Mobile Intervention to Improve Sleep and Functional Health of Veterans With Insomnia: Randomized Controlled Trial

• DOI: 10.2196/29573
• Publication Date: 2021-12-09T16:00:59Z
• Authors: Erin Dawna Reilly; Stephanie A Robinson; Beth Ann Petrakis; Melissa M Gardner; Renda Soylemez Wi...; Carmen Castaneda-...; Karen S Quigley
• Keywords: Original Paper; insomnia; 150; R; physical activity; 610; cognitive behavioral therapy; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; mobile app; Medicine

Insomnia is a prevalent and debilitating disorder among veterans. Cognitive behavioral therapy for insomnia (CBTI) can be effective treating insomnia, although many cannot access this care. Technology-based solutions lifestyle changes, such as physical activity (PA), offer affordable accessible self-management alternatives to in-person CBTI.This study aims extend replicate prior pilot work examine whether the use of mobile app CBTI (cognitive coach [CBT-i Coach]) improves subjective objective sleep outcomes. This also investigate CBT-i Coach with adjunctive PA outcomes more than alone.A total 33 veterans (mean age 37.61 years, SD 9.35 years) reporting chronic were randomized either alone or intervention over 6 weeks, outcome measures at pre- posttreatment.Although manipulation was unsuccessful, both groups using showed significant improvement from baseline postintervention on (P<.001), quality functional (P=.002). Improvements in similar those without posttraumatic stress mild-to-moderate apnea. We observed but modest increase efficiency (P=.02).These findings suggest that app-delivered feasible beneficial improving including comorbid conditions apnea.ClinicalTrials.gov NCT03305354; https://clinicaltrials.gov/ct2/show/NCT03305354.