Evidence map›Paper›PMID 37192176›Full record

ArticlePloS one2023

Investigating the effectiveness of electronically delivered cognitive behavioural therapy (e-CBTi) compared to pharmaceutical interventions in treating insomnia: Protocol for a randomized controlled trial.

Yiran Zhu, Callum Stephenson, Elnaz Moghimi, Jasleen Jagayat, Niloofar Nikjoo, Anchan Kumar, Amirhossein Shirazi, Charmy Patel, Mohsen Omrani, Nazanin Alavi

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05125146 (Investigating the Effectiveness of Electronically Delivered Cognitive Behavioural Therapy), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT05125146 narecruitingnot on this map

Investigating the Effectiveness of Electronically Delivered Cognitive Behavioural Therapy (e-CBTi) Compared to Pharmaceutical Interventions in the Treatment of Insomnia

TypeinterventionalSponsorDr. Nazanin AlaviRan2021 to 2025Enrolled60ConditionsInsomniaArmse-CBTi, Trazodone
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
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

10 authors at 2 institutions in 1 country.

Yiran ZhuFaculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0003-2665-6529
Callum StephensonFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0002-7929-1546
Elnaz MoghimiFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Jasleen JagayatFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Niloofar NikjooFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Anchan KumarFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Amirhossein ShiraziFaculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
Charmy PatelFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Mohsen OmraniFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Nazanin AlaviFaculty of Health Sciences, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0003-2784-1283
Queen's University · CAOptech (Canada) · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsomnia is one of the most prevalent sleep disorders characterized by an inability to fall or stay asleep. Available treatments include pharmacotherapy and cognitive behavioural therapy for insomnia (CBTi). Although CBTi is the first-line treatment, it has limited availability. Therapist-guided electronic delivery of CBT for insomnia (e-CBTi) offers scalable solutions to enhance access to CBTi. While e-CBTi produces comparable outcomes to in-person CBTi, there is a lack of comparison to active pharmacotherapies. Therefore, direct comparisons between e-CBTi and trazodone, one of the most frequently prescribed medications for insomnia, is essential in establishing the effectiveness of this novel digital therapy in the health care system.

objectiveThe aim of this study is to compare the effectiveness of a therapist-guided electronically-delivered cognitive behavioural therapy (e-CBTi) program to trazodone in patients with insomnia.

methodsPatients (n = 60) will be randomly assigned to two groups: treatment as usual (TAU) + trazodone and TAU + e-CBTi for seven weeks. Each weekly sleep module will be delivered through the Online Psychotherapy Tool (OPTT), a secure, online mental health care delivery platform. Changes in insomnia symptoms will be evaluated throughout the study using clinically validated symptomatology questionnaires, Fitbits, and other behavioural variables.

resultsParticipant recruitment began in November 2021. To date, 18 participants have been recruited. Data collection is expected to conclude by December 2022 and analyses are expected to be completed by January 2023.

conclusionsThis comparative study will improve our understanding of the efficacy of therapist-guided e-CBTi in managing insomnia. These findings can be used to develop more accessible and effective treatment options and influence clinical practices for insomnia to further expand mental health care capacity in this population.

trial registrationClinicalTrials.gov (NCT05125146).

Indexed as

Cognitive Behavioral TherapySleep Initiation and Maintenance DisordersTrazodoneHumansPharmaceutical PreparationsRandomized Controlled Trials as TopicSurveys and QuestionnairesTreatment OutcomePharmaceutical PreparationsTrazodone

Identifiers

PMID37192176
PMCPMC10187924
OpenAlexW4376871754

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.