Evidence map›Paper›PMID 39364910›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025

Promoting sustained access to cognitive behavioral therapy for insomnia in Australia: a system-level implementation program.

Alexander Sweetman, R Doug McEvoy, Michael S Frommer, Robert Adams, Ching Li Chai-Coetzer, Sallie Newell, Vivienne Moxham-Hall, Sally Redman

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07486973 (Lay-led Brief Cognitive Behavioural Therapy for Insomnia), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT07486973 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Lay-led Brief Cognitive Behavioural Therapy for Insomnia (CBT-I) Group for Older Adults in Hong Kong: A Pilot Study

TypeinterventionalSponsorThe University of Hong KongRan2026 to 2027Enrolled50ConditionsSleep QualityArmsLay-led CBT-I brief group, Booklet on sleep health
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Cognitive behavioral therapy for insomnia access and engagement considerations: if we build it, will they access?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    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

8 authors.

Alexander SweetmanAdelaide Institute for Sleep Health, and Flinders Health and Medical Research Institute: Sleep Health, Flinders University, Adelaide, South Australia, Australia.
R Doug McEvoyAdelaide Institute for Sleep Health, and Flinders Health and Medical Research Institute: Sleep Health, Flinders University, Adelaide, South Australia, Australia.
Michael S FrommerSax Institute, Glebe, New South Wales, Australia.
Robert AdamsAdelaide Institute for Sleep Health, and Flinders Health and Medical Research Institute: Sleep Health, Flinders University, Adelaide, South Australia, Australia.
Ching Li Chai-CoetzerAdelaide Institute for Sleep Health, and Flinders Health and Medical Research Institute: Sleep Health, Flinders University, Adelaide, South Australia, Australia.
Sallie NewellSax Institute, Glebe, New South Wales, Australia.
Vivienne Moxham-HallSax Institute, Glebe, New South Wales, Australia.
Sally RedmanSax Institute, Glebe, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesInsomnia is a highly prevalent and debilitating disorder. Cognitive behavioral therapy for insomnia (CBTi) is the recommended "first line" treatment, but is accessed by a minority of people with insomnia. This paper describes a system-level implementation program to improve access to CBTi in Australia to inform CBTi implementation in other locations.

methodsFrom 2019-2023, we conducted a program of work to promote sustained change in access to CBTi in Australia. Three distinct phases included (1) scoping and mapping barriers to CBTi access, (2) analysis and synthesis of barriers and facilitators to devise change goals, and (3) structured promotion and coordination of change. We used a system-level approach, knowledge brokerage, and codesign, and drew on qualitative, quantitative, and implementation science methods.

resultsWe identified barriers to CBTi access from the perspectives of people with insomnia, primary care clinicians, and the health system. A stakeholder advisory committee was convened to codesign change goals, identify modifiable barriers, devise program logic, and drive change strategies. We commenced a program to promote system-level change in CBTi access via: improved awareness and education of insomnia among primary care clinicians, self-guided interventions, and advocating to Government for additional CBTi funding mechanisms.

conclusionsThis implementation program made significant progress toward improving access to CBTi in Australia. Ongoing work is required to continue this program, as long-term system-level change requires significant and sustained time, effort, and resources from multiple stakeholders. This program may be used to inform CBTi implementation activities in other locations. CITATION: Sweetman A, McEvoy RD, Frommer MS, et al. Promoting sustained access to cognitive behavioral therapy for insomnia in Australia: a system-level implementation program.

Indexed as

Cognitive Behavioral TherapyHealth Services AccessibilitySleep Initiation and Maintenance DisordersAustraliaHumansMaleCBTidifficulties initiating and maintaining sleepimplementation scienceinsomniaknowledge translationnonpharmacological

Identifiers

PMID39364910
PMCPMC11789250

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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.