Evidence map›Paper›PMID 42741705›Full record

ArticleNature and science of sleep2026

Is Digital Cognitive Behavioral Therapy for Insomnia Accessible for the Deaf Community?

Veronica Van Rossen, Ishana Kapoor, Marleigh Treger, Christopher Miller, Philip Cheng

Abstract readCase Reports
In one paragraph

Article in Nature and science of sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

5 authors.

Veronica Van RossenSleep Disorders and Research Center, Henry Ford Health, Detroit, MI, USA.
Ishana KapoorSleep Disorders and Research Center, Henry Ford Health, Detroit, MI, USA.
Marleigh TregerSleep Disorders and Research Center, Henry Ford Health, Detroit, MI, USA.
Christopher MillerBig Health Inc, San Francisco, CA, USA.ORCID 0000-0002-2936-7717
Philip ChengSleep Disorders and Research Center, Henry Ford Health, Detroit, MI, USA.ORCID 0000-0002-2874-658X

Funding

Enhancing digital CBT-I to improve adherence and reduce disparitiesR01HL159180 · NHLBI · HENRY FORD HEALTH SYSTEM · PI CHENG, PHILIP · 2021 to 2025
$3.0M
NHLBI NIH HHS R01 HL159180
6 · The paper itself

Abstract

While digital cognitive behavioral therapy for insomnia (dCBT-I) is highly effective, accessibility and adherence challenges persist, especially among vulnerable groups. To highlight unaccounted gaps in dCBT-I treatment adherence, a qualitative interview and case study were conducted to explore the experience of a deaf individual engaging in a six-week dCBT-I program. The patient showed strong adherence and improved sleep efficiency from 63% at Session 1 to 87% at Session 6, with feedback highlighting key accessibility barriers (eg, translation of audio content, inaccessible treatment recommendations) and facilitators (eg, telehealth sessions, motivational approach). This case serves as a foundation for future research and innovation, aiming to reduce treatment disparities in the digital mental health sphere.

Indexed as

accesscognitive behavioral therapydeafinsomniasingle case methodssleeptechnology

Identifiers

PMID42741705
PMCPMC13573778

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.