Evidence map›Paper›PMID 24497658›Full record

Trial reportSleep2014

Who benefits from CBT for insomnia in primary care? Important patient selection and trial design lessons from longitudinal results of the Lifestyles trial.

Susan M McCurry, Susan M Shortreed, Michael Von Korff, Benjamin H Balderson, Laura D Baker, Bruce D Rybarczyk, Michael V Vitiello

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Sleep, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT01142349 nacompletednot on this map

Cognitive Behavioral Therapy for Arthritis Pain and Insomnia in Older Adults

TypeinterventionalSponsorUniversity of WashingtonRan2009 to 2013Enrolled367ConditionsPain Dysfunction, Sleep Disturbance, OsteoarthritisArmsLifestyles A, Lifestyles B, Lifestyles C
NCT03954210 nacompletednot on this mapstarted 2019, after this paper: background citation

SIESTA: Sleep Intervention to Enhance Cognitive Status and Reduce Beta Amyloid

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2019 to 2025Enrolled200ConditionsInsomniaArmsCognitive Behavioral Therapy for Insomnia (CBT-I), Sleep and Lifestyle Education
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  10. The bidirectional relationship between sleep complaints and pain: Analysis of data from a randomized trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016
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  19. Sleep as a Therapeutic Target for Pain Management.Current pain and headache reports · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Susan M McCurryDepartment of Psychosocial and Community Health, University of Washington School of Nursing, Seattle, WA.
Susan M ShortreedGroup Health Research Institute, Seattle, WA.
Michael Von KorffGroup Health Research Institute, Seattle, WA.
Benjamin H BaldersonGroup Health Research Institute, Seattle, WA.
Laura D BakerDepartment of Internal Medicine and Epidemiology, Wake Forest University School of Medicine, Winston-Salem, NC.
Bruce D RybarczykDepartment of Psychology, Virginia Commonwealth University, Richmond, VA.
Michael V VitielloDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA.
Kaiser Permanente Washington Health Research Institute · USUniversity of Washington · USVirginia Commonwealth University · USWake Forest University · US

Funding

Cognitive Behavioral Therapy for Arthritis Pain and Insomnia in Older AdultsR01AG031126 · NIA · UNIVERSITY OF WASHINGTON · PI MCCURRY, SUSAN M, VITIELLO, MICHAEL V. · 2008 to 2012
$3.6M
NIA NIH HHS R01-AG031126
6 · The paper itself

Abstract

STUDY

objectivesEvaluate long-term effects of group interventions on sleep and pain outcomes in a primary care population of older adults with osteoarthritis pain and sleep disturbance.

designDouble-blind, cluster-randomized controlled trial with 18-mo follow-up.

settingGroup Health and University of Washington, Seattle, WA, from 2009 to 2011.

participantsThree hundred sixty-seven adults age 60 y and older, with osteoarthritis pain and insomnia symptoms.

interventionsSix weekly sessions of group cognitive behavioral therapy for insomnia and pain (CBT-PI), pain alone (CBT-P), and education-only control (EOC) delivered in patients' primary care clinics. MEASUREMENTS AND

resultsThere were no significant differences between treatment groups in sleep outcomes at 18 mo. This is a change from published significant 9-mo follow-up results for insomnia severity (Insomnia Severity Index) and sleep efficiency. There were no significant treatment differences in pain at either follow-up. Post hoc analyses of participants with greater insomnia and pain severity at baseline (n = 98) showed significant (P = 0.01) 18-mo reductions in pain comparing CBT-PI versus CBT-P (adjusted mean difference [AMD] = -1.29 [95% confidence interval (CI): -2.24,-0.33]). Moderate, albeit nonsignificant, CBT-PI versus EOC treatment effects for insomnia severity (AMD = -1.43 [95% CI: -4.71, 1.86]) and sleep efficiency (AMD = 2.50 [95% CI: -5.04, 10.05]) were also observed. Possible trial design and methodological considerations that may have affected results are discussed.

conclusionsResults suggest patients with higher levels of comorbid pain and insomnia may be most likely to experience sustained benefit from cognitive behavioral therapy interventions over time, and inclusion of insomnia treatment may yield more clinically meaningful improvements than cognitive behavioral therapy for pain alone.

trial registrationclinicaltrials.gov identifier: NCT01142349.

Indexed as

Cognitive Behavioral TherapyPatient SelectionPrimary Health CareResearch DesignAgedAged, 80 and overFemaleHumansLife StyleLongitudinal StudiesMaleMiddle AgedOsteoarthritisPainPain ManagementSleepAgingcognitive behavioral therapyinsomniaosteoarthritispain

Identifiers

PMID24497658
PMCPMC3900626
OpenAlexW1965979686

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.