Evidence map›Paper›PMID 36149737›Full record

ArticleJMIR research protocols2022

Assessing Cognitive Behavioral Therapy for Insomnia to Improve Sleep Outcomes in Individuals With a Concussion: Protocol for a Delayed Randomized Controlled Trial.

Rebecca Ludwig, Michael Rippee, Linda J D'Silva, Jeff Radel, Aaron M Eakman, Jill Morris, Michelle Drerup, Catherine Siengsukon

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04885205 (Use of Cognitive Behavioral Therapy for Insomnia in Individuals With a Concussion), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
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.

NCT04885205 nacompletednot on this map

Use of Cognitive Behavioral Therapy for Insomnia in Individuals With a Concussion

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2021 to 2022Enrolled40ConditionsConcussion, MildArmscognitive behavioral therapy for insomnia (CBT-I)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. The Impact of Cognitive Behavioral Therapy for Insomnia on Neurofilament Light and Phosphorylated Tau in Individuals with a Concussion.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Trial
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 at 3 institutions in 1 country.

Rebecca LudwigPhysical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, KS, United States.ORCID https://orcid.org/0000-0002-0029-6361
Michael RippeeDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, United States.ORCID https://orcid.org/0000-0001-8000-7015
Linda J D'SilvaDepartment of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS, United States.ORCID https://orcid.org/0000-0002-3827-0730
Jeff RadelDepartment of Occupational Therapy and Therapeutic Science, University of Kansas Medical Center, Kansas City, KS, United States.ORCID https://orcid.org/0000-0002-9620-7414
Aaron M EakmanDepartment of Occupational Therapy, Colorado State University, Fort Collins, CO, United States.ORCID https://orcid.org/0000-0002-4294-5286
Jill MorrisDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, United States.ORCID https://orcid.org/0000-0001-5911-4190
Michelle DrerupCleveland Clinic, Neurological Institute, Sleep Disorders Center, Cleveland, OH, United States.ORCID https://orcid.org/0000-0001-7969-8787
Catherine SiengsukonDepartment of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS, United States.ORCID https://orcid.org/0000-0002-7706-6804
University of Kansas Medical Center · USCleveland Clinic · USColorado State University · US

Funding

Using PCORnet to Expand the DS-CONNECT Cohort Through Healthcare System Recruitment, Incorporating Electronic Health Records, and Assessing Self-DeterminationU54HD090216 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI COLOMBO, JOHN A. · 2016 to 2020
$6.2M
Kansas University Training Program in Neurological and Rehabilitation SciencesT32HD057850 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Jacob J. Sosnoff · 2009 to 2026
$3.4M
Acute exercise and the cerebral metabolic response in aging and Alzheimer's DiseaseR01AG062548 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MORRIS, JILL KATHLEEN · 2020 to 2024
$2.4M
NIA NIH HHS R01 AG062548NICHD NIH HHS T32 HD057850NICHD NIH HHS U54 HD090216
6 · The paper itself

Abstract

backgroundSleep disturbances post concussion have been associated with more frequent and severe concussion symptoms and may contribute to poorer recovery. Cognitive behavioral therapy for insomnia (CBT-I) is an effective treatment for insomnia; however, it remains unclear if this treatment method is effective in improving sleep outcomes and reducing concomitant postconcussion symptoms.

objectiveThe hypotheses for this study are that (1) CBT-I will improve sleep outcomes and (2) CBT-I will improve concomitant postconcussion symptoms.

methodsIn total, 40 individuals who are within ≥4 weeks of postconcussion injury and have insomnia symptoms will be enrolled in this randomized controlled trial. Participants will be randomized into either a group that starts a 6-week CBT-I program immediately after baseline or a waitlist control group that starts CBT-I following a 6-week waiting period. All participants will be reassessed 6, 12, and 18 weeks after baseline. Standardized assessments measuring sleep outcomes, postconcussion symptoms, and mood will be used. Linear regression and t tests will be used for statistical analyses.

resultsEnrollment of 40 participants was completed July 2022, data collection will be completed in November 2022, and publication of main findings is anticipated in May 2023. It is anticipated that participants experience reduced insomnia symptoms and postconcussion symptoms following CBT-I and these improvements will be retained for at least 12 weeks. Additionally, we expect to observe a positive correlation between sleep and postconcussion symptom improvement.

conclusionsSuccessful completion of this pilot study will allow for a better understanding of the treatment of insomnia and postconcussion symptoms in individuals following a concussion.

trial registrationClinicalTrials.gov NCT04885205; https://clinicaltrials.gov/ct2/show/NCT04885205. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/38608.

Indexed as

brainCBTcognitive behavioral therapyconcussioninjuryinsomniapilot studyprotocolrandomized controlled trialRCTrecoverysleep

Identifiers

PMID36149737
PMCPMC9547332
OpenAlexW4293766350

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.