Evidence map›Paper›PMID 27550552›Full record

Trial reportJournal of the American Geriatrics Society2016

Cognitive Behavioral Therapy for Insomnia in Older Veterans Using Nonclinician Sleep Coaches: Randomized Controlled Trial.

Cathy Alessi, Jennifer L Martin, Lavinia Fiorentino, Constance H Fung, Joseph M Dzierzewski, Juan C Rodriguez Tapia, Yeonsu Song, Karen Josephson, Stella Jouldjian, Michael N Mitchell

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00781963 (Implementing Sleep Interventions for Older Veterans), which is not on this map. Cited by 43 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 9 pooled it
10.9field-weighted citation impact, top 1% 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.

NCT00781963 nacompletednot on this map

Implementing Sleep Interventions for Older Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2010 to 2013Enrolled519ConditionsInsomniaArmsManual-based cognitive behavioral therapy for insomnia, Non-directive sleep education
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 9 syntheses or guidelines pooled it, 103 citations in OpenAlex.

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  10. Comparative effectiveness and predictors of cognitive behavioral therapy for insomnia and its components in older adults: main outcomes of a randomized dismantling trial.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

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Cathy AlessiGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California. cathy.alessi@va.gov.
Jennifer L MartinGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Lavinia FiorentinoDepartment of Psychiatry, University of California at San Diego, San Diego, California.
Constance H FungGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Joseph M DzierzewskiGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Juan C Rodriguez TapiaDepartment of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Yeonsu SongGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Karen JosephsonGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Stella JouldjianGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Michael N MitchellGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
University of California, Los Angeles · USVA Greater Los Angeles Healthcare System · USGeriatric Research Education and Clinical Center · USUniversity of California, San Diego · US

Funding

Cognitive and inflammatory consequences of sleep disorders in older adultsK23AG049955 · NIA · VIRGINIA COMMONWEALTH UNIVERSITY · PI DZIERZEWSKI, JOSEPH MICHAEL · 2016 to 2020
$794k
NIA NIH HHS K23 AG049955
6 · The paper itself

Abstract

objectivesTo test a new cognitive behavioral therapy for insomnia (CBT-I) program designed for use by nonclinicians.

designRandomized controlled trial.

settingDepartment of Veterans Affairs healthcare system.

participantsCommunity-dwelling veterans aged 60 and older who met diagnostic criteria for insomnia of 3 months duration or longer (N = 159).

interventionNonclinician "sleep coaches" delivered a five-session manual-based CBT-I program including stimulus control, sleep restriction, sleep hygiene, and cognitive therapy (individually or in small groups), with weekly telephone behavioral sleep medicine supervision. Controls received five sessions of general sleep education. MEASUREMENTS: Primary outcomes, including self-reported (7-day sleep diary) sleep onset latency (SOL-D), wake after sleep onset (WASO-D), total wake time (TWT-D), and sleep efficiency (SE-D); Pittsburgh Sleep Quality Index (PSQI); and objective sleep efficiency (7-day wrist actigraphy, SE-A) were measured at baseline, at the posttreatment assessment, and at 6- and 12-month follow-up. Additional measures included the Insomnia Severity Index (ISI), depressive symptoms (Patient Health Questionnaire-9 (PHQ-9)), and quality of life (Medical Outcomes Study 12-item Short-form Survey version 2 (SF-12v2)).

resultsIntervention subjects had greater improvement than controls between the baseline and posttreatment assessments, the baseline and 6-month assessments, and the baseline and 12-month assessments in SOL-D (-23.4, -15.8, and -17.3 minutes, respectively), TWT-D (-68.4, -37.0, and -30.9 minutes, respectively), SE-D (10.5%, 6.7%, and 5.4%, respectively), PSQI (-3.4, -2.4, and -2.1 in total score, respectively), and ISI (-4.5, -3.9, and -2.8 in total score, respectively) (all P < .05). There were no significant differences in SE-A, PHQ-9, or SF-12v2.

conclusionManual-based CBT-I delivered by nonclinician sleep coaches improves sleep in older adults with chronic insomnia.

Indexed as

Health PersonnelAgedAged, 80 and overChronic DiseaseCognitive Behavioral TherapyDepressive DisorderFemaleFollow-Up StudiesHumansMaleMiddle AgedPsychometricsQuality of LifeReproducibility of ResultsSleep Initiation and Maintenance DisordersSurveys and Questionnairesagedcognitive behavioral therapyinsomniarandomized controlled trialsleep

Identifiers

PMID27550552
PMCPMC5351772
OpenAlexW2518268278

What OpenQuestion holds

Textmetadata
LicenceTDM
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.