Featured Article| Volume 19, ISSUE 4, 104459, April 2023

Mobile App for Cognitive Therapy Insomnia Management in Primary Care


      • 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.


      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.


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      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]


      Fareeha Hussaini, MD, is an assistant professor at the Family Medicine Department.


      Catherine Nadeau, DNP, FNP-BC, CNE, is an assistant professor at the College of Nursing.