Highlights
- •Cognitive behavioral therapy for insomnia is recommended by guidelines as the initial treatment for chronic insomnia.
- •Primary treatment of insomnia varies, with medications remaining the primary treatment modality.
- •A pilot program for insomnia management in primary care can improve guideline-driven treatment and Insomnia Severity Index scores.
- •An insomnia management program used a mobile phone app to provide education and self-guided cognitive behavioral therapy for chronic insomnia to improve Insomnia Severity Index scores.
Abstract
Cognitive behavioral therapy for insomnia is a guideline-recommended insomnia treatment.
Sleep hygiene and pharmacotherapy remain primary therapies. This program used nonpharmacologic
treatment to improve chronic insomnia. The study engaged 23 patients with insomnia
from a primary care office who participated in a program involving a cognitive behavioral
therapy for insomnia mobile app and insomnia and sleep hygiene education. Insomnia
Severity Index (ISI) scores were collected on enrollment and at study conclusion.
Statistical improvement was seen in ISI scores (P < .001). The mean ISI score improved severity classification from moderate to subthreshold.
This program demonstrated efficacy and feasibility in this setting as an alternative
involving mobile app insomnia treatment.
Keywords
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Biography
All authors are at the University of South Florida, Tampa. Amanda Stachura, DNP, FNP-BC, is a nurse practitioner and clinical instructor in the Pulmonary, Critical Care, and Sleep Division at the College of Nursing and can be contacted at [email protected]
Biography
Fareeha Hussaini, MD, is an assistant professor at the Family Medicine Department.
Biography
Catherine Nadeau, DNP, FNP-BC, CNE, is an assistant professor at the College of Nursing.
Article info
Publication history
Published online: March 09, 2023
Footnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
