A population health approach to insomnia using internet-based cognitive behavioral therapy for insomnia.

ABSTRACT:

Study objectives

To determine if a population health approach to insomnia using internet-based cognitive behavioral therapy for insomnia (ICBT-I) affects dispensed medications and provider encounters compared with usual care.

Methods

A pragmatic hybrid study design was used to evaluate both the implementation strategy and the long-term effects of ICBT-I on health care utilization in an integrated health system. Adult members with insomnia (a diagnosis or insomnia medication dispensation) or at high risk of insomnia (a diagnosis of depression or anxiety) were randomized to receive information on either an ICBT-I program (intervention arm) or in-person classes on insomnia (usual-care arm). Outcomes included dispensed insomnia medications and provider encounters over 12 months.

SUBMITTER: Derose SF 

PROVIDER: S-EPMC8656902 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature