title: A randomized controlled pilot study of CBT-I Coach: Feasibility, acceptability, and potential impact of a mobile phone application for patients in cognitive behavioral therapy for insomnia.
abstract: There has been growing interest in utilizing mobile phone applications (apps) to enhance traditional psychotherapy. Previous research has suggested that apps may facilitate patients' completion of cognitive behavioral therapy for insomnia (CBT-I) tasks and potentially increase adherence. This randomized clinical trial pilot study ( n = 18) sought to examine the feasibility, acceptability, and potential impact on adherence and sleep outcomes related to CBT-I Coach use. All participants were engaged in CBT-I, with one group receiving the app as a supplement and one non-app group. We found that patients consistently used the app as intended, particularly the sleep diary and reminder functions. They reported that it was highly acceptable to use. Importantly, the app did not compromise or undermine benefits of cognitive behavioral therapy for insomnia and patients in both groups had significantly improved sleep outcomes following treatment.
authors.affiliation: Minneapolis Veteran Affairs Health Care System, USA; University of Minnesota Medical School, USA.
authors.forename: Erin
authors.initials: E
authors.lastname: Koffel
authors.affiliation: National Center for PTSD (NCPTSD), Dissemination and Training (D&T) Division, USA; Department of Veterans Affairs Palo Alto Health Care System (VAPAHCS), USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Kuhn
authors.affiliation: Widener University, USA.
authors.forename: Napoleon
authors.initials: N
authors.lastname: Petsoulis
authors.affiliation: Minneapolis Veteran Affairs Health Care System, USA; University of Minnesota Medical School, USA.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Erbes
authors.affiliation: Hennepin County Medical Center, USA.
authors.forename: Samantha
authors.initials: S
authors.lastname: Anders
authors.affiliation: National Center for PTSD (NCPTSD), Dissemination and Training (D&T) Division, USA; Department of Veterans Affairs Palo Alto Health Care System (VAPAHCS), USA.
authors.forename: Julia E
authors.initials: JE
authors.lastname: Hoffman
authors.affiliation: National Center for PTSD (NCPTSD), Dissemination and Training (D&T) Division, USA; Department of Veterans Affairs Palo Alto Health Care System (VAPAHCS), USA.
authors.forename: Josef I
authors.initials: JI
authors.lastname: Ruzek
authors.affiliation: Minneapolis Veteran Affairs Health Care System, USA; University of Minnesota Medical School, USA.
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Polusny
mesh_terms: D000328:Adult; D000368:Aged; D040421:Cell Phone / Q000706:statistics & numerical data; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D063731:Mobile Applications / Q000592:standards* / Q000706:statistics & numerical data; D010865:Pilot Projects; D057566:Self Report; D012720:Severity of Illness Index; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology / Q000628:therapy*; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration / Q000706:statistics & numerical data
keywords: cognitive behavior therapy; computer applications; insomnia; mobile devices; psychotherapy