title: Brief Behavioral Treatment for Insomnia in Persons Living with HIV.
abstract: This study examined the feasibility and preliminary efficacy of brief behavioral treatment for insomnia (BBTI) for persons living with HIV (PLWH). Of the 22 persons enrolled, 9 were lost before starting treatment, and one dropped out after starting BBTI. Acceptability was rated favorably by those completing the treatment (n = 12). The most common problems pertained to sleep hygiene: variable bedtimes and rise times, watching television, or consuming caffeine. Improvements on sleep outcomes at posttreatment were clinically and statistically significant on questionnaire and sleep diary outcomes. This study supports the overall feasibility of BBTI in PLWH, and the preliminary evidence supports further research on this treatment for PLWH who have insomnia, but dropouts indicate that some individuals may have difficulty initiating treatment.
authors.affiliation: a Department of Biobehavioral Nursing and Health Systems, School of Nursing , University of Washington , Seattle , Washington , USA.
authors.forename: Diana Taibi
authors.initials: DT
authors.lastname: Buchanan
authors.affiliation: b Department of Psychosocial and Community Health, School of Nursing , University of Washington , Seattle , Washington , USA.
authors.forename: Susan M
authors.identifier: 0000-0001-8624-3772
authors.initials: SM
authors.lastname: McCurry
authors.affiliation: c Winder Clinic , Madigan Army Medical Center , Tacoma , Washington , USA.
authors.forename: Kristi
authors.initials: K
authors.lastname: Eilers
authors.affiliation: d Hilltop Family Medical Clinic , Community Health Care , Tacoma , Washington , USA.
authors.forename: Shauna
authors.initials: S
authors.lastname: Applin
authors.affiliation: a Department of Biobehavioral Nursing and Health Systems, School of Nursing , University of Washington , Seattle , Washington , USA.
authors.forename: Ellita T
authors.initials: ET
authors.lastname: Williams
authors.affiliation: e Frances Payne Bolton School of Nursing , Case Western Reserve University , Cleveland , Ohio , USA.
authors.forename: Joachim G
authors.identifier: 0000-0002-8072-6244
authors.initials: JG
authors.lastname: Voss
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D002110:Caffeine / Q000008:administration & dosage; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010352:Patient Dropouts; D012890:Sleep / Q000502:physiology; D000070263:Sleep Hygiene; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D013690:Television / Q000706:statistics & numerical data; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D002110:Caffeine