Evidence map›Paper›PMID 41087197›Full record

Trial reportWomen's health issues : official publication of the Jacobs Institute of Women's Health

Black Women Benefit From Psychotherapies for Insomnia, but Experience Adherence Challenges: Results of a Comparative Effectiveness Trial in Women Veterans.

Kimiko J May, Alexander J Erickson, Gwendolyn C Carlson, Monica R Kelly, Yeonsu Song, Kaddy Y Revolorio, Michael N Mitchell, Donna L Washington, Elizabeth M Yano, Cathy A Alessi and 3 more

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02076165 (A Patient-Focused Approach to Insomnia Treatment for Women Veterans), which is not on this map. Not yet cited in PubMed.

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

NCT02076165 nacompletednot on this map

A Patient-Focused Approach to Insomnia Treatment for Women Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2014 to 2018Enrolled347ConditionsInsomniaArmsAcceptance and the Behavioral Changes to Treat Insomnia, Cognitive behavioral therapy for insomnia
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Kimiko J MayDepartment of Psychology, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Alexander J EricksonVA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center, Los Angeles, California.
Gwendolyn C CarlsonDepartment of Psychology, VA Greater Los Angeles Healthcare System, Los Angeles, California; VA HSR Center for the Study of Healthcare Innovation, Implementation and Policy, Los Angeles, California; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California.
Monica R KellyVA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center, Los Angeles, California; David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California.
Yeonsu SongVA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center, Los Angeles, California; David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California; School of Nursing at the University of California, Los Angeles, Los Angeles, California.
Kaddy Y RevolorioDepartment of Psychology, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Michael N MitchellVA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center, Los Angeles, California.
Donna L WashingtonVA HSR Center for the Study of Healthcare Innovation, Implementation and Policy, Los Angeles, California; David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California.
Elizabeth M YanoVA HSR Center for the Study of Healthcare Innovation, Implementation and Policy, Los Angeles, California; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California.
Cathy A AlessiVA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center, Los Angeles, California; David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California.
Sarah Kate McGowanDepartment of Psychology, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California.
Constance H FungVA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center, Los Angeles, California; David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California.
Jennifer L MartinVA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center, Los Angeles, California; David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California. Electronic address: Jennifer.martin@va.gov.

Funding

Insomnia Treatment and Cardiometabolic Health in Older Adults with Posttraumatic Stress DisorderK23HL157754 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Monica R Kelly · 2022 to 2026
$999k
Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
HSRD VA I01 HX001287HSRD VA I01 HX002300HSRD VA IK2 HX003332HSRD VA IK6 HX002836HSRD VA IK6 HX003160NHLBI NIH HHS K23 HL157754NHLBI NIH HHS K24 HL143055
6 · The paper itself

Abstract

backgroundBlack women and veterans experience disproportionally high rates of insomnia. Few studies have examined how treatment adherence and outcomes vary by racial identity. We found that cognitive behavioral therapy for insomnia (CBT-I) and an acceptance and commitment therapy (ACT)-based insomnia treatment similarly improve sleep outcomes for women veterans, and this analysis examined differences in adherence and outcomes of these treatments based on racial identity groups. PURPOSE: Analyses examined differences in adherence and treatment outcomes in Black compared with white women veterans who engaged in CBT-I or an ACT-based insomnia treatment (i.e., acceptance and the behavioral changes to treat insomnia [ABC-I]).

methodsAs part of a larger clinical trial (NCT02076165), 40 Black and 51 white women veterans with insomnia disorder completed five sessions of CBT-I or ABC-I. The Insomnia Severity Index (ISI) and sleep diaries were completed at baseline, posttreatment, and 3-month follow-up. The Credibility and Expectancy Questionnaire was completed at the end of the first treatment session. Multiple and fractional regression models were used to evaluate the association between race group and change in ISI, sleep diary sleep efficiency, and adherence to weekly sleep schedule prescriptions in CBT-I and ABC-I.

resultsTreatment benefits were comparable between Black and white women veterans; however, Black women had transiently lower adherence to sleep restriction time in bed recommendations in the week immediately after sleep restriction therapy was introduced in both treatments. There were no other differences between the groups.

conclusionsFuture research is needed to understand potential barriers to early adherence to recommendations experienced by Black women veterans and to identify treatment adaptations to meet their needs.

Indexed as

Black or African AmericanCognitive Behavioral TherapyPatient ComplianceSleep Initiation and Maintenance DisordersTreatment Adherence and ComplianceVeteransAdultAgedComparative Effectiveness ResearchFemaleHumansMiddle AgedSurveys and QuestionnairesTreatment OutcomeWhite

Identifiers

PMID41087197
PMCPMC12696683

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.