pages
- 597-606
- ISSN
- 1550-9389 (ISSN-L)
- 1550-9397
- PMC
- PMC4795288
- OpenAlex
- W2279773756
- Cited by
- 135
- References
- 40
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 15 · 2023: 11 · 2022: 15 · 2021: 21 · 2020: 10 · 2019: 16 · 2018: 14 · 2017: 11 · 2016: 6
- FWCI
- 22.30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Sleep Medicine (publishedVersion)
- Europe PMC (PubMed Central) (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 › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- cognitive behavioral therapy for insomnia, mobile health apps, mobile application, clinician perceptions, intention to use, technology acceptance, homework adherence, veterans, app uptake
- MeSH terms
- Smartphone, Attitude of Health Personnel, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Veterans, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction, Mobile Applications
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