A blended eHealth intervention for insomnia following acquired brain injury: a randomised controlled trial

• Published in: Journal of sleep research 2023-02, Vol.32 (1), p.e13629-n/a
• Main Authors: Ford, Marthe E., Geurtsen, Gert J., Groet, Erny, Rambaran Mishre, Radha D., Van Bennekom, Coen A. M., Van Someren, Eus J. W.
• Format: Article
• Language: English
• Subjects: brain injuries; Brain Injuries - complications; Cognitive Behavioral Therapy - methods; cognitive behavioural therapy; Humans; Poor Sleep and Insomnia; Prospective Studies; sleep; Sleep Initiation and Maintenance Disorders - etiology; Sleep Initiation and Maintenance Disorders - therapy; stroke; Telemedicine; traumatic; Treatment Outcome
• ISSN: 0962-1105; 1365-2869
• DOI: 10.1111/jsr.13629

Summary The high prevalence and severe consequences of poor sleep following acquired brain injury emphasises the need for an effective treatment. However, treatment studies are scarce. The present study evaluates the efficacy of blended online cognitive behavioural therapy for insomnia (eCBT‐I) developed specifically for people with acquired brain injury. In a multicentre prospective, open‐label, blinded end‐point randomised clinical trial, 52 participants with insomnia and a history of a stroke or traumatic brain injury were randomised to 6 weeks of guided eCBT‐I or treatment as usual, with a 6‐week follow‐up. The primary outcome measure was the change in insomnia severity between baseline and after treatment, measured with the Insomnia Severity Index. Results showed that insomnia severity improved significantly more with eCBT‐I than with treatment as usual compared to baseline, both at post‐treatment (mean [SEM] 4.0 [1.3] insomnia severity index points stronger decrease, d = 0.96, p