ReviewInternational journal of environmental research and public health2021
A Review of Digital Cognitive Behavioral Therapy for Insomnia (CBT-I Apps): Are They Designed for Engagement?
Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06926348 (Usability, Acceptability, and Preliminary Effectiveness of a Digital Health Technology for Patient Monitoring of Chronic Insomnia Symptoms and the Promotion of Functional Sleep Behaviors), which is not on this map. Cited by 27 papers, 1 of them a synthesis 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.
Usability, Acceptability, and Preliminary Effectiveness of a Digital Health Technology for Patient Monitoring of Chronic Insomnia Symptoms and the Promotion of Functional Sleep Behaviors: A Randomized Clinical Trial
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Could the use of web-based applications assist in neuropsychiatric treatment? An umbrella review.BMC psychology · 2025Pooled it
- The Effects of Digital Cognitive Behavioral Therapy for Insomnia in Chronic Pain: A Randomized Controlled Trial.Psychotherapy and psychosomatics · 2026Trial
- Evaluating a mobile application based intervention for insomnia in college students: a preliminary study.Journal of American college health : J of ACH · 2025Trial
- Effect of an Internet-Delivered Cognitive Behavioral Therapy-Based Sleep Improvement App for Shift Workers at High Risk of Sleep Disorder: Single-Arm, Nonrandomized Trial.Journal of medical Internet research · 2023Trial
- Digital Cognitive Behavioral Therapy for Insomnia Using a Smartphone Application in China: A Pilot Randomized Clinical Trial.JAMA network open · 2023Trial
- Exploring Breast Cancer Survivors' Preferences for Text Messaging-Based Mobile Health Interventions Targeting Sleep and Physical Activity: Qualitative Study.JMIR formative research · 2026Article
- SleepPathfinder: A Socratic Questioning and Self-Decision-Based Chatbot to Support User Engagement in Digital CBT-I: Usability and Feasibility Study.JMIR formative research · 2026Article
- Associations between sleep hygiene and secondary objective sleep parameters: moving beyond sleep duration.Journal of behavioral medicine · 2026Article
- Review
- Internet-delivered cognitive behavioral therapy for insomnia: The future of insomnia treatment with large language models.Sleep medicine: X · 2025Review
- Innovative Digital Cognitive Behavioral Treatment for Insomnia Disorder in Adults (dCBT-i): Framework Development.JMIR human factors · 2025Article
- The recent history and near future of digital health in the field of behavioral medicine: an update on progress from 2019 to 2024.Journal of behavioral medicine · 2025Review
- Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.PLOS digital health · 2024Article
- Insomnia and its treatments-trend analysis and publication profile of randomized clinical trials.Npj biological timing and sleep · 2024Article
- Global trend of nondrug and nonsedativehypnotic treatment forinsomnia: a bibliometric study.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2024Review
- Seeking professional help for sleep-related complaints.Frontiers in public health · 2024Article
- Article
- Article
- Veteran Acceptance of Sleep Health Information Technology: a Mixed-Method Study.Journal of technology in behavioral science · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There are different ways to deliver Cognitive Behavioral Therapy for Insomnia (CBT-I), of which in-person (face to face) is the traditional delivery method. However, the scalability of in-person therapy is low. Digital Cognitive Behavioral Therapy for Insomnia (dCBT-I) is an alternative and there are tools on the market that are validated in clinical studies. In this paper, we provide a review of the existing evidence-based CBT-I apps and a summary of the published usability-oriented studies of these apps. The goal is to explore the range of interaction methods commonly applied in dCBT-I platforms, the potential impact for the users, and the design elements applied to achieve engagement. Six commercially available CBT-I apps tested by scientifically valid methods were accessed and reviewed. Commonalities were identified and categorized into interactive elements, CBT-I-related components, managerial features, and supportive motivational features. The dCBT-I apps were effectively assisting the users, and the type of interactions promoted engagement. The apps' features were based on design principles from interactive product design, experience design, online social media, and serious gaming. This study contributes to the field by providing a critical summary of the existing dCBT-I apps that could guide future developers in the field to achieve a high engagement.
Indexed as
Identifiers
What OpenQuestion holds
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.