title: Feasibility test of preference-based insomnia treatment for Iraq and Afghanistan war veterans.
abstract: OBJECTIVE
  The study determined the feasibility of implementing a brief, preference-based non-medication insomnia treatment for Iraq/Afghanistan war Veterans who experienced blast and/or other injuries resulting in an altered level of consciousness.
  
  
  METHODS
  The study used a one-group pre-post design with a 3-month follow-up assessment. Forty-one veterans (two females, mean age 30.32 ± 7.73 years) with a mean insomnia duration of 3.90 years (± 2.03) received treatment that included one in-person and three telephone sessions of behavioral intervention and incorporated electronic delivery components. Feasibility indicators and preliminary treatment effectiveness were assessed.
  
  
  RESULTS
  Results indicate the preference-based treatment was acceptable to veterans and feasible to implement. Treatment components delivered in-person were used more than electronic methods. Insomnia decreased from moderate severity to the sub-threshold range. Pre- to post-treatment effect sizes were large for most sleep outcomes. Sleep improvement maintained at the 3-month follow-up assessment.
  
  
  CONCLUSIONS
  Further testing of a brief insomnia treatment model is needed.
  
  
  CONCLUSIONS
  Successful insomnia treatment has the potential to maximize rehabilitation outcomes in Operations Enduring Freedom and Iraqi Freedom veterans and may provide a non-stigmatizing entry to mental health services.
authors: Phoenix VA Health Care System, Phoenix, Arizona, USA. dana.epstein@va.gov
authors: Dana R
authors: DR
authors: Epstein
authors: Judith L
authors: JL
authors: Babcock-Parziale
authors: Christine A
authors: CA
authors: Herb
authors: Kathleen
authors: K
authors: Goren
authors: Mary Lu
authors: ML
authors: Bushnell
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D008875:Middle Aged; D057240:Patient Preference; D019145:Rehabilitation Nursing / Q000379:methods*; D007319:Sleep Initiation and Maintenance Disorders / Q000451:nursing / Q000534:rehabilitation / Q000628:therapy; D014728:Veterans; D055815:Young Adult