ArticleBrain injury2022
A qualitative examination of the usability of a digital cognitive behavioral therapy for insomnia program after stroke.
Article in Brain injury, 2022. 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.
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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Stakeholder Perspectives on Digital Health Technologies in Poststroke Self-Management and Rehabilitation: Systematic Review Based on the NASSS Framework.JMIR mHealth and uHealth · 2026Pooled it
- Improving sleep after stroke: A randomised controlled trial of digital cognitive behavioural therapy for insomnia.Journal of sleep research · 2024Trial
- Nursing strategies for severe poststroke fatigue: a case report of a structured, multidimensional intervention program.Frontiers in rehabilitation sciences · 2026Article
- Preliminary feasibility and efficacy of a brief behavioural treatment for insomnia after acquired brain injury: A case series.Journal of sleep research · 2025Article
- A protocol for a mixed-methods analysis of the usability and acceptability of a digital cognitive-behavioural therapy for insomnia (dCBT-I) intervention (HRB open research · 2025Article
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Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveSleep is commonly impaired after stroke. Cognitive Behavioral Therapy for Insomnia (CBT-I) is the first-line recommended treatment for sleep difficulty. "Sleepio" is a digital CBT-I program, allowing delivery of this treatment at scale. However, Sleepio has not yet been tested specifically in people with stroke. Before doing so, we wanted to explore the experience of people with stroke using the program, and potential barriers to completion.
methodCommunity dwelling survivors of stroke (n = 11, 41-78 years of age, 6 male) were given access to Sleepio. Participants discussed their experiences with the program during a semi-structured interview, which was analyzed using thematic analysis.
resultsWe found four common themes: (1) positive and negative experiences impacted engagement with the program, (2) motivation to follow the program was proportional to perceived severity of sleep problem, (3) impractical advice for people with stroke, (4) difficulty operating the program.
conclusionSleepio can be used by some people at the chronic stage of stroke. However, some barriers to completion were highlighted, and not all suggestions were deemed practical for everyone. We therefore suggest possible adaptations which may make the program more easily usable and engaging for survivors of stroke with varying impairments.
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Registered trials
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