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• W2732504703 abstract "Background: Cognitive behavioral therapy for insomnia (CBTI) is recommended for older adults, but availability of behavioral sleep medicine (BSM) specialists to provide CBTI is limited. We recently reported improved sleep (e.g., Pittsburgh Sleep Quality Index [PSQI] and Insomnia Severity Index [ISI] total scores) in a 4-year randomized controlled trial testing CBTI provided by nonclinician sleep coaches among older outpatients with insomnia at one US Veterans Administration healthcare system. As secondary analyses, we explored intervention effects on participants’ beliefs and attitudes about sleep, specific aspects of self-reported sleep quality and symptoms of insomnia. Methods: Sleep coaches provided 5 sessions over 6 weeks (including stimulus control, sleep restriction, sleep hygiene and cognitive therapy) with weekly telephone supervision by a BSM specialist. Controls received five sessions of general sleep education. Analyses were intention to treat, using mixed effects models testing the Dysfunctional Beliefs and Attitudes (DBAS16) total score and 4 subscales; PSQI 3-factor subscales, and ISI individual items; at post-treatment, 6- and 12-months follow-up. Results: 159 subjects were randomized (mean age 72.2 years, 97% male, 79% non-Hispanic white). Intervention participants had greater improvement in DBAS16 total score and sleep expectations subscale; PSQI subscales sleep efficiency and perceived sleep quality; and ISI items satisfaction with sleep, daily functioning, noticeability to others, and worry/distress about sleep (all p<.05). Conclusions: CBT-I provided by nonclinician sleep coaches with BSM supervision improved sleep-disruptive beliefs, and multiple aspects of self-reported sleep. The sleep coach approach may be an important option for the management of insomnia in older adults." @default.
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• W2732504703 date "2017-06-30" @default.
• W2732504703 modified "2023-09-27" @default.
• W2732504703 title "NONCLINICIAN SLEEP COACHES FOR INSOMNIA: SECONDARY OUTCOMES FROM A RANDOMIZED CONTROLLED TRIAL" @default.
• W2732504703 doi "https://doi.org/10.1093/geroni/igx004.2182" @default.
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