Evidence map›Paper›PMID 37976563›Full record

ArticleHeart & lung : the journal of critical care

Behavioral interventions and symptom cluster change in adults with chronic obstructive pulmonary disease and insomnia.

Jeehye Jun, Chang Park, Cynthia Fritschi, Bilgay Balserak, Pamela Martyn-Nemeth, Samuel Kuna, Mary Kapella

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01973647 (Efficacy and Mechanisms of a Behavioral Therapy for Insomnia Co-existing With COPD), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 80% 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.

NCT01973647 nacompletednot on this map

Efficacy and Mechanisms of a Behavioral Therapy for Insomnia Co-existing With COPD

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2014 to 2019Enrolled109ConditionsInsomnia, COPD, Chronic Obstructive Pulmonary Disease, FatigueArmsCognitive Behavioral Therapy for Insomnia, COPD Education, Attention Control
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 0 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 3 institutions in 2 countries.

Jeehye JunRed Cross College of Nursing, Chung-Ang University, Seoul, South Korea. Electronic address: jjun27@cau.ac.kr.
Chang ParkCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.
Cynthia FritschiCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.
Bilgay BalserakCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.
Pamela Martyn-NemethCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.
Samuel KunaSchool of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Sleep Medicine Section, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Mary KapellaCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.
University of Illinois Chicago · USChung-Ang University · KRPhiladelphia VA Medical Center · US

Funding

Efficacy and mechanisms of a behavioral therapy for insomnia coexisting with COPDR01NR013937 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KAPELLA, MARY C · 2013 to 2017
$2.3M
NINR NIH HHS R01 NR013937
6 · The paper itself

Abstract

backgroundPeople with chronic obstructive pulmonary disease (COPD) and insomnia experience multiple co-occurring symptoms, but no studies have examined symptom cluster change over time in this population.

objectivesThis study explored longitudinal patterns of symptom cluster profiles for adults with COPD and insomnia and evaluated whether behavioral interventions were associated with changes in symptom cluster profiles.

methodsThis study included 91 adults with COPD and insomnia who participated in a randomized trial of cognitive behavioral therapy for insomnia (CBT-I) and COPD education. The pre-specified symptom cluster included insomnia, dyspnea, fatigue, anxiety, and depression. Latent profile analysis identified participant groups with distinct symptom cluster profiles at baseline, immediately post-intervention, and at 3-month follow-up; latent transition analysis then estimated the probability of group membership change over time. Multinomial logistic regression was used to determine whether the interventions were associated with changes in symptom cluster profiles.

resultsThree groups were identified at each of three time-points: Class 1 (low symptom burden), Class 2 (intermediate), and Class 3 (high). Classes 1 and 2 showed less movement to other classes (16 % and 38 %, respectively), whereas Class 3 showed greater transition (64 %). The CBT-I intervention was significantly associated with movement to a lower symptom burden group (Class 3 to 2 or 2 to 1).

conclusionsCBT-I, with or without COPD education, shows promise as a tailored intervention to reduce symptom burden in the study population. Study findings will facilitate development of interventions to reduce the severity of multiple co-occurring symptoms in people with COPD and insomnia. CLINICAL

trial registrationRegistry: ClinicalTrials.gov; Name: A Behavioral Therapy for Insomnia Co-existing with COPD; Identifier: NCT01973647.

Indexed as

Cognitive Behavioral TherapyPulmonary Disease, Chronic ObstructiveSleep Initiation and Maintenance DisordersAdultBehavior TherapyHumansSyndromeTreatment OutcomeChronic obstructive pulmonary diseaseCognitive behavioral therapy for insomniaInsomniaLatent transition analysisLongitudinal dataSymptom cluster

Identifiers

PMID37976563
PMCPMC10947945
OpenAlexW4388680106

What OpenQuestion holds

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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.