Original Investigation

Effect of a Web-Based Cognitive Behavior Therapy for Insomnia Intervention With 1-Year Follow-up:A Randomized Clinical Trial

JAMA Psychiatry – November 30, 2016 – Adults with insomnia who were provided access to SHUTi, an online, fully automated, tailored intervention for insomnia,  experienced significant and clinically meaningful improvements in their sleep. This has important public health implications for the millions of people who suffer from insomnia and do not have access to face-to-face therapy.

Participants in this study were more typical of people in the “real world” with about half having other health or mental health issues in addition to insomnia.
Importantly, people with insomnia and a medical or psychiatric comorbidity still benefitted from the automated program.

The implications of this study are considerable given that online intervention without human support resulted in outcomes that are similar to outcomes reported in trials that included face-to-face cognitive behavior therapy. Online programs are more accessible, more convenient, less costly and could usher in a new way to provide a much needed health services to millions.

To view the full article, click here: http://jamanetwork.com/journals/jamapsychiatry/fullarticle/2589161



Should Internet Cognitive Behavioral Therapy for Insomnia Be the Primary Treatment Option for Insomnia?: Toward Getting More SHUTi

In this randomized clinical trial of 303 adults with chronic insomnia, those who received the internet cognitive behavior therapy for insomnia intervention (Sleep Healthy Using the Internet [SHUTi]) had significantly improved sleep compared with those who received access to the patient education website, with 56.6% achieving insomnia remission status and 69.7% deemed treatment responders at 1 year.

Meaning  Achieving improved sleep outcomes using an internet intervention without human support that are similar in magnitude to those reported in trials with face-to-face cognitive behavior therapy for insomnia has important implications for public health.

To view the full article, click here:  http://jamanetwork.com/journals/jamapsychiatry/fullarticle/2589158