Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2013
Stepped care for insomnia: an evaluation of implementation in routine practice.
Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 61 citations in OpenAlex.
- Can an E-Mail-Delivered CBT for Insomnia Validated in the West Be Effective in the East? A Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Trial
- Effects of a Tailored Brief Behavioral Therapy Application on Insomnia Severity and Social Disabilities Among Workers With Insomnia in Japan: A Randomized Clinical Trial.JAMA network open · 2020Trial
- Trial
- Long-Term Effects of an Unguided Online Cognitive Behavioral Therapy for Chronic Insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Trial
- Computerized Cognitive Behavioral Therapy for Insomnia in a Community Health Setting.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017Trial
- Trial
- One Single Session to Sleep Them All? The Potential of Single-Session Interventions for Insomnia.Journal of sleep research · 2026Review
- Innovative Approaches to Advancing Equitable Access to Insomnia Interventions.Current sleep medicine reports · 2026Review
- A stepped-care strategy for cognitive behavioral therapy for insomnia in chronic spinal pain-protocol of a randomized clinical trial (the StepUp study).Sleep advances : a journal of the Sleep Research Society · 2026Article
- The future of paediatric sleep medicine: a blueprint for advancing the field.Journal of sleep research · 2025Review
- Does digital cognitive behavioral therapy improve the insomnia and depression of workers to healthy levels? An open trial.BioPsychoSocial medicine · 2025Article
- Perceptions and Effectiveness of a Fully Automated Brief Behavioral Insomnia Therapy, Delivered by a Virtual Companion, in Older and Young Adults.Innovation in aging · 2025Article
- One-week inpatient cognitive behavioral therapy for insomnia: a retrospective study.Frontiers in psychiatry · 2024Article
- Examining the barriers and recommendations for integrating more equitable insomnia treatment options in primary care.Frontiers in sleep · 2023Article
- Multi-stakeholder perspectives on managing insomnia in cancer survivors: recommendations to reduce barriers and translate patient-centered research into practice.Journal of cancer survivorship : research and practice · 2021Article
- [Internet-based cognitive behavioral therapy of insomnia and nightmare disorder].Der Nervenarzt · 2020Review
- A Practical Application Primer on Cognitive Behavioral Therapy for Insomnia for Medical Residents.MedEdPORTAL : the journal of teaching and learning resources · 2019Article
- Acceptability, tolerability, and potential efficacy of cognitive behavioural therapy for Insomnia Disorder subtypes defined by polysomnography: A retrospective cohort study.Scientific reports · 2018Article
- Patterns of zolpidem use among Iraq and Afghanistan veterans: A retrospective cohort analysis.PloS one · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesStepped care models for chronic insomnia are in their infancy. This study evaluated predictors of movement in a stepped care pathway using a sample of 50 adult outpatients with chronic insomnia.
methodsAt assessment periods, participants completed daily sleep diaries, the Insomnia Severity Index, the Multi-Dimensional Fatigue Inventory (MFI), and the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-10). Following this, data were collected regarding whether the individual went on to receive more intensive services (i.e., individual consultation, group or individual therapy). Data were analyzed using multi-nomial logistic regression.
resultsResults showed that age, employment status, and sleep (quality, latency) predicted use of more intensive services. Results showed that psychiatric and sleep comorbidity, sleep attitudes, and insomnia severity did not.
conclusionsImplications of these findings are that stepped care resulted in a 69% improvement in efficiency, and that low-intensity treatment delivered in step 1 may have been particularly sufficient for the young and employed, and for those with better sleep.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.