0370 Telehealth Delivery Of Group Cbt-i Is Non-inferior To In-person Treatment In Veterans With Ptsd

• Published in: Sleep (New York, N.Y.) N.Y.), 2018-04, Vol.41 (suppl_1), p.A141-A142
• Main Authors: Gehrman, P, Bellamy, S, Medvedeva, E, Barilla, H, Brownlow, J, Prigge, J, Rehman, W, Kuna, S T
• Format: Article
• Language: English
• Subjects: Cognitive behavioral therapy; Cognitive therapy; Insomnia; Post traumatic stress disorder; Telemedicine
• ISSN: 0161-8105; 1550-9109
• DOI: 10.1093/sleep/zsy061.369

Abstract Introduction Insomnia is highly prevalent in veterans with Posttraumatic Stress Disorder (PTSD). Cognitive behavioral therapy for insomnia (CBT-I) has been shown to be efficacious in this population, but access to treatment is often limited. Delivery of CBT-I in a group format can increase the reach of providers. Video telehealth technology can further increase this reach by connecting the provider to patients at a distant location. The primary hypothesis of this cluster-randomized trial was that telehealth delivery of CBT-I is non-inferior to in-person treatment. Methods Veterans with current PTSD on the Clinician Administered PTSD Scale and Insomnia Severity Index (ISI) score ≥ 15 were enrolled. Participants with sleep apnea on home testing had to be on PAP treatment for at least 3 months. Participants were randomized to receive group CBT-I in-person or by video telehealth. The primary endpoint was change in ISI score from baseline to the 3-month follow up assessment. Non-inferiority was defined as a difference in change scores between groups