Evidence map›Paper›PMID 25979100›Full record

Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2015

Feasibility and Efficacy of a Self-Management Intervention for Insomnia in Stable Heart Failure.

Nancy S Redeker, Sangchoon Jeon, Laura Andrews, John Cline, Daniel Jacoby, Vahid Mohsenin

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02827799 (Cognitive Behavioral Therapy for Insomnia in Stable Heart Failure), which is not on this map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
4.5field-weighted citation impact, top 6% 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.

NCT02827799 nacompletednot on this map

Cognitive Behavioral Therapy for Insomnia in Stable Heart Failure

TypeinterventionalSponsorYale UniversityRan2009 to 2012Enrolled51ConditionsHeart Failure, Insomnia, CardiomyopathyArmsCognitive Behavioral Therapy for Insomnia (CBT-I), Heart Failure Self-Management Education
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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  3. The effects of cognitive behavioral therapy for insomnia in patients with cardiovascular disease: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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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

6 authors at 1 institution in 1 country.

Nancy S RedekerYale University School of Nursing, New Haven, CT.
Sangchoon JeonYale University School of Nursing, New Haven, CT.
Laura AndrewsYale University School of Nursing, New Haven, CT.
John ClineYale University School of Medicine, New Haven, CT.
Daniel JacobyYale University School of Medicine, New Haven, CT.
Vahid MohseninYale University School of Medicine, New Haven, CT.
Yale University · US

Funding

Yale Center for Sleep Disturbance in Acute and Chronic ConditionsP20NR014126 · NINR · YALE UNIVERSITY · PI KRYGER, MEIR H, YAGGI, HENRY KLAR · 2012 to 2016
$1.4M
Cognitive Behavioral Therapy for Insomnia in Stable Heart FailureR21NR011387 · NINR · YALE UNIVERSITY · PI REDEKER, NANCY S · 2009 to 2010
$454k
NINR NIH HHS P20 NR014126NINR NIH HHS R21 NR011387NINR NIH HHS R21NR011387
6 · The paper itself

Abstract

backgroundChronic insomnia is common among patients with heart failure (HF) and may contribute to fatigue and poor function. However, to date there have been no randomized controlled trials focused on treatment of insomnia or daytime symptoms in this population.

objectivesThe purpose of this study was to examine the preliminary efficacy, feasibility, and acceptability of a self-management intervention (cognitive behavioral therapy [CBT-I]) for insomnia among patients with stable HF.

methodsWe conducted a pilot randomized controlled trial (RCT) in which patients with stable Class I-III HF (n = 25/52.1% women; mean age = 59 ± 14.8 years) were randomized in groups to CBT-I (n = 29) or an attention control condition (HF self-management with sleep hygiene; n = 19). Participants completed 2 weeks of wrist actigraphy, the insomnia severity index, and measures of fatigue, depression, sleepiness, and functional performance at baseline and follow-up. We computed the size of the effects on the dependent variables and used MANOVA to evaluate the effects of CBT-I on insomnia and fatigue.

resultsCBT-I was feasible and acceptable and had a statistically significant effect on insomnia and fatigue, while controlling for the effects of comorbidity and age.

conclusionsCBT-I has short-term efficacy as a treatment for chronic insomnia among patients with stable HF. Future studies are needed to address its sustained effects.

Indexed as

Analysis of VarianceCognitive Behavioral TherapyFeasibility StudiesFemaleHeart FailureHumansMaleMiddle AgedPilot ProjectsSelf CareSleep Initiation and Maintenance DisordersSurveys and QuestionnairesTreatment Outcomecognitive behavioral therapydepressionfatigueheart failureinsomniaself-managementsleep

Identifiers

PMID25979100
PMCPMC4582052
OpenAlexW2402056864

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.