Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials

Canadian Medical Association Journal, Год журнала: 2024, Номер 196(10), С. E327 - E340

Опубликована: Март 17, 2024

Background:

Cognitive behavioural therapy (CBT) has been shown to be effective for several psychiatric and somatic conditions; however, most randomized controlled trials (RCTs) have administered treatment in person whether remote delivery is similarly remains uncertain. We sought compare the effectiveness of therapist-guided CBT in-person CBT.

Methods:

systematically searched MEDLINE, Embase, PsycINFO, CINAHL, Cochrane Central Register Controlled Trials from inception July 4, 2023, RCTs that enrolled adults (aged ≥ 18 yr) presenting with any clinical condition participants either (e.g., teleconference, videoconference) or Paired reviewers assessed risk bias extracted data independently duplicate. performed random-effects model meta-analyses pool patient-important primary outcomes across eligible as standardized mean differences (SMDs). used Grading Recommendations Assessment, Development Evaluation (GRADE) guidance assess certainty evidence Instrument Assess Credibility Effect Modification Analyses (ICEMAN) rate credibility subgroup effects.

Results:

included 54 a total 5463 patients. Seventeen studies focused on anxiety related disorders, 14 depressive symptoms, 7 insomnia, 6 chronic pain fatigue syndromes, 5 body image eating 3 tinnitus, 1 alcohol use disorder, mood disorders. Moderate-certainty showed little no difference (SMD −0.02, 95% confidence interval −0.12 0.07).

Interpretation:

range mental health suggesting potential facilitate greater access evidence-based care. Systematic review registration: Open Science Framework (https://osf.io/7asrc)

Язык: Английский

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Digital cognitive behavioural therapy for insomnia reduces insomnia in nurses suffering from shift work disorder: A randomised‐controlled pilot trial

Journal of Sleep Research, Год журнала: 2024, Номер 33(6)

Опубликована: Март 14, 2024

Summary Insomnia is a primary symptom of shift work disorder, yet it remains undertreated. This randomised‐controlled pilot trial examined the efficacy digital, guided cognitive behavioural therapy for insomnia adapted to (SleepCare) in nurses with disorder. The hypothesis was that SleepCare reduces severity compared waitlist control condition. A total 46 unmedicated suffering from disorder (age: 39.7 ± 12.1 years; 80.4% female) were randomised group or group. outcome measure Severity Index. Other questionnaires on sleep, mental health and occupational functioning, sleep diary data actigraphy analysed as secondary outcomes. Assessments conducted before (T0), after intervention/waitlist period (T1), 6 months treatment completion (T2). showed significant reduction T0 T1 condition (β = −4.73, SE 1.12, p < 0.001). Significant improvements observed sleepiness, dysfunctional beliefs about pre‐sleep arousal, effort, self‐reported efficiency onset latency. No effect found data. Depressive anxiety symptoms, irritation ability improved significantly. Overall, satisfaction engagement intervention high. severity, functioning. first investigating digital population insomnia. Future research should further explore these effects larger sample sizes active conditions.

Язык: Английский

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Is cognitive behavioral therapy for insomnia (CBTi) efficacious for treating insomnia symptoms in shift workers? A systematic review and meta-analysis

Sleep Medicine Reviews, Год журнала: 2022, Номер 67, С. 101716 - 101716

Опубликована: Ноя. 21, 2022

Язык: Английский

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Effect of cognitive behavioral therapy for insomnia in workers: A systematic review and meta-analysis of randomized controlled trials

Sleep Medicine Reviews, Год журнала: 2023, Номер 71, С. 101839 - 101839

Опубликована: Авг. 22, 2023

Язык: Английский

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Behavioural therapy for shift work disorder improves shift workers' sleep, sleepiness and mental health: A pilot randomised control trial

Journal of Sleep Research, Год журнала: 2024, Номер unknown

Опубликована: Март 5, 2024

Summary The present study evaluates the efficacy of behavioural therapy adapted for shift work disorder with a randomised control design in healthcare population. Forty‐three night workers (m. age: 34 years; 77% women) experiencing were to either (BT‐SWD) or waiting‐list group offered after waiting period. Participants completed questionnaires on insomnia, sleepiness and mental health pre‐ post‐treatment, post‐waiting, at follow‐up, sleep diary. As alternate between sleeping during day their shifts transitioning nighttime days off, insomnia severity variables analysed daytime sleep. BT‐SWD involved restriction therapy, stimulus fixed periods dark. Statistical analyses performed under intent‐to‐treat per‐protocol approaches. Repeated‐measures two‐way ANCOVA analysis, controlling age, sex pre‐treatment total time, was Bonferroni corrections, between‐group effect sizes computed. Fourteen participants dropped out randomisation. Under had significant greater decrease an increase time post‐treatment than group, large (−1.25 0.89). These corresponding results also analysis. Sleepiness, anxiety depression levels improved maintained follow‐up when treated controls added group. can be used improve workers.

