Impact of Adherence to Digital Cognitive Behavioral Therapy for Insomnia Effectiveness.

ABSTRACT:

Purpose

Although digital cognitive behavioral therapy for insomnia (dCBT-I) offers a promising solution to the accessibility limitations of traditional face-to-face CBT-I, few studies have examined dCBT-I against a sham app and adherence issues remain. This study assessed the efficacy of dCBT-I compared with a sham app and investigated whether adherence predicts sleep outcomes.

Materials and methods

In this combined analysis of two multicenter, double-blind, sham-controlled randomized controlled trials, 120 patients with insomnia were randomized to use the dCBT-I app (n=60) or a sham app (n=60). The primary outcome was the change in sleep efficiency (SE) from baseline after the 6-week intervention. The relationship between adherence to sleep restriction therapy (SRT) and sle

SUBMITTER: Lee S 

PROVIDER: S-EPMC12479198 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature