Efficacy of a Mobile Behavioral Intervention for Workers With Insomnia

J Occup Environ Med. 2020 Mar;62(3):246-250. doi: 10.1097/JOM.0000000000001819.

Abstract

Objective: Insomnia is often unrecognized in the workplace despite a 10% prevalence. Cognitive behavioral therapy for insomnia (CBTi) is efficacious but often not available. This study assessed the efficacy of the self-guided CBTi Coach mobile app.

Methods: Using a pre/post design, the CBTi Coach was evaluated prospectively in hospital nurses with insomnia. The primary outcome measured was the Insomnia Severity Index (ISI) at 0, 3, and 6 weeks.

Results: Thirteen of 17 (76%) female nurses who worked day shifts completed the study. Baseline ISI was 18.1 (range 15 to 22). After 3 and 6 weeks, ISI significantly decreased to 12 and 11, respectively. No difference in ISI score was noted between weeks 3 and 6.

Conclusion: Use of CBTI Coach app demonstrated significant improvement in sleep quality in nurses with insomnia without coaching or healthcare provider visits.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Behavior Therapy
  • Cognitive Behavioral Therapy
  • Female
  • Humans
  • Male
  • Mobile Applications*
  • Occupational Health*
  • Sleep
  • Sleep Initiation and Maintenance Disorders / therapy*
  • Treatment Outcome