Evidence map›Paper›PMID 30195661›Full record

ArticleSleep medicine2018

Efficacy of brief behavioral treatment for insomnia in older adults: examination of sleep, mood, and cognitive outcomes.

Christina S McCrae, Ashley F Curtis, Jacob M Williams, Natalie D Dautovich, Joseph P H McNamara, Ashley Stripling, Joseph M Dzierzewski, Wai Sze Chan, Richard B Berry, Karin J M McCoy and 1 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Sleep medicine, 2018. 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 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT02967185 nacompletednot on this map

Intraindividual Variability in Sleep and Cognitive Performance in Older Adults

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2005 to 2008Enrolled62ConditionsInsomnia ChronicArmsBrief Behavioral Therapy for Insomnia
NCT04632628 narecruitingnot on this mapstarted 2023, after this paper: background citation

Web-based Cognitive Behavioral Treatment for Insomnia in Dementia Caregivers

TypeinterventionalSponsorUniversity of South FloridaRan2023 to 2027Enrolled60ConditionsInsomnia Chronic, DementiaArmsWeb-based Cognitive Behavior Therapy for Insomnia (CBT-I)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  18. Paradoxical relationship between subjective and objective cognition: the role of sleep.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
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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

11 authors at 8 institutions in 1 country.

Christina S McCraeDepartment of Psychiatry, University of Missouri-Columbia, Columbia, MO, USA. Electronic address: mccraec@health.missouri.edu.
Ashley F CurtisDepartment of Psychiatry, University of Missouri-Columbia, Columbia, MO, USA.
Jacob M WilliamsTIRR Memorial Hermann, Houston, TX, USA.
Natalie D DautovichPsychology Department, Virginia Commonwealth University, Richmond, VA, USA.
Joseph P H McNamaraDepartment of Psychiatry, University of Florida, Gainesville, FL, USA.
Ashley StriplingCollege of Psychology, Nova Southeastern University, Fort Lauderdale, FL, USA.
Joseph M DzierzewskiPsychology Department, Virginia Commonwealth University, Richmond, VA, USA.
Wai Sze ChanDepartment of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Richard B BerryCollege of Medicine, University of Florida, Gainesville, FL, USA.
Karin J M McCoyNeuropsychology Service, South Texas Veterans Health Care System, San Antonio, TX, USA.
Michael MarsiskeDepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
University of Florida · USUniversity of Missouri · USVirginia Commonwealth University · USDartmouth College · USMemorial Hermann Institute for Rehabilitation and Research Foundation · USNova Southeastern University · USSouth Texas Veterans Health Care System · USUniversity of Florida Health · US

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Karyn A Esser, Todd Manini · 2007 to 2026
$22.8M
Research Training in Non-Pharmacological Interventions for Cognition in Aging, MCI, and Alzheimer's DiseaseT32AG020499 · NIA · UNIVERSITY OF FLORIDA · PI MARSISKE, MICHAEL, SMITH, GLENN E. · 2003 to 2024
$3.7M
Cognitive and inflammatory consequences of sleep disorders in older adultsK23AG049955 · NIA · VIRGINIA COMMONWEALTH UNIVERSITY · PI DZIERZEWSKI, JOSEPH MICHAEL · 2016 to 2020
$794k
Cognitive Behavioral Treatment for Improving Sleep in Overweight and Obese YouthR21HL121432 · NHLBI · UNIVERSITY OF FLORIDA · PI JANICKE, DAVID M, MCCRAE, CHRISTINA S · 2014 to 2015
$382k
Sleep/Cognitive Performance/Older Adults/InsomniaR21AG024459 · NIA · UNIVERSITY OF FLORIDA · PI MCCRAE, CHRISTINA S · 2005 to 2006
$310k
NHLBI NIH HHS R21 HL121432NIA NIH HHS K23 AG049955NIA NIH HHS P30 AG028740NIA NIH HHS R21 AG024459NIA NIH HHS T32 AG020499
6 · The paper itself

Abstract

objectiveThe aim of the present study was to examine the effects of a brief behavioral intervention for insomnia (BBTi) on sleep parameters, mood, and cognitive functioning in older adults.

methodsOlder adults (aged 65 years or more) underwent four weekly sessions of BBTi or self-monitoring control (SMC). Participants completed 14 days of sleep diaries and actigraphy measuring sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), sleep efficiency (SE), and sleep quality ratings at baseline, post-treatment, and three month follow-up. Participants also completed mood scales (Geriatric Depression Scale [GDS]; Beck Depression Inventory-II; and State Trait Anxiety Inventory) and neuropsychological testing (measuring global cognition, language, memory, attention and processing speed, and executive function) at the three timepoints.

resultsSignificant condition (BBTi vs. SMC) x time (baseline vs. post-treatment vs. follow-up) interactions revealed that BBTi improved relative to baseline in sleep diary-reported SOL, WASO, SE, and sleep quality, and these improvements were maintained at follow-up. SMC showed no change in these measures. A main effect of time showed that actigraphy-measured WASO improved from baseline for both BBTi and SMC at post-treatment. A main effect of time revealed that both BBTi and SMC patients endorsed fewer GDS symptoms relative to baseline at post-treatment and follow-up. We observed no change in performance on neuropsychological measures.

conclusionsA four-week BBTi is an efficacious intervention for reducing insomnia symptoms in older adults. BBTi does not selectively improve mood or cognitive functioning. Future work should examine effects of BBTi on physiological measures of sleep architecture and day-to-day cognition. CLINICAL TRIAL IDENTIFER: NCT02967185.

Indexed as

Behavior TherapyOutcome Assessment, Health CareActigraphyAgedCognitionDepressionFemaleHumansMaleNeuropsychological TestsPolysomnographySleep Initiation and Maintenance DisordersSleep LatencyBrief behavioral interventionCognitionElderlyInsomniaMoodTreatment outcome

Identifiers

PMID30195661
PMCPMC6513321
OpenAlexW2806348347

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.