Trial reportJournal of medical Internet research2025
Effectiveness of Information and Communication Technology-Based Cognitive Behavioral Therapy Using the Smart Sleep App on Insomnia in Older Adults: Randomized Controlled Trial.
Trial report in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 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
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Digital Cognitive Behavioral Therapy for Insomnia in Older Adults: A Systematic Review and Meta-analysis.International journal of behavioral medicine · 2026Pooled it
- Prevalence and Correlates of Problematic Alcohol Use Among Older Chinese Adults: A Study Combining Logistic Regression and Psychological Network Analysis.Alpha psychiatry · 2026Article
- Biopsychosocial predictive factors for developing chronic postsurgical pain after hip replacement surgery: A systematic review.Osteoarthritis and cartilage open · 2026Review
- Effectiveness of digital and mobile-based interventions on sleep quality among nurses: a systematic review and meta-analysis.Frontiers in digital health · 2026Review
- Unraveling the Effects ofInternational journal of molecular sciences · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsomnia is a common sleep disorder, especially among older adults, with a significant impact on the quality of life (QoL) and is associated with various comorbidities. Traditional pharmacotherapy for insomnia is often unsuitable for older adults because of potential drug interactions and side effects, making nonpharmacological interventions such as cognitive behavioral therapy for insomnia (CBT-I) more appropriate. However, delivering CBT-I in a traditional face-to-face setting poses challenges including accessibility and adherence, particularly for older adults.
objectiveThis study aimed to evaluate the effectiveness of an information and communication technology (ICT)-based CBT-I program, "Smart Sleep," specifically designed to improve insomnia among community-dwelling older persons.
methodsA single-blind randomized controlled trial was conducted with 59 older participants from Incheon, South Korea. Participants were divided into an intervention group, which used the Smart Sleep mobile app, and a control group. The intervention group received 8 weeks of non-face-to-face CBT-I through the app, which included sleep diaries, relaxation exercises, and real-time consultations. Outcomes were measured at baseline, week 4, and week 8, with a focus on insomnia severity, sleep quality, sleep efficiency, dysfunctional beliefs about sleep, depression, and QoL.
resultsThe intervention group showed significant improvements in insomnia severity, sleep quality, sleep efficiency, and dysfunctional beliefs about sleep compared to the control group. However, there was no significant difference in the QoL between the 2 groups (F
conclusionsThe ICT-based CBT-I program "Smart Sleep" effectively improved sleep-related outcomes among older participants, demonstrating the potential of non-face-to-face interventions in managing insomnia in this population. The program is user-friendly, and ICT-based coaching contributed to high engagement. To ensure broader access for older adults, distribution through community welfare or public health centers is recommended.
trial registrationClinical Research Information Service KCT0007287; https://cris.nih.go.kr/cris/search/detailSearch.do?seq=23344.
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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.