The Effect of Nurse-led Internet-based Cognitive Behavioural Therapy for Insomnia on Patients with Cardiovascular Disease: A Randomized Controlled Trial with 6-month Follow-up

Overview

Journal Nurs Open

Specialty Nursing

Date 2021 Feb 20

PMID 33609425

Citations 8

Authors

Sandra Siebmanns

Peter Johansson

Martin Ulander

Linda Johansson

Gerhard Andersson

Anders Brostrom

Affiliations

Soon will be listed here.

Abstract

Aim: To test the effect of nurse-led Internet-based cognitive behavioural therapy for insomnia (I-CBTI), tailored for patients with cardiovascular disease (CVD), with a 6-month follow-up.

Design: A two-arm parallel-group randomized controlled trial (RCT) registered at clinicaltrials.gov (NTC03938805) and reported according to the CONSORT checklist.

Methods: Forty-eight patients (mean age 72 years, 65% men) diagnosed with CVD and insomnia were randomized to either 9-week nurse-led I-CBTI with support, or an Internet-based self-study programme without support (control group). Insomnia Severity Index (ISI) and Short Form Health Survey (SF-12) were used as primary and secondary outcomes.

Results: ISI showed a significant treatment effect of I-CBTI compared to the control group at 9-week follow-up. The mean ISI score in the I-CBTI group at 9 weeks post-treatment was maintained at the 6-month follow-up. Patients' adherence to I-CBTI was associated with a better effect on both the ISI and SF-12.

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