Log in and breathe out: efficacy and cost-effectiveness of an online sleep training for teachers affected by work-related strain - study protocol for a randomized controlled trial

Trials

Heleen Riper³  Matthias Berking²  Bernhard Sieland¹  David Daniel Ebert²  Dirk Lehr¹  Hanne Thiart¹ 

[1] Innovation Incubator, Division of Health Training Online, Leuphana University Lueneburg, Rotenbleicher Weg 67, 21335, Lueneburg, Germany;Philipps University Marburg, Philipps-Universität Marburg, Gutenbergstraße 18, 35037, Marburg, Germany;Faculty of Psychology and Education, VU University Amsterdam, Van der Boechorststraat 1, 1081BT, Amsterdam, The Netherlands

关键词: Teachers;    Stress;    Occupational health;    Cost-effectiveness;    CBT-I;    Internet;    Insomnia;   

Others  :  1093745
DOI  :  10.1186/1745-6215-14-169

 received in 2013-03-23, accepted in 2013-05-23,  发布年份 2013

【 摘 要 】

Background

Insomnia and work-related stress often co-occur. Both are associated with personal distress and diminished general functioning, as well as substantial socio-economic costs due to, for example, reduced productivity at the work place and absenteeism. Insomnia complaints by people experiencing work-related stress are correlated with a deficient cognitive detachment from work. Diffuse boundaries between work and private life can additionally complicate the use of recreational activities that facilitate cognitive detachment.

Cognitive behavioral therapy for insomnia is effective but rarely implemented. Internet-based cognitive behavioral therapy for insomnia could potentially reduce this deficit given its demonstrated effectiveness. Less is known, however, about the efficacy of internet-based cognitive behavioral therapy for insomnia in populations affected by high work stress. Thus, the aim of the present study is to evaluate the efficacy and cost-effectiveness of a newly developed, guided online training which is based on Cognitive Behavioral Therapy for insomnia and tailored to teachers affected by occupational stress.

Methods/Design

In a two-arm randomized controlled trial (N = 128), the effects of a guided online sleep training will be compared to a waitlist-control condition. German teachers with significant clinical insomnia complaints (Insomnia Severity Index ≥15) and work-related rumination (Irritation Scale, subscale Cognitive Irritation ≥15) will be included in the study. The primary outcome measure will be insomnia severity. Additionally, an economic evaluation from a societal perspective will be conducted. Data from the intention-to-treat sample will be analyzed two and six months after randomization.

Discussion

To the best of our knowledge, this is the first study to evaluate an online sleep training tailored to a specific population with work stress, that is, teachers. If this type of intervention is effective, it could reduce the paucity of cognitive behavioral therapy for insomnia and augment the support for teachers in coping with their insomnia problems.

Trial registration

German Clinical Trial Register (DRKS):DRKS00004700

【 授权许可】

   
2013 Thiart et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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