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Follow-Up Analyses From a Wait-List Controlled Trial of Occupational Therapist-Delivered Cognitive-Behavioral Therapy for Insomnia Among Veterans With Chronic Insomnia.
- Source :
-
The American journal of occupational therapy : official publication of the American Occupational Therapy Association [Am J Occup Ther] 2022 Mar 01; Vol. 76 (2). - Publication Year :
- 2022
-
Abstract
- Importance: Veterans often experience chronic insomnia, and professionals capable of delivering effective interventions to address this problem are lacking.<br />Objective: To evaluate the efficacy of the Restoring Effective Sleep Tranquility (REST) program, an occupational therapist-led cognitive-behavioral therapy for insomnia (CBT-I) intervention to treat sleep problems among post- 9/11 veterans.<br />Design: Wait-list controlled trial with 3-mo follow-up.<br />Setting: Community-based veteran support program in a Mountain West university.<br />Participants: Fifteen post-9/11 veterans with sleep disturbances who were assigned to either the REST intervention or a wait-list control group. Outcomes and Measures: Sleep-related, health-related, and participation-related patient-reported outcomes (PROs) and daily sleep diary variables.<br />Results: Wait-list controlled trial benefits included improved sleep-related (e.g., sleep disturbance), health-related (e.g., depression), and participation-related (e.g., meaningful activity) PROs. Findings were confirmed after participants in both the intervention and the control groups (n = 13) received the REST intervention, including improved daily sleep diary outcomes (e.g., sleep efficiency). All gains were maintained at 3 mo.<br />Conclusions and Relevance: Occupational therapy practitioners with advanced training in CBT-I have the potential to safely deliver an effective CBT-I intervention to veterans with sleep disturbances in a community-based setting. What This Article Adds: Occupational therapy practitioners with sleep-related education and training can positively affect the well-being of their clients through improving sleep participation.<br /> (Copyright © 2022 by the American Occupational Therapy Association, Inc.)
Details
- Language :
- English
- ISSN :
- 0272-9490
- Volume :
- 76
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The American journal of occupational therapy : official publication of the American Occupational Therapy Association
- Publication Type :
- Academic Journal
- Accession number :
- 35143607
- Full Text :
- https://doi.org/10.5014/ajot.2022.045682