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Efficacy of a Mobile Behavioral Intervention for Workers With Insomnia
Chinyere Omeogu1, Frances Shofer, Philip Gehrman
1Director, Occupational Employee Health at the Veterans Administration Medical Center in Durham, NC. At the time of the research she was an Occupational Medicine fellow at the University of Pennsylvania Perelman School of Medicine (Dr Omeogu); Director of Epidemiology & Biostatistics, Department of Emergency Medicine at the University of Pennsylvania Perelman School of Medicine (Dr Shofer); Director of Behavioral Sleep Medicine at the Crescenz VA Medical Center in Philadelphia, PA and Associate Professor, Department of Psychiatry at the University of Pennsylvania Perelman School of Medicine (Dr Gehrman); Professor, Division Chief Residency Program Director in the Division of Occupational Medicine (Dr Green-McKenzie) at The University of Pennsylvania Perelman School of Medicine.
A mobile app for Cognitive Behavioral Therapy for Insomnia (CBTi) significantly improved sleep quality in nurses. This self-guided CBTi Coach app offers an accessible solution for workplace insomnia.
Area of Science:
- Occupational Health
- Sleep Medicine
- Digital Health
Background:
- Insomnia affects 10% of the workforce but is often overlooked in occupational settings.
- Cognitive Behavioral Therapy for Insomnia (CBTi) is an effective treatment but lacks widespread accessibility.
- Mobile health applications offer a potential solution for delivering CBTi interventions.
Purpose of the Study:
- To assess the efficacy of the self-guided CBTi Coach mobile application for treating insomnia in hospital nurses.
- To evaluate the impact of the app on sleep quality and insomnia severity.
Main Methods:
- A prospective, pre/post design study was conducted with hospital nurses experiencing insomnia.
- The CBTi Coach mobile app was used as a self-guided intervention.
- The Insomnia Severity Index (ISI) was measured at baseline, 3 weeks, and 6 weeks.
Main Results:
- Seventy-six percent (13 of 17) of female day-shift nurses completed the study.
- Baseline Insomnia Severity Index (ISI) scores averaged 18.1.
- Significant reductions in ISI scores were observed at 3 weeks (mean 12) and 6 weeks (mean 11), with no further significant change between weeks 3 and 6.
Conclusions:
- The CBTi Coach app demonstrated significant improvements in sleep quality for nurses with insomnia.
- Self-guided use of the app was effective without the need for coaching or healthcare provider visits.
- Mobile health interventions like the CBTi Coach app show promise for addressing workplace insomnia.
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