ArticleInternet interventions2026
Influence of stepped support on older adults' internet insomnia intervention engagement and outcomes.
Article in Internet interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03213132 (An Insomnia Internet Intervention for Older Adults), which is not on this map. Not yet cited in PubMed.
What it found
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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.
An Insomnia Internet Intervention for Older Adults
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0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: While delivering care by the Internet holds substantial potential to increase access to behavioral insomnia treatment, sustaining user engagement is considered a challenge. Minimal human support may enhance intervention engagement and efficacy, and older adults may particularly benefit from additional support for otherwise self-directed Internet interventions. Objectives: Test whether a human-delivered stepped support protocol improves engagement and outcomes using a fully-automated cognitive-behavioral therapy for insomnia program tailored for older adults (Sleep Healthy Using the Internet-Older Adult Sufferers of Insomnia and Sleeplessness [SHUTi-OASIS]). Methods: Adults aged 55 and older with insomnia ( Results: There was minimal activation of stepped support (14 of 102 SHUTi-OASIS+SS participants). There were no consistent differences in engagement or insomnia outcomes found when comparing SHUTi-OASIS versus SHUTi-OASIS+SS participants, nor when comparing only low-engaging participants across each condition ( Conclusions: In this trial, most older adults engaged with the Internet intervention as instructed without the need for human support. Findings highlight the utility of highly-engaging Internet interventions for addressing older adults' healthcare needs. Study preregistration: This trial was registered at ClinicalTrials.gov (Identifier NCT03213132; https://clinicaltrials.gov/study/NCT03213132; first registered July 6, 2017).
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