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Feasibility and Preliminary Efficacy of an Internet-Delivered Intervention for Insomnia in Individuals with Mild Cognitive Impairment.
Mattos, Meghan K; Manning, Carol A; Quigg, Mark; Davis, Eric M; Barnes, Laura; Sollinger, Ann; Eckstein, Michelle; Ritterband, Lee M.
  • Mattos MK; University of Virginia, School of Nursing, Charlottesville, VA, USA.
  • Manning CA; University of Virginia, School of Nursing, Charlottesville, VA, USA.
  • Quigg M; University of Virginia, School of Medicine, Charlottesville, VA, USA.
  • Davis EM; University of Virginia, School of Medicine, Charlottesville, VA, USA.
  • Barnes L; University of Virginia, School of Medicine, Charlottesville, VA, USA.
  • Sollinger A; University of Virginia, School of Engineering and Applied Sciences, Charlottesville, VA, USA.
  • Eckstein M; Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
  • Ritterband LM; MedStar Georgetown University Hospital, Washington, DC, USA.
J Alzheimers Dis ; 84(4): 1539-1550, 2021.
Article in English | MEDLINE | ID: covidwho-1771006
ABSTRACT

BACKGROUND:

Approximately 50% of older adults with cognitive impairment suffer from insomnia. When untreated, pre-existing cognitive problems may be exacerbated and potentially contribute to further cognitive decline. One promising approach to maintain cognitive health is to improve sleep quantity and quality.

OBJECTIVE:

To determine feasibility, acceptability, and preliminary efficacy of Sleep Health Using the Internet for Older Adult Sufferers of Insomnia and Sleeplessness (SHUTi OASIS), an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) program in older adults with mild cognitive impairment (MCI).

METHODS:

Older adults with MCI and insomnia were recruited from hospital-based memory and sleep disorders clinics and enrolled in a single-arm pilot study. Participants completed the six cores of SHUTi OASIS, over nine weeks with two-week baseline and post-assessments using self-reported sleep diaries. Feasibility and acceptability were informed by usage statistics and qualitative interviews; preliminary efficacy was informed by patient-generated sleep data.

RESULTS:

Twelve participants enrolled and, on average, were 75.8 years of age. Ten participants completed the study and logged in most days. Most participants reported a positive overall experience, and interviews revealed successful and independent program management and completion. There were significant changes on all baseline to post-assessment sleep measures, including clinically meaningful improvements on the Insomnia Severity Index (13.5 to 8.3, p < 0.01), sleep efficiency, wake after sleep onset, and sleep onset latency (ps < 0.02). There was no statistically significant change in cognitive measures (p > 0.05).

CONCLUSION:

This study supports that older adults with cognitive impairment can independently complete CBT-I via the Internet and achieve clinical sleep improvements.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cognitive Behavioral Therapy / Cognitive Dysfunction / Internet-Based Intervention / Sleep Initiation and Maintenance Disorders Type of study: Experimental Studies / Prognostic study / Qualitative research Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: J Alzheimers Dis Journal subject: Geriatrics / Neurology Year: 2021 Document Type: Article Affiliation country: JAD-210657

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cognitive Behavioral Therapy / Cognitive Dysfunction / Internet-Based Intervention / Sleep Initiation and Maintenance Disorders Type of study: Experimental Studies / Prognostic study / Qualitative research Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: J Alzheimers Dis Journal subject: Geriatrics / Neurology Year: 2021 Document Type: Article Affiliation country: JAD-210657