Язык: Английский

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Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial

Clocks & Sleep, Год журнала: 2025, Номер 7(2), С. 24 - 24

Опубликована: Май 9, 2025

Shift workers are at increased risk of insomnia. The standard treatment (cognitive behavioral therapy for insomnia) poses significant challenges this demographic due to irregular work and sleep schedules. New approaches still considered insufficient high attrition or effectiveness. Our preliminary study identified sleep-relevant state trait factors (see secondary outcomes) incorporation into an innovative manual that addresses in implicit manner. objective was reduce the focus on insomnia replace regularity-based interventions. With a sample 55 insomniacs (67.74% male, mean age 41.62 years), customized treatments were compared using pre-treatment, post-treatment, three-month follow-up measurements (RCT, self-assessment data). linear mixed models revealed main effects measurement point primary (insomnia severity, quality, onset latency, total time, daytime sleepiness) outcomes (selection: anxiety/depression, dysfunctional beliefs, arousal, emotional stability, concern). No condition interaction identified. Non-inferiority equivalence tests demonstrated is equivalent therapy, which favorable outcome light approach. Consequently, approach warrants further exploration, incorporating present results.

Язык: Английский

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Randomised control trial of a proactive intervention supporting recovery in relation to stress and irregular work hours: effects on sleep, burn-out, fatigue and somatic symptoms

Occupational and Environmental Medicine, Год журнала: 2022, Номер 79(7), С. 460 - 468

Опубликована: Янв. 24, 2022

Objectives To examine if a proactive recovery intervention for newly graduated registered nurses (RNs) could prevent the development of sleep problems, burn-out, fatigue or somatic symptoms. Methods The study was randomised control trial with parallel design. Newly RNs less than 12 months’ work experience were eligible to participate. 461 from 8 hospitals in Sweden invited, which 207 signed up. These either groups. After adjustments, 99 included group (mean age 27.5 years, 84.7% women) and 108 27.0 90.7% women). 82 attended group-administered programme, involving three sessions 2 weeks between each session, focusing on strategies relation stress shift work. Effects sleep, symptoms measured by questionnaires at baseline, postintervention 6 months follow-up. Results Preventive effect seen group. Also, showed burn-out postintervention. However, these latter effects did not persist Participants used many programme. Conclusions A proactive, programme be helpful strengthening preventing negative health consequences RNs. Trial registration number NCT04246736 .

Язык: Английский

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Current sleep interventions for shift workers: a mini review to shape a new preventative, multicomponent sleep management programme

Frontiers in Sleep, Год журнала: 2024, Номер 3

Опубликована: Фев. 8, 2024

Introduction Shift work can lead to sleep disturbances and insomnia during the sleeping period, as well excessive sleepiness fatigue waking period. While Cognitive Behavioral Therapy (CBT-i) is recommended first line of treatment for insomnia, key elements CBT-i, such maintaining a consistent schedule, be challenging shift workers, highlighting need tailored interventions. This mini review provides narrative synthesis non-pharmacological interventions workers informs development preventative, multicomponent management programme. Method An informal was conducted in with Phase 1 Framework Development Evaluation Complex Interventions. Results A variety strategies have been employed help manage impacts on sleep, including: adjusting schedules, controlled light exposure, hygiene education, planned napping, caffeine consumption, mind-body (e.g., yogic relaxation). Discussion Recommendations, limitations, directions future research are discussed; notably, role family, commute from workplace, eating behaviors employees appear overlooked current intervention efforts. Digital CBT-i platforms could provide an effective, scalable, low-cost method reducing workers.

Язык: Английский

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Insomnia Interventions in the Workplace: A Systematic Review and Meta-Analysis

International Journal of Environmental Research and Public Health, Год журнала: 2020, Номер 17(17), С. 6401 - 6401

Опубликована: Сен. 2, 2020

The aim of this systematic review and meta-analysis was to identify evaluate the impact interventions improve or reduce insomnia in workforce through randomized clinical trials. Following recommendations PRISMA MARS statement, a literature search carried out on PubMed, Web Science, CINHAL, PsycINFO databases, with no restrictions language publication date. For meta-analysis, random-effects model Insomnia Severity Index were used as outcome measures. To assess risk bias quality evidence, Cochrane Collaboration tool GRADE method used, respectively. Twenty-two studies included 12 making total 14 intervention groups sample 827 workers. Cognitive behavioral therapy most widely intervention. According estimated difference between means, moderate effect for reduction symptoms after (MD −2.08, CI 95%: [−2.68, −1.47]) non-significant degree heterogeneity obtained (p = 0.64; I2 0%). evidence moderate. results suggest that workplace are effective improving workers’ health, improvements sleep decrease produced, thanks an increase weekly sleeping hours latency at onset. As regards work, they also led productivity, presenteeism, job burnout.

Язык: Английский

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A systematic review of the effect of sleep interventions on presenteeism

BioPsychoSocial Medicine, Год журнала: 2021, Номер 15(1)

Опубликована: Ноя. 17, 2021

Abstract Background Sleep problems interfere with work performance. Decreased productivity due to health is defined as presenteeism. Although empirical data on the improvement of presenteeism by sleep interventions have been published, a systematic review elucidating whether there difference in across various types has not yet published. This studies aimed clarify which are more likely be effective improving Methods The electronic databases PubMed, PsycINFO, and MEDLINE were used perform literature search (the start end dates October 20, 2019, March 11, 2020, respectively). A combination terms such “employee*,” “sleep,” “insomnia,” “presenteeism” was for search. Both randomized non-randomized control trials included this review. Results Six identified, including cognitive behavioral therapy insomnia (CBT-I), hygiene education, yoga, mindfulness, weight loss program, changing color temperature fluorescent lights workplace. Only CBT-I improved both compared group. results also show that heterogeneity measurement Conclusions suggested could adapted workers We discussed other interventions. In addition, methods measuring future research proposed.

Язык: Английский

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