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• W4383098889 startingPage "e45859" @default.
• W4383098889 abstract "Background Informal caregivers of people with dementia frequently experience chronic insomnia, contributing to stress and poor health outcomes. Rural caregivers are particularly vulnerable but have limited access to cognitive behavioral therapy for insomnia (CBT-I), a recommended frontline treatment for chronic insomnia. Web-based delivery promises to improve insomnia, particularly for rural caregivers who have limited access to traditional in-person treatments. Our team translated an efficacious 4-session standard CBT-I content protocol into digital format to create NiteCAPP. Objective This study aimed to (1) adapt NiteCAPP for dementia caregivers to create NiteCAPP CARES, a tailored digital format with standard CBT-I content plus caregiver-focused modifications; (2) conduct usability testing and evaluate acceptability of NiteCAPP CARES’ content and features; and (3) pilot-test the adapted intervention to evaluate feasibility and preliminary effects on sleep and related health outcomes. Methods We followed Medical Research Council recommendations for evaluating complex medical interventions to explore user needs and adapt and validate content using a stepwise approach: (1) a rural dementia caregiver (n=5) and primary care provider (n=5) advisory panel gave feedback that was used to adapt NiteCAPP; (2) caregiver (n=5) and primary care provider (n=7) focus groups reviewed the newly adapted NiteCAPP CARES and provided feedback that guided further adaptations; and (3) NiteCAPP CARES was pilot-tested in caregivers (n=5) for feasibility and to establish preliminary effects. Self-report usability measures were collected following intervention. Before and after treatment, 14 daily electronic sleep diaries and questionnaires were collected to evaluate arousal, health, mood, burden, subjective cognition, and interpersonal processes. Results The stepped approach provided user and expert feedback on satisfaction, usefulness, and content, resulting in a new digital CBT-I tailored for rural dementia caregivers: NiteCAPP CARES. The advisory panel recommended streamlining content, eliminating jargon, and including caregiver-focused content. Focus groups gave NiteCAPP CARES high usefulness ratings (mean score 4.4, SD 0.79, scored from 1=least to 5=most favorable; score range 4.2-4.8). Multiple features were evaluated positively, including the intervention’s comprehensive and engaging information, caregiver focus, good layout, easy-to-access intervention material, and easy-to-understand sleep graphs. Suggestions for improvement included the provision of day and night viewing options, collapsible text, font size options, tabbed access to videos, and a glossary of terms. Pilot-test users rated usefulness (mean score 4.3, SD 0.83; range 4.1-4.5) and satisfaction (mean score 8.4, SD 1.41, scored from 1=least to 10=most satisfied; range 7.4-9.0) highly. Preliminary effects on caregiver sleep, arousal, health, mood, burden, cognition, and interpersonal processes (all P<.05) were promising. Conclusions Adaptations made to standard digital CBT-I created a feasible, tailored digital intervention for rural dementia caregivers. Important next steps include further examination of feasibility and efficacy in a randomized controlled trial with an active control condition, a multisite effectiveness trial, and eventual broad dissemination. Trial Registration ClinicalTrials.gov NCT04632628; https://clinicaltrials.gov/ct2/show/NCT04632628" @default.
• W4383098889 created "2023-07-05" @default.
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• W4383098889 date "2023-08-24" @default.
• W4383098889 modified "2023-10-18" @default.
• W4383098889 title "Development and Initial Evaluation of Web-Based Cognitive Behavioral Therapy for Insomnia in Rural Family Caregivers of People With Dementia (NiteCAPP): Mixed Methods Study" @default.
• W4383098889 cites W126441541 @default.
• W4383098889 cites W1499839377 @default.
• W4383098889 cites W1534297593 @default.
• W4383098889 cites W1537562424 @default.
• W4383098889 cites W182910583 @default.
• W4383098889 cites W1926957827 @default.
• W4383098889 cites W1937224863 @default.
• W4383098889 cites W1970194676 @default.
• W4383098889 cites W1971643681 @default.
• W4383098889 cites W1988522243 @default.
• W4383098889 cites W1996299251 @default.
• W4383098889 cites W1999009790 @default.
• W4383098889 cites W2003290400 @default.
• W4383098889 cites W2005038212 @default.
• W4383098889 cites W2005060132 @default.
• W4383098889 cites W2037812850 @default.
• W4383098889 cites W2040266295 @default.
• W4383098889 cites W2047312312 @default.
• W4383098889 cites W2048542900 @default.
• W4383098889 cites W2050578371 @default.
• W4383098889 cites W2051660196 @default.
• W4383098889 cites W2054857479 @default.
• W4383098889 cites W2055658483 @default.
• W4383098889 cites W2056830272 @default.
• W4383098889 cites W2058185683 @default.
• W4383098889 cites W2065321034 @default.
• W4383098889 cites W2072743331 @default.
• W4383098889 cites W2079808059 @default.
• W4383098889 cites W2085028749 @default.
• W4383098889 cites W2086528587 @default.
• W4383098889 cites W2089363498 @default.
• W4383098889 cites W2091624961 @default.
• W4383098889 cites W2098255076 @default.
• W4383098889 cites W2098451799 @default.
• W4383098889 cites W2108665644 @default.
• W4383098889 cites W2108851081 @default.
• W4383098889 cites W2110724390 @default.
• W4383098889 cites W2112914429 @default.
• W4383098889 cites W2113133426 @default.
• W4383098889 cites W2117075389 @default.
• W4383098889 cites W2118288805 @default.
• W4383098889 cites W2120593145 @default.
• W4383098889 cites W2126133436 @default.
• W4383098889 cites W2129893541 @default.
• W4383098889 cites W2134159863 @default.
• W4383098889 cites W2135037556 @default.
• W4383098889 cites W2146543912 @default.
• W4383098889 cites W2153807853 @default.
• W4383098889 cites W2158073648 @default.
• W4383098889 cites W2159917567 @default.
• W4383098889 cites W2162544110 @default.
• W4383098889 cites W2167015852 @default.
• W4383098889 cites W2268895016 @default.
• W4383098889 cites W2345626546 @default.
• W4383098889 cites W2347166707 @default.
• W4383098889 cites W2499936971 @default.
• W4383098889 cites W2576648626 @default.
• W4383098889 cites W2604547347 @default.
• W4383098889 cites W2610627835 @default.
• W4383098889 cites W2611925488 @default.
• W4383098889 cites W2753295567 @default.
• W4383098889 cites W2769733369 @default.
• W4383098889 cites W2801462165 @default.
• W4383098889 cites W2803120682 @default.
• W4383098889 cites W2806348347 @default.
• W4383098889 cites W2882982470 @default.
• W4383098889 cites W2903063465 @default.
• W4383098889 cites W2977341596 @default.
• W4383098889 cites W3031889026 @default.
• W4383098889 cites W3043251123 @default.
• W4383098889 cites W3080219186 @default.
• W4383098889 cites W3186502401 @default.
• W4383098889 cites W344868301 @default.
• W4383098889 cites W4205164703 @default.
• W4383098889 cites W4211050998 @default.
• W4383098889 cites W4212885432 @default.
• W4383098889 cites W4214905951 @default.
• W4383098889 cites W4224979872 @default.
• W4383098889 cites W4383098889 @default.
• W4383098889 doi "https://doi.org/10.2196/45859" @default.
• W4383098889 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37616032" @default.
• W4383098889 hasPublicationYear "2023" @default.
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