Evidence map›Paper›PMID 41340506›Full record

ArticleBritish journal of health psychology2026

'Better sleep, better wellbeing': Qualitative process evaluation of a hybrid, digital cognitive behavioural therapy programme for employees with sleep and emotion regulation problems.

Anna Hurley-Wallace, Sophie Fletcher, Talar R Moukhtarian, Krishane Patel, Agatha Payne, Tabitha Jackson, Carla Toro, Guy Daly, Sean Russel, Lukasz Walasek and 2 more

Abstract read
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In one paragraph

Article in British journal of health psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

12 authors.

Anna Hurley-WallaceMusculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0001-8790-1247
Sophie FletcherDivision of Health Sciences, Mental Health and Wellbeing Group, Warwick Medical School, University of Warwick, Coventry, UK.
Talar R MoukhtarianDivision of Health Sciences, Mental Health and Wellbeing Group, Warwick Medical School, University of Warwick, Coventry, UK.
Krishane PatelNatwest Group, London, UK.
Agatha PayneDepartment of Psychology, Clinical and Applied Psychology Unit, University of Sheffield, Sheffield, UK.
Tabitha JacksonCentre for Applied Psychology (CAP), School of Psychology, University of Birmingham, Birmingham, UK.
Carla ToroDivision of Health Sciences, Mental Health and Wellbeing Group, Warwick Medical School, University of Warwick, Coventry, UK.
Guy DalyThe British University in Egypt, Cairo, Egypt.
Sean RusselFaculty of Health and Life Sciences, Coventry University, Coventry, UK.
Lukasz WalasekDepartment of Psychology, University of Warwick, Coventry, UK.
Nicole K Y TangDepartment of Psychology, University of Warwick, Coventry, UK.
Caroline MeyerDivision of Health Sciences, Mental Health and Wellbeing Group, Warwick Medical School, University of Warwick, Coventry, UK.

Funding

Midlands Engine
6 · The paper itself

Abstract

introductionSleep and mental health problems are common across the working adult population. This process evaluation provides insight into the experiences of employees who took part in a digital intervention trial: Supporting Employees with Insomnia and Emotional Regulation Problems (SLEEP). The programme combined digital CBT for insomnia with emotion regulation. Digital content was supported by remote therapy. The objectives of this process evaluation were to explore participants' experiences of the intervention, and identify how the intervention achieved change.

methodsTwenty-one semi-structured interviews were conducted using videoconferencing. A stratified sample of participants from within each of five cohorts of the SLEEP trial was interviewed. Thematic analysis utilized a collaborative codebook and framework approach. To conceptualize mechanisms of change, behaviour change techniques were retrospectively coded onto participant interview data.

resultsAn overarching theme: 'Better sleep, better wellbeing' was generated, with three interlinking themes conceptualizing the process by which positive changes to sleep and wellbeing were achieved. These were: 'Procedure: The value of therapy sessions versus digital-only', 'Context: Working on mental health from home during COVID-19', and 'Mechanisms: Practice, feedback and problem solving.'

conclusionsParticipants' experiences of SLEEP were predominantly positive and suggested a spillover effect of improved sleep on overall wellbeing. Triangulation of quantitative outcomes showed congruent improvements. Maintaining therapist contact to facilitate behaviour change throughout the programme was important. Furthermore, providing a private space for therapist calls was essential to facilitate the intervention in the workplace; an important insight for the development of digital mental health interventions intended for the workplace.

Indexed as

Cognitive Behavioral TherapyEmotional RegulationSleep Initiation and Maintenance DisordersAdultCOVID-19FemaleHumansMaleMiddle AgedQualitative ResearchTelemedicineCBT‐Idigital interventioninsomniamental healthprocess evaluationthematic analysis

Identifiers

PMID41340506
PMCPMC12676197

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LicenceCC BY
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Registered trials

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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.