Evidence map›Paper›PMID 35932397›Full record

Trial reportJournal of behavioral medicine2022

Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety.

Kelly M Shaffer, Jessica G Smith, Jillian V Glazer, Fabian Camacho, Philip I Chow, Meghan Mattos, Karen Ingersoll, Lee M Ritterband

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kelly M ShafferCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA. kshaffer@virginia.edu.ORCID 0000-0002-9749-8006
Jessica G SmithCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA.
Jillian V GlazerCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA.
Fabian CamachoCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA.
Philip I ChowCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA.
Meghan MattosCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA.
Karen IngersollCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA.
Lee M RitterbandCenter for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA.

Funding

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
Institutional Career Development CoreKL2TR003016 · NCATS · UNIVERSITY OF VIRGINIA · PI PAPIN, JASON, WORRALL, BRADFORD B · 2019 to 2023
$3.9M
An Insomnia Internet Intervention for Older AdultsR01AG047885 · NIA · UNIVERSITY OF VIRGINIA · PI RITTERBAND, LEE M · 2015 to 2019
$2.6M
Interdisciplinary Training in Systems & Biomolecular Data ScienceT32GM145443 · NIGMS · UNIVERSITY OF VIRGINIA · PI Kevin A Janes, Jason Papin · 2022 to 2026
$1.5M
NCATS NIH HHS KL2 TR003016NCATS NIH HHS UL1 TR003015NIA NIH HHS R01 AG047885NIGMS NIH HHS T32 GM145443
6 · The paper itself

Abstract

objectiveTo test whether an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) program for older adults attenuates symptoms of depression and anxiety.

methodsAdults aged ≥ 55 with insomnia were randomized to SHUTi-OASIS (Sleep Healthy Using the Internet for Older Adult Sufferers of Insomnia and Sleeplessness; N = 207) or Patient Education (PE; N = 104). Depression and anxiety were assessed (HADS-D and HADS-A, respectively) at baseline, post-assessment, and 6- and 12-month follow-ups.

resultsMultilevel modeling of HADS-D showed a condition by time interaction (F[3,779] = 3.23, p = .02): SHUTi-OASIS participants reported lower symptoms than PE at post-assessment. There was no such interaction effect for HADS-A (F[3,779] = 2.12, p = .10). Generalized linear modeling showed no moderation of effects by baseline symptom severity.

conclusionsParticipants randomized to Internet-delivered CBT-I showed stable depression and anxiety across time, while control participants' depressive symptoms briefly increased. CBT-I may help prevent development or worsening of psychological distress among older adults with insomnia.

trial registration[Registered at ClinicalTrials.gov; identifier removed for anonymity].

Indexed as

AnxietyCognitive Behavioral TherapyDepressionInternet-Based InterventionSleep Initiation and Maintenance DisordersAgedFollow-Up StudiesHumansMiddle AgedTreatment OutcomeAnxietyCognitive-behavioral therapy for insomniaDepressionInsomniaInternet interventionSleep initiation and maintenance disorders

Identifiers

PMID35932397
PMCPMC9362578

What OpenQuestion holds

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Registered trials

None linked

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.