Cognitive Behavioral Therapy Using a Mobile Application Synchronizable With Wearable Devices for Insomnia Treatment:...

Area of Science:

• Digital health interventions
• Sleep medicine
• Behavioral therapy

Background:

• Telemedicine, particularly mobile applications (MA) and wearable devices (WD), is increasingly used for managing sleep disorders.
• Insomnia treatment often involves cognitive behavioral therapy for insomnia (CBT-I).

Purpose of the Study:

• To assess the efficacy of a simplified group CBT-I delivered via an MA synchronized with a WD for insomnia.
• To evaluate participant adherence and satisfaction with the MA-based CBT-I (CBT-I-MA).

Main Methods:

• A 4-week pilot study involving 19 patients with insomnia disorder.
• Sleep variables including sleep efficiency (SE), Insomnia Severity Index (ISI), and Pittsburgh Sleep Quality Inventory (PSQI) scores were compared pre- and post-treatment.
• SE was measured using a sleep diary, actigraphy, and PSQI.

Main Results:

• Significant improvements were observed in all three measures of SE (P < .05).
• High treatment response rate (94.7%) with significant reductions in total ISI and PSQI scores and sleep latency.
• Participants demonstrated good adherence to the MA, with 94.7% reporting its effectiveness.

Conclusions:

• The CBT-I-MA shows clinical utility for insomnia management.
• Further development and replication studies for CBT-I-MA are warranted.