ArticleInteractive journal of medical research2019
Mobile App Use for Insomnia Self-Management: Pilot Findings on Sleep Outcomes in Veterans.
Article in Interactive journal of medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02392000 (Mobile Sleep and Pain Intervention for OEF, OIF and OND Veterans), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled 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.
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.
Mobile Sleep and Pain Intervention for OEF, OIF and OND Veterans
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Effects of mhealth applications on military personnel's physical and mental health: A systematic review.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Pooled it
- The Implementation of Behavior Change Techniques in mHealth Apps for Sleep: Systematic Review.JMIR mHealth and uHealth · 2022Pooled it
- Framework for the Design Engineering and Clinical Implementation and Evaluation of mHealth Apps for Sleep Disturbance: Systematic Review.Journal of medical Internet research · 2021Pooled it
- The Effects of Objective Push-Type Sleep Feedback on Habitual Sleep Behavior and Momentary Symptoms in Daily Life: mHealth Intervention Trial Using a Health Care Internet of Things System.JMIR mHealth and uHealth · 2022Trial
- Trial
- Investigating the Effectiveness of CBT-i Coach, a Free, Publicly Available mHealth App for Insomnia.Journal of technology in behavioral science · 2025Article
- Clinical Management of Sleep Disturbances in Post-9/11 Men and Women Veterans: A 20-year Prospective Cohort Study.Journal of general internal medicine · 2025Article
- Use of mHealth Technologies to Increase Sleep Quality among Older Adults: A Scoping Review.Clocks & sleep · 2024Article
- Cognitive Behavioral Therapy for Insomnia Self-Management Mobile Apps: A Review of Efficacy and Quality.Journal of clinical psychology in medical settings · 2024Review
- Information and Communication Technology-Based Application for Cognitive Behavioral Therapy among Community-Dwelling Older Adults with Insomnia: Development and Validation Study.Healthcare (Basel, Switzerland) · 2024Article
- Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study.Sleep medicine: X · 2023Article
- Efficacy of an Internet-Delivered Intervention for Improving Insomnia Severity and Functioning in Veterans: Randomized Controlled Trial.JMIR mental health · 2023Article
- Patient Engagement and Provider Effectiveness of a Novel Sleep Telehealth Platform and Remote Monitoring Assessment in the US Military: Pilot Study Providing Evidence-Based Sleep Treatment Recommendations.JMIR formative research · 2023Article
- Veteran Acceptance of Sleep Health Information Technology: a Mixed-Method Study.Journal of technology in behavioral science · 2023Article
- Development and acceptability of a mobile health application integrated with the electronic heath record for treatment of chronic insomnia disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Usability and feasibility of a cognitive-behavioral mobile app for ADHD in adults.PLOS digital health · 2022Article
- A scoping review of mobile apps for sleep management: User needs and design considerations.Frontiers in psychiatry · 2022Article
- Mobile Intervention to Improve Sleep and Functional Health of Veterans With Insomnia: Randomized Controlled Trial.JMIR formative research · 2021Article
- Primary care provider evaluation and management of insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- A Review of Digital Cognitive Behavioral Therapy for Insomnia (CBT-I Apps): Are They Designed for Engagement?International journal of environmental research and public health · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep disturbance is a major health concern among US veterans who have served since 2001 in a combat theater in Iraq or Afghanistan. We report subjective and objective sleep results from a pilot trial assessing self-management-guided use of a mobile app (CBT-i Coach, which is based on cognitive behavioral therapy for insomnia) as an intervention for insomnia in military veterans.
objectiveThe primary aim of this study was to evaluate changes in subjective and objective sleep outcomes from pre to postintervention.
methodsSubjective outcomes included the Insomnia Severity Index, the Pittsburgh Sleep Quality Inventory, and sleep-related functional status. A wearable sleep monitor (WatchPAT) measured objective sleep outcomes, including sleep efficiency, percent rapid eye movement (REM) during sleep, sleep time, and sleep apnea. A total of 38 participants were enrolled in the study, with 18 participants being withdrawn per the protocol because of moderate or severe sleep apnea and 9 others who dropped out or withdrew. Thus, 11 participants completed the full 6-week CBT-i Coach self-management intervention (ie, completers).
resultsCompleter results indicated significant changes in subjective sleep measures, including reduced reports of insomnia (Z=-2.68, P=.007) from pre (mean 16.63, SD 5.55) to postintervention (mean 12.82, SD 3.74), improved sleep quality (Z=-2.37, P=.02) from pre (mean 12.82, SD 4.60) to postintervention (mean 10.73, SD 3.32), and sleep-related functioning (Z=2.675, P=.007) from pre (mean 13.86, SD 3.69) to postintervention (mean 15.379, SD 2.94). Among the objective measures, unexpectedly, objective sleep time significantly decreased from pre to postintervention (χ
conclusionsThese findings suggest that the CBT-i Coach app can improve subjective sleep and that incorporating objective sleep measures into future, larger clinical trials or clinical practice may yield important information, particularly by detecting previously undetected sleep apnea.
trial registrationClinicalTrials.gov NCT02392000; http://clinicaltrials.gov/ct2/show/NCT02392000.
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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.