Evidence map›Paper›PMID 31165577›Full record

ArticleWorldviews on evidence-based nursing2019

Comparing the Effects of Single- and Multiple-Component Therapies for Insomnia on Sleep Outcomes.

Souraya Sidani, Dana R Epstein, Mary Fox, Laura Collins

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Worldviews on evidence-based nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The relationship between sleep hygiene, mood, and insomnia symptoms in men with prostate cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  3. Article
  4. Daily associations between modifiable sleep behaviors and nighttime sleep among young adult drinkers with insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  5. Sleep Disturbances and Atopic Dermatitis: Relationships, Methods for Assessment, and Therapies.The journal of allergy and clinical immunology. In practice · 2021
    Review
  6. Non-pharmacological Approaches for Management of Insomnia.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
  7. Article
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

4 authors.

Souraya SidaniDaphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
Dana R EpsteinCollege of Health Solutions, Arizona State University, Phoenix, AZ, USA.
Mary FoxSchool of Nursing, York University, Toronto, ON, Canada.
Laura CollinsDaphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.

Funding

ALTERNATIVE METHODS FOR CLINICAL RESEARCHR01NR005075 · NINR · UNIVERSITY OF TORONTO · PI SIDANI, SOURAYA · 2001 to 2004
$1.4M
National Institutes of Health - National Institute of Nursing Research R01- NR05075NINR NIH HHS R01 NR005075
6 · The paper itself

Abstract

backgroundSingle- and multiple-component therapies are recommended in professional guidelines for managing chronic insomnia. Systematic reviews point to insufficient evidence of the comparative effectiveness of these therapies, which is required for treatment decision making. PURPOSE: To compare the effectiveness of three single-component and one multiple-component therapies on short-term sleep outcomes.

methodsThe data were obtained from 517 persons with chronic insomnia, enrolled in a partially randomized preference trial. They were allocated to the single-component therapies: sleep education and hygiene (SEH), stimulus control therapy (SCT), and sleep restriction therapy (SRT), or the multiple-component therapy (MCT). The outcomes, perceived insomnia severity and sleep parameters, were assessed with established measures at pre and posttest. Repeated measure analysis of variance was used to compare the outcomes across therapy groups over time. The clinical relevance of the therapies' effects was evaluated by examining the effect size and remission rate.

resultsThe four therapies differed in their effectiveness in reducing perceived insomnia severity and improving sleep outcomes. SEH was least effective. SCT, SRT, and MCT were moderately effective. SCT and SRT demonstrated slightly higher remission rates than MCT for perceived insomnia severity and some sleep parameters. LINKING EVIDENCE TO ACTION: SCT and SRT are viable single-component therapies that produce clinical benefits. Single-component insomnia treatment may be more convenient to implement in the primary care setting due to the reduced number of treatment recommendations compared to MCT.

Indexed as

AdultAgedAged, 80 and overAnalysis of VarianceCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedSleep Initiation and Maintenance DisordersTreatment Outcomebehavioral therapyclinical benefitscomparative effectivenessinsomniamulticomponent therapyperceived insomnia severitysleep hygiene educationsleep outcomessleep restriction therapystimulus control therapy

Identifiers

PMID31165577
PMCPMC6553488

What OpenQuestion holds

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Registered trials

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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.