Telehealth delivery of adapted CBT-I for insomnia in chronic pain patients: a single arm feasibility study

Article


Zambelli, Z., Halstead, E. J., Fidalgo, A. R., Mangar, S. and Dimitriou, D. 2024. Telehealth delivery of adapted CBT-I for insomnia in chronic pain patients: a single arm feasibility study. Frontiers in Psychology. 14 (Art. 1266368). https://doi.org/10.3389/fpsyg.2023.1266368
AuthorsZambelli, Z., Halstead, E. J., Fidalgo, A. R., Mangar, S. and Dimitriou, D.
Abstract

Objectives: A large proportion of individuals with chronic pain experience insomnia-related symptoms which can be persistent in nature, and negatively impact one’s quality of life. This single arm trial aimed to investigate the feasibility and preliminary efficacy of CBT-I, adapted for people with chronic musculoskeletal pain, delivered via telehealth.

Methods: We conducted a single arm feasibility trial in which 10 adult women (M age = 50.76 years, SD = 8.03 years) with self-reported insomnia and a diagnosed chronic musculoskeletal chronic pain received six CBT-I individual treatment sessions over 6–10 weeks. Treatment was delivered via telehealth. Participants completed weekly sleep diaries, and self-reported measures of insomnia, pain, anxiety and depression pre-treatment, post-treatment, and one-month follow-up.

Results: The trial yielded, high levels of compliance with intervention protocols, and affirmative feedback on satisfaction which demonstrated feasibility. The enrolment rate into the study was 37% (27 participants screened, 10 participants enrolled). The intervention was associated with statistically and clinically meaningful improvements in self-reported insomnia severity. There were statistically significant improvements in sleep efficiency, wake after sleep onset, sleep onset latency, anxiety and depression.

Conclusion: Adapted CBT-I delivered via telehealth may be a feasible, acceptable, and efficacious therapeutic approach for individuals with co-existent sleep and chronic pain. Future trials should adopt a randomized design against usual care.

JournalFrontiers in Psychology
Journal citation14 (Art. 1266368)
ISSN1664-1078
Year2024
PublisherFrontiers
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Digital Object Identifier (DOI)https://doi.org/10.3389/fpsyg.2023.1266368
Publication dates
Online11 Jan 2024
Publication process dates
Accepted11 Dec 2023
Deposited22 Jan 2024
Copyright holder© 2024, The Authors
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