Evidence map›Paper›PMID 26414893›Full record

Trial reportSleep2016

Guided Online or Face-to-Face Cognitive Behavioral Treatment for Insomnia: A Randomized Wait-List Controlled Trial.

Jaap Lancee, Annemieke van Straten, Nexhmedin Morina, Viktor Kaldo, Jan H Kamphuis

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2016. 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 70 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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.

NCT01955850 phase3completednot on this map

Online or Face-to-face Treatment for Insomnia? A Wait-list Controlled Trial

TypeinterventionalSponsorVU University of AmsterdamRan2013 to 2014Enrolled90ConditionsInsomniaArmsCognitive behavioral treatment for insomnia
NCT06567210 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Delayed-start Randomized Controlled Trial Comparing the Effects of Online Therapist-guided Cognitive Behavioural and Circadian Therapy for Insomnia Versus Control on Overnight Emotion Regulation and Mental Health Outcomes

TypeinterventionalSponsorWoolcock Institute of Medical ResearchRan2026 to 2030Enrolled98ConditionsInsomnia Chronic, AnxietyArmsImmediate CBCTi, Delayed CBCTi
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  5. Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
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  9. Cognitive and Behavioral Interventions to Improve Sleep in School-Age Children and Adolescents: A Systematic Review and Meta-Analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jaap LanceeDepartment of Clinical Psychology, University of Amsterdam, the Netherlands.
Annemieke van StratenDepartment of Clinical Psychology and EMGO Institute, VU University, the Netherlands.
Nexhmedin MorinaDepartment of Clinical Psychology, University of Amsterdam, the Netherlands.
Viktor KaldoDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.
Jan H KamphuisDepartment of Clinical Psychology, University of Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo compare the efficacy of guided online and individual face-to-face cognitive behavioral treatment for insomnia (CBT-I) to a wait-list condition.

methodsA randomized controlled trial comparing three conditions: guided online; face-to-face; wait-list. Posttest measurements were administered to all conditions, along with 3- and 6-mo follow-up assessments to the online and face-to-face conditions. Ninety media-recruited participants meeting the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for insomnia were randomly allocated to either guided online CBT-I (n = 30), individual face-to-face CBT-I (n = 30), or wait-list (n = 30).

resultsAt post-assessment, the online (Cohen d = 1.2) and face-to-face (Cohen d = 2.3) intervention groups showed significantly larger treatment effects than the wait-list group on insomnia severity (insomnia severity index). Large treatment effects were also found for the sleep diary estimates (except for total sleep time), and anxiety and depression measures (for depression only in the face-to-face condition). Face-to-face treatment yielded a statistically larger treatment effect (Cohen d = 0.9) on insomnia severity than the online condition at all time points. In addition, a moderate differential effect size favoring face-to-face treatment emerged at the 3- and 6-mo follow-up on all sleep diary estimates. Face-to-face treatment further outperformed online treatment on depression and anxiety outcomes.

conclusionsThese data show superior performance of face-to-face treatment relative to online treatment. Yet, our results also suggest that online treatment may offer a potentially cost-effective alternative to and complement face-to-face treatment. CLINICAL

trial registrationClinicaltrials.gov, NCT01955850. COMMENTARY: A commentary on this article appears in this issue on page 13.

Indexed as

Computer-Assisted InstructionInternetWaiting ListsAdultAnxietyCognitionCognitive Behavioral TherapyDepressionFemaleHumansMaleMiddle AgedSleepSleep Initiation and Maintenance DisordersCBT-Iface-to-faceinsomniainternet

Identifiers

PMID26414893
PMCPMC4678352

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.