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Updated: Dec 11, 2025

Multi-Modal Home Sleep Monitoring in Older Adults

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Published on: January 26, 2019

Developing a cognitive behavioral therapy for hypersomnia using telehealth: a feasibility study.

Jason C Ong¹, Spencer C Dawson¹, Jennifer M Mundt¹

¹Department of Neurology, Center for Circadian and Sleep Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine

|August 18, 2020

Summary

A new telehealth cognitive behavioral therapy for hypersomnia (CBT-H) showed promise in improving self-efficacy for individuals with central disorders of hypersomnolence and depression.

Keywords:

cognitive-behavior therapy depression health-related quality of life idiopathic hypersomnia narcolepsy psychosocial

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Area of Science:

Psychiatry and Behavioral Science
Sleep Medicine
Digital Health

Background:

Central disorders of hypersomnolence, such as narcolepsy and idiopathic hypersomnia, often co-occur with depressive symptoms.
Effective and accessible treatment options for these conditions are needed.
Telehealth delivery models offer a potential solution for remote patient care.

Purpose of the Study:

To assess the feasibility and acceptability of a novel telehealth-delivered cognitive behavioral therapy for hypersomnia (CBT-H).
To evaluate the impact of CBT-H on depressive symptoms and psychosocial outcomes in individuals with central hypersomnolence disorders.

Main Methods:

Thirty-five adults with narcolepsy or idiopathic hypersomnia participated in a 6-session CBT-H program delivered via videoconferencing.
Clinical outcomes were measured using validated questionnaires (PHQ, PROMIS, ESS) at baseline and posttreatment.
Feasibility and acceptability were assessed through qualitative data from exit interviews.

Main Results:

Forty percent of participants showed clinically significant improvement in depressive symptoms, below the benchmark.
Significant improvements were observed in self-efficacy (Cohen's d = 0.62).
Qualitative feedback highlighted enthusiasm for telehealth accessibility and module usefulness, alongside suggestions for program refinement.

Conclusions:

The telehealth CBT-H program shows potential for reducing depressive symptoms and enhancing self-efficacy in individuals with central hypersomnolence.
Telehealth is a viable and promising model for delivering interventions and collecting data, improving participant access and engagement.