Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials
Objective To evaluate the effectiveness of internet-based cognitive–behavioural therapy for insomnia (ICBT-i) in adults.Design A meta-analysis of ICBT-i.Data sources Systematic searches of randomised controlled trials of ICBT-i were performed in the PubMed, EMBASE, PsycINFO and Cochrane Library data...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2016-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/6/11/e010707.full |
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| author | Jia Chen Juan Liu Yuan-yuan Ye Ni-ka Chen Ling Lin Ya-zhen Liu Ying Lang Xun-jun Li Xin-ju Yang Xiao-jiang Jiang |
| author_facet | Jia Chen Juan Liu Yuan-yuan Ye Ni-ka Chen Ling Lin Ya-zhen Liu Ying Lang Xun-jun Li Xin-ju Yang Xiao-jiang Jiang |
| author_sort | Jia Chen |
| collection | DOAJ |
| description | Objective To evaluate the effectiveness of internet-based cognitive–behavioural therapy for insomnia (ICBT-i) in adults.Design A meta-analysis of ICBT-i.Data sources Systematic searches of randomised controlled trials of ICBT-i were performed in the PubMed, EMBASE, PsycINFO and Cochrane Library databases up to 19 June 2016.Review method 2 reviewers independently performed study selection, quality assessment and data extraction. Outcomes of interest included sleep onset latency (SOL), total sleep time (TST), sleep efficiency (SE), wake after sleep onset (WASO), number of nocturnal awakenings (NWAK), and Insomnia Severity Index (ISI). RevMan 5.2 and Stata 13.0 meta-analysis software were used to perform statistical analysis.Results 14 records for 15 studies (1013 experimental group participants, 591 waiting list group participants) were included. The meta-analysis indicated that, at the post-test time point, SOL decreased by 18.41 min (95% CI 13.60 to 23.21), TST increased by 22.30 min (95% CI 16.38 to 28.23), SE increased by 9.58% (95% CI 7.30% to 11.85%), WASO decreased by 22.31 min (95% CI 13.50 to 31.11), NWAK decreased by 0.52 (95% CI 0.28 to 0.76), and ISI decreased by 5.88 points (95% CI 4.29 to 7.46). Additionally SOL, TST, SE, and WASO exhibited statistically significant improvements at follow-up versus before treatment.Conclusions ICBT-i is an effective treatment for adults with insomnia. This conclusion should be verified in further studies. |
| format | Article |
| id | doaj-art-1b00091033da41ed85effc1f6b99c071 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2016-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1b00091033da41ed85effc1f6b99c0712025-02-12T03:35:09ZengBMJ Publishing GroupBMJ Open2044-60552016-11-0161110.1136/bmjopen-2015-010707Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trialsJia Chen0Juan Liu1Yuan-yuan Ye2Ni-ka Chen3Ling Lin4Ya-zhen Liu5Ying Lang6Xun-jun Li7Xin-ju Yang8Xiao-jiang Jiang9Alnylam Pharmaceuticals, Cambridge, Massachusetts, USAassociate professor1Department of Neurology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China2Department of Neurology, PLA 187 Hospital, Haikou, ChinaDepartment of Respiratory and Critical Care Medicine, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China1Department of Neurology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China1Department of Neurology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China1Department of Neurology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China1Department of Neurology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China1Department of Neurology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, ChinaObjective To evaluate the effectiveness of internet-based cognitive–behavioural therapy for insomnia (ICBT-i) in adults.Design A meta-analysis of ICBT-i.Data sources Systematic searches of randomised controlled trials of ICBT-i were performed in the PubMed, EMBASE, PsycINFO and Cochrane Library databases up to 19 June 2016.Review method 2 reviewers independently performed study selection, quality assessment and data extraction. Outcomes of interest included sleep onset latency (SOL), total sleep time (TST), sleep efficiency (SE), wake after sleep onset (WASO), number of nocturnal awakenings (NWAK), and Insomnia Severity Index (ISI). RevMan 5.2 and Stata 13.0 meta-analysis software were used to perform statistical analysis.Results 14 records for 15 studies (1013 experimental group participants, 591 waiting list group participants) were included. The meta-analysis indicated that, at the post-test time point, SOL decreased by 18.41 min (95% CI 13.60 to 23.21), TST increased by 22.30 min (95% CI 16.38 to 28.23), SE increased by 9.58% (95% CI 7.30% to 11.85%), WASO decreased by 22.31 min (95% CI 13.50 to 31.11), NWAK decreased by 0.52 (95% CI 0.28 to 0.76), and ISI decreased by 5.88 points (95% CI 4.29 to 7.46). Additionally SOL, TST, SE, and WASO exhibited statistically significant improvements at follow-up versus before treatment.Conclusions ICBT-i is an effective treatment for adults with insomnia. This conclusion should be verified in further studies.https://bmjopen.bmj.com/content/6/11/e010707.full |
| spellingShingle | Jia Chen Juan Liu Yuan-yuan Ye Ni-ka Chen Ling Lin Ya-zhen Liu Ying Lang Xun-jun Li Xin-ju Yang Xiao-jiang Jiang Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials BMJ Open |
| title | Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials |
| title_full | Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials |
| title_fullStr | Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials |
| title_full_unstemmed | Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials |
| title_short | Internet-based cognitive–behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials |
| title_sort | internet based cognitive behavioural therapy for insomnia icbt i a meta analysis of randomised controlled trials |
| url | https://bmjopen.bmj.com/content/6/11/e010707.full |
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