Trial reportSleep medicine2021
ISI-3: evaluation of a brief screening tool for insomnia.
Trial report in Sleep medicine, 2021. 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 17 papers.
What it found
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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.
Cognitive Behavioral Therapy for Arthritis Pain and Insomnia in Older Adults
Efficacy of Scalable CBT for Insomnia in Older Adults With Osteoarthritis Pain
Who cites it
17 citing papers in PubMed, 36 citations in OpenAlex.
- Psychological Aspects of Rheumatic Diseases: Psychorheumatology in Clinical Practice.Rheumatology and therapy · 2026Review
- Article
- Assessment of sleep in older people within comprehensive geriatric assessments: a scoping review.Age and ageing · 2026Article
- Management of Insomnia Complaints by Non-Sleep Specialist Physicians: A French DELPHI Consensus.Journal of sleep research · 2026Article
- Sleep, Health Care-Seeking Behaviors, and Perceptions Associated With the Use of Sleep Wearables in Canada: Results From a Nationally Representative Survey.Journal of medical Internet research · 2025Article
- Sleep problems and insomnia are common and associated with pain intensity, number of comorbidities and analgesic use in patients with knee and hip osteoarthritis: a cross-sectional study using data from the good life with osteoarthritis in Denmark (GLA:DRheumatology international · 2025Article
- Prevalence and determinants of occupational depression, anxiety, and stress among Ethiopian healthcare workers.Scientific reports · 2024Article
- Data-driven shortened Insomnia Severity Index (ISI): a machine learning approach.Sleep & breathing = Schlaf & Atmung · 2024Article
- Insomnia symptoms and neurofunctional correlates among adults receiving buprenorphine for opioid use disorder.PloS one · 2024Article
- Imitative inhibitory control is associated with psychotic experiences in a sample from the general population.Frontiers in psychiatry · 2024Article
- Article
- A Novel Screening, Brief Intervention, and Referral to Treatment (SBIRT) Based Model for Mental Health in Occupational Health Implemented on Smartphone and Web-Based Platforms: Development Study With Results From an Epidemiologic Survey.Journal of Korean medical science · 2023Article
- The simplification of the insomnia severity index and epworth sleepiness scale using machine learning models.Scientific reports · 2023Article
- What complex factors influence sleep quality in college students? PLS-SEM vs. fsQCA.Frontiers in psychology · 2023Article
- Validation of the Three-Item Insomnia Severity Index Short Form in Young Adult Cancer Survivors: Comparison with a Structured Diagnostic Interview.Journal of adolescent and young adult oncology · 2022Article
- Pandemic and student mental health: mental health symptoms among university students and young adults after the first cycle of lockdown in the UK.BJPsych open · 2022Article
- The therapeutic effect of Taijiquan combined with acupoint pressing on the treatment of anxiety insomnia in college students: A study protocol for a randomized controlled trial.Frontiers in psychiatry · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
STUDY
objectivesWe evaluated the performance of the Insomnia Severity Index-3 (ISI-3) as a short screening tool to identify clinically significant insomnia derived from the 7-item ISI in an older primary care population.
methodsWe used results from two surveys including the 7-item ISI: Sample 1 (n = 3197) and Sample 2 (n = 247) individuals aged ≥60 years with a diagnosis of osteoarthritis from electronic health records. The 7 items were: difficulty falling asleep, difficulty staying asleep, waking too early, sleep satisfaction, sleep interference with daytime functioning, noticeability of sleep problems by others, and worry about sleep. The ISI-3 included items with highest item-total correlations to the 7-item ISI from Sample 1. A 7-item ISI score ≥15 was defined as clinically significant insomnia and served as the primary criterion for the ISI-3. We derived operating characteristics to determine the diagnostic accuracy and cut-points to maximize sensitivity and specificity for both samples.
resultsThe items with the highest item-total correlations were: sleep dissatisfaction, sleep interference with daily functioning, and worry about sleep problems (r = 0.78-0.81); while difficulty falling asleep, difficulty staying asleep, waking too early and noticeability of sleep problems by others showed lower correlations (r = 0.60-0.74). The ISI-3 achieved high discriminant validity in identifying insomnia (AUC = 0.97-0.98). An ISI-3 score of ≥7 maximized sensitivity (0.94-0.97) and specificity (0.88-0.91) with kappa = 0.68-0.71, 89.1-91.5% agreement.
conclusionsThe ISI-3 can effectively screen for insomnia to trigger a more thorough diagnostic evaluation including the 7-item ISI for research or clinical purposes. Future validation studies are needed in other community and clinical populations. CLINICAL TRIAL: This manuscript describes secondary analyses of data two National Institutes on Aging-funded clinical trials (ClinicalTrials.gov identifier: NCT01142349, NCT02946957).
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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.