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Acceptability and Feasibility of Training to Integrate Digital CBT for Insomnia Into Routine Psychotherapy: A Focus
Nicole B Gumport1, Isabelle A Tully1,2, Nicole E Carmona1,3
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Behavioral Sleep Medicine
|July 10, 2025
Summary
Licensed therapists find integrating digital cognitive behavioral therapy for insomnia (dCBTI) into routine psychotherapy acceptable and feasible. This approach could improve patient sleep and mental health outcomes, with therapists open to necessary training.
Area of Science:
- Mental Health
- Sleep Medicine
- Digital Health
Background:
- Routine psychotherapy often overlooks insomnia, a common comorbidity with mental health conditions.
- Integrating cognitive behavior therapy for insomnia (CBTI) can enhance sleep and mental health outcomes.
- Digital CBTI (dCBTI) offers a scalable solution for integration with minimal training requirements.
Purpose of the Study:
- To explore licensed mental health therapists' perspectives on the acceptability and feasibility of integrating dCBTI into routine psychotherapy.
- To understand therapists' perceived benefits, concerns, and resource needs for dCBTI integration.
Main Methods:
- Six focus groups were conducted with 52 licensed therapists across various disciplines (PhD/PsyD, LCSW, MFT, LPC, MD).
- Inductive thematic analysis was employed to analyze qualitative data from the focus groups.
- Participants discussed advantages, challenges, and required training for dCBTI integration.
Main Results:
- Therapists identified advantages and benefits of dCBTI integration, alongside specific concerns.
- Knowledge and resources for both training and in-session support were detailed.
- A 4-hour training workshop and 5-10 minutes of in-session support for dCBTI use were deemed feasible.
Conclusions:
- Preliminary evidence suggests dCBTI integration is perceived as valuable, acceptable, and feasible by therapists.
- Therapists are receptive to training in integrated dCBTI.
- There is a recognized potential for dCBTI to improve patient mental health and sleep outcomes.
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