Evidence map›Paper›PMID 39924148›Full record

SynthesisJournal of sleep research2025

Effectiveness of current digital cognitive behavioural therapy for insomnia interventions for adolescents with insomnia symptoms: A systematic review and meta-analysis.

Melissa A Cleary, Cele Richardson, Ruby J Ross, Helen S Heussler, Andrew Wilson, Jenny Downs, Jennifer Walsh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of sleep research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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.

Melissa A ClearyCentre for Sleep Science, School of Human Sciences, The University of Western Australia, Perth, Western Australia, Australia.ORCID 0000-0001-9245-6707
Cele RichardsonSchool of Psychological Science, The University of Western Australia, Perth, Western Australia, Australia.ORCID 0000-0001-9425-2337
Ruby J RossSchool of Psychological Science, The University of Western Australia, Perth, Western Australia, Australia.
Helen S HeusslerChild Development and Child and Youth Community Health Service, Children's Health Queensland, Brisbane, Queensland, Australia.
Andrew WilsonThe Kids Research Institute Australia, Perth, Western Australia, Australia.
Jenny DownsThe Kids Research Institute Australia, Perth, Western Australia, Australia.
Jennifer WalshCentre for Sleep Science, School of Human Sciences, The University of Western Australia, Perth, Western Australia, Australia.ORCID 0000-0003-3950-6079

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep problems occur in up to 20%-45% of adolescents. This systematic review and meta-analysis examined the effectiveness of digital sleep interventions, based on cognitive behavioural therapy for insomnia, for adolescents with insomnia symptoms. The objective was to synthesise and quantify, through meta-analyses, changes in sleep following completion of a digital sleep-based intervention. MEDLINE, PubMed, PsycINFO, Scopus, EMBASE, CENTRAL, and Web of Science databases were searched from January 2012 to March 2024. Within-subject studies or randomized-controlled trials reporting the effects of digital cognitive behavioural therapy for insomnia were included. Risk of bias was assessed using the integrated quality criteria for the review of multiple study designs. Random-effects meta-analyses estimated pooled standardised within-subject mean differences to assess effectiveness. Nine studies involving 486 adolescents were included. Digital cognitive behavioural therapy for insomnia interventions were effective in reducing insomnia symptoms (Hedges' g = 1.40), subjective sleep-onset latency (Hedges' g = 0.72) and waking after sleep onset (Hedges' g = 0.47), and increasing subjective and objective total sleep time (Hedges' g = -0.29 and -0.23, respectively). Other objective measures of sleep did not improve. All studies met the minimum ICROMS score and were considered to be of sufficient quality. Seven within-subject studies failed to satisfy all mandatory criteria. These results suggest that digital cognitive behavioural therapy for insomnia interventions are effective in improving adolescent's perceptions of their sleep, but are less effective at improving some objective measures of sleep. To achieve a clear understanding of how digital cognitive behavioural therapy for insomnia interventions compare with other behavioural interventions, additional high-quality randomized-controlled trials comparing digital cognitive behavioural therapy for insomnia interventions with traditional in-person modalities are needed. (PROSPERO;CRD42021287479).

Indexed as

Cognitive Behavioral TherapySleep Initiation and Maintenance DisordersAdolescentHumansTreatment Outcomechildrencognitive behavioural therapyinsomnia

Identifiers

PMID39924148
PMCPMC12592813

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.