Trial reportApplied psychology. Health and well-being2025
Effectiveness of internet-based self-help cognitive behavioral therapy for insomnia (CBT-I) among community adults: A randomized controlled trial.
Trial report in Applied psychology. Health and well-being, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of fully automated digital cognitive behavioral therapy for insomnia in adults: a systematic review and meta-analysis.Sleep & breathing = Schlaf & Atmung · 2026Pooled it
- Effectiveness of internet-based self-help cognitive behavioral therapy for insomnia (CBT-I) among community adults: A randomized controlled trial.Applied psychology. Health and well-being · 2025Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
While research on internet-based Cognitive Behavioral Therapy for Insomnia (CBT-I) is growing, questions remain regarding its mechanisms and broader benefits beyond reducing insomnia. The present study aims to contribute to the literature by developing, implementing, and evaluating a new internet-based self-help CBT-I among community adults with mild-to-moderate insomnia in Hong Kong. Participants were randomly assigned to either a CBT-I intervention group (n = 179) or a waitlist control group (n = 179). Both groups completed questionnaire measures at baseline (T1), immediately after the intervention (T2), and 4 weeks post-intervention (T3). Compared to the control group, the intervention group demonstrated greater reductions in insomnia symptoms, sleep disturbance, pre-sleep arousal, maladaptive sleep hygiene practices, dysfunctional beliefs and attitudes about sleep, depressive and anxiety symptoms, cognitive impairments, and work and social difficulties, as well as greater improvements in well-being and health-related quality of life at both T2 and T3. The effect sizes of these changes ranged from small to medium. Mediation analyses further revealed that pre-sleep arousal significantly mediated the effects of the intervention on insomnia symptoms. Importantly, our findings demonstrate that internet-based self-help CBT-I effectively reduces insomnia severity, with pre-sleep arousal as a key mechanism, and yields broader benefits, such as alleviating affective symptoms and functional impairments and promoting health and wellness. Given its efficacy, accessibility, scalability, and cost-effectiveness, this intervention represents a promising first-line approach for managing insomnia in the community.
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What OpenQuestion holds
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.