title: Mobile Application-Assisted Cognitive Behavioral Therapy for Insomnia in an Older Adult.
abstract: BACKGROUND
  Current evidence suggests potential efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults. Mobile applications (apps) have been developed to facilitate CBT-I in the general population. However, because of deteriorating perceptual and cognitive functioning, the effectiveness of mobile apps in older adults remains unknown.
  
  
  METHODS
  This case report aims to demonstrate the utilization, advantages, and limitations of mobile app-assisted CBT-I in an older female adult. An app ("Win-Win aSleep" [WWaS]) was applied in a six-session CBT-I treatment.
  
  
  RESULTS
  The patient successfully discontinued her hypnotics and had restored sleep quality after the intervention with WWaS-assisted CBT-I. Several limitations of WWaS were summarized, and pertinent approaches for enhancing future work were discussed.
  
  
  CONCLUSIONS
  Mobile apps integrating wearable devices might overcome the difficulty for applying WWaS in older adults. In addition to tailored design of mobile technology for older adults, psychosocial support for the utilization of apps may not only enhance the compliance but also provide additional connection to the environment.
authors.affiliation: 1 Department of Computer Science and Information Engineering, National Taiwan University , Taipei, Taiwan .
authors.forename: Yong-Xiang
authors.initials: YX
authors.lastname: Chen
authors.affiliation: 2 Graduate Institute of Networking and Multimedia, National Taiwan University , Taipei, Taiwan .
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Hung
authors.affiliation: 3 Department of Psychiatry, National Taiwan University Hospital , Taipei, Taiwan .|4 Center of Sleep Disorders, National Taiwan University Hospital , Taipei, Taiwan .
authors.forename: Hsi-Chung
authors.initials: HC
authors.lastname: Chen
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D063731:Mobile Applications; D018670:Monitoring, Ambulatory / Q000295:instrumentation; D010349:Patient Compliance; D007319:Sleep Initiation and Maintenance Disorders / Q000628:therapy*; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
keywords: cognitive behavioral therapy for insomnia; mobile application; older adults