ArticleBehavioral sleep medicine
Internet-Based Cognitive Behavioral Therapy for Insomnia in Appalachian Women: A Pilot Study.
Article in Behavioral sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Effects of digital cognitive-behavioral therapy for insomnia in heavy drinkers with insomnia: A replication and extension study.Experimental and clinical psychopharmacology · 2026Trial
- Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women.Journal of health care for the poor and underserved · 2023Trial
- Pathways to better sleep: Depression, anxiety, and stress as mediators in the relationship between social support and insomnia severity in Appalachian adults.Journal of affective disorders · 2025Article
- "No rest for me tonight": A social-ecological exploration of insomnia in rural Appalachian women.Sleep health · 2025Article
- Indirect effects of perceived stress and depression on the relationship between insomnia symptoms and hazardous drinking.Alcohol (Fayetteville, N.Y.) · 2025Observational
- Effects of a digital cognitive behavioral therapy for insomnia on sleep and alcohol consumption in heavy drinkers: A randomized pilot study.Alcohol, clinical & experimental research · 2023Article
- Counselling for Chronic Insomnia in Swiss Pharmacies: A Survey Study Based on Case Vignettes.Pharmacy (Basel, Switzerland) · 2023Article
- Real-World Evaluation of Clinical Response and Long-Term Healthcare Resource Utilization Patterns Following Treatment with a Digital Therapeutic for Chronic Insomnia.ClinicoEconomics and outcomes research : CEOR · 2022Article
- Self-directed Technology-Based Therapeutic Methods for Adult Patients Receiving Mental Health Services: Systematic Review.JMIR mental health · 2021Review
- Attitudes toward deprescribing in a middle-aged health disparities population.Research in social & administrative pharmacy : RSAP · 2020Article
- Evaluating the Feasibility and Acceptability of Internet-Based Cognitive Behavioral Therapy for Insomnia in Rural Women.Women's health reports (New Rochelle, N.Y.) · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
OBJECTIVE/
backgroundAppalachian women are disproportionately affected by insufficient sleep but live in a healthcare shortage area with prevalent prescription drug abuse. A self-administered, non-pharmacologic intervention such as Internet-based cognitive behavioral therapy for insomnia (CBT-I) may be ideal in this population, but psycho-social characteristics (e.g., high depression rates) and cultural norms (e.g., suspicion of technology) necessitate a pilot study. We evaluated the effectiveness of Sleep Healthy Using the Internet (SHUTi) on insomnia severity, sleep quality, perceived stress, depression symptoms, and sleep aid use in Appalachian women ages 45 +.
participantsForty-six women enrolled; 38 completed the six-week intervention in 2018 (mean age 55 years).
methodsWe employed a single group, pre/post-test, mixed-methods design. Participants completed an online survey and a qualitative interview pre- and post-intervention. Quantitative data were analyzed using one-way repeated measures ANOVA or generalized estimating equations. Interviews were qualitatively analyzed using a multi-stage coding process.
resultsPositive and statistically significant (
conclusionsInternet-based CBT-I may be a useful, non-pharmacologic treatment that reduces insomnia severity, perceived stress, depression symptoms, and sleep aid use in middle-aged Appalachian women.
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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.