![Sample our Health and Social Care journals, sign in here to start your FREE access for 14 days]({"type":"image" , "src" : "/sda/5938/TOC-Subject-Sample-2021-Health-Social-Care.jpg"})
Abstract
Cognitive behavioral therapy produces significant and long-lasting improvement for individuals with insomnia, but treatment resources are scarce. A “stepped care” approach has therefore been proposed, but knowledge is limited on how to best allocate patients to different treatment steps. In this study, 66 primary-care patients with insomnia attended a low-end treatment step: manual-guided cognitive behavioral therapy (CBT) for insomnia delivered by ordinary primary-care personnel. Based on clinically significant treatment effects, subjects were grouped into treatment responders or nonresponders. Baseline data were analyzed to identify predictors for treatment success. Long total sleep time at baseline assessment was the only statistically significant predictor for becoming a responder, and sleep time may thus be important to consider before enrolling patients in low-end treatments.
ACKNOWLEDGMENTS
This study was supported by the Uppsala-Örebro Regional Research Council. The authors would like to thank Professor Colin A. Espie for valuable help with the study design, and Mrs. Sheri Fox for providing excellent language help. The study was approved by the Regional Ethical Review Board in Uppsala (Diary No. 2008/080). The trial is registered at ClinicalTrials.gov, number NCT01655797. The full trial protocol can be assessed through the first author.