CBT for Insomnia Workshop: factor analysis and cohort studies
Research type
Research Study
Full title
Developing a Step 2 CBT for Insomnia Workshop: Retrospective Exploratory Factor Analysis and Prospective Cohort Studies
IRAS ID
213407
Contact name
Jamie Short
Contact email
Sponsor organisation
University of Exeter
Duration of Study in the UK
0 years, 1 months, 31 days
Research summary
Insomnia is recognised by way of distress and daytime fatigue which is of considerable cost to society and wellbeing. It is estimated that 69% of common mental health problems include distress caused by sleep disturbance, yet it is rarely treated within primary care services (Step 2). It is likely that the brevity of Step 2 work reduces the likelihood that this will be addressed and it is often referred to in the literature as ‘secondary insomnia.’ \n\nGroup working in step 2 has been shown to be effective both in a broader sense of peer support and normalising experience but also modular approaches enable people to gain most from a session in a structured way. It is proposed that a CBT for Insomnia (CBT-I) Workshop alongside step 2 CBT would compliment therapy showing a reduction in symptoms particularly on the two sleep-related questions on the PHQ-9, a routine measure for depression.\n\nFollowing a large meta-analysis of 23 studies (N=1379) it has been suggested that cost-effectiveness and availability of CBT-I in primary care in medical centres should be provided (Johnson et al. 2016) and group interventions rather than pure-self help using a standardised approach appear to show a higher clinical improvement in an N=98 depression group study.\n\nThus, there appears a need for CBT-I to be more available in Primary Care and logical to present this alongside depression treatment. The aims are to conduct a retrospective factor analysis of N=100 patients exploring whether a ‘sleep factor’ can be extracted from the PHQ-9. Secondly, a pre-post within-subjects repeated measures design will be implemented for the Workshop aiming to show symptom improvement; treatment adherence will be recorded and a post-workshop review with participants will discuss acceptability and feasibility of the Workshop exploring how well the workshop met their needs. \n
REC name
South West - Cornwall & Plymouth Research Ethics Committee
REC reference
17/SW/0029
Date of REC Opinion
26 Jan 2017
REC opinion
Unfavourable Opinion