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dc.contributor.authorPimm, John
dc.date.accessioned2021-08-11T13:45:35Z
dc.date.available2021-08-11T13:45:35Z
dc.date.issued2021-09
dc.identifier.citationRichard Stott, John Pimm, Richard Emsley, Christopher B. Miller, Colin A. Espie. Does adjunctive digital CBT for insomnia improve clinical outcomes in an improving access to psychological therapies service? Behaviour Research and Therapy Volume 144, September 2021, 103922en
dc.identifier.urihttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/901
dc.descriptionCreative Commons license; Open Accessen
dc.description.abstractInsomnia has a bidirectional relationship with broader mental health functioning, including anxiety and depression. Yet, poor sleep has historically been neglected as a specific treatment target in mental health programmes (Freeman, Sheaves, Waite, Harvey, & Harrison, 2020). Method All patients over a 12-month period entering the Improving Access to Psychological Therapies (IAPT) service endorsing a ‘poor sleep’ questionnaire item at assessment, were offered a self-guided digital sleep intervention, Sleepio, in addition to routine care. Sleepio is based on the principles of Cognitive Behavioural Therapy for Insomnia (CBT-I). Propensity score matching established a non-Sleepio control group matched on demographic and baseline clinical measures. Results Patients who signed up to Sleepio (n = 510) achieved significantly better outcomes on core clinical metrics (PHQ-9, GAD-7, WSAS) than controls. IAPT recovery rates1 (on PHQ-9 and GAD-7) were 64.7%, versus 58% in the control group. Duration of clinical contact time was marginally elevated overall in the Sleepio group but by less than 1 h Conclusions Significant clinical benefit was associated with the introduction of an evidence-based digital sleep intervention alongside other mental health interventions for depression and anxiety. Widespread deployment was achieved with immediate availability, minimal additional clinical time or staff training. This approach provides a feasible and highly scalable model for improving mental health outcomes in clinical services.en
dc.description.sponsorshipSupported by the NIHRen
dc.description.urihttps://doi.org/10.1016/j.brat.2021.103922en
dc.language.isoenen
dc.subjectCognitive Behaviour Therapyen
dc.subjectInsomniaen
dc.titleDoes adjunctive digital CBT for insomnia improve clinical outcomes in an improving access to psychological therapies service?en
dc.typeArticleen


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