The effect of nurse‐led Internet‐based cognitive behavioural therapy for insomnia on patients with cardiovascular disease: A randomized controlled trial with 6‐month follow‐up

Nursing Open

Gerhard Andersson¹  Martin Ulander²  Peter Johansson³  Sandra Siebmanns⁴  Anders Broström⁴  Linda Johansson⁵ 

[1] Department of Behavioral Sciences and Learning Linköping University Linköping Sweden;Department of Clinical Neurophysiology Linköping University Hospital Linköping Sweden;Department of Health, Medicine and Care Linköping University Norrköping Sweden;Department of Nursing Science School of Health and Welfare Jönköping University Jönköping Sweden;Institute of Gerontology Aging Research Network‐Jönköping School of Health and Welfare Jönköping University Jönköping Sweden;

关键词: cardiovascular disease;    cognitive behavioural therapy;    insomnia;    internet‐based;    nurse support;   

DOI  :  10.1002/nop2.817

来源: DOAJ

【 摘 要 】

Abstract Aim To test the effect of nurse‐led Internet‐based cognitive behavioural therapy for insomnia (I‐CBTI), tailored for patients with cardiovascular disease (CVD), with a 6‐month follow‐up. Design A two‐arm parallel‐group randomized controlled trial (RCT) registered at clinicaltrials.gov (NTC03938805) and reported according to the CONSORT checklist. Methods Forty‐eight patients (mean age 72 years, 65% men) diagnosed with CVD and insomnia were randomized to either 9‐week nurse‐led I‐CBTI with support, or an Internet‐based self‐study programme without support (control group). Insomnia Severity Index (ISI) and Short Form Health Survey (SF‐12) were used as primary and secondary outcomes. Results ISI showed a significant treatment effect of I‐CBTI compared to the control group at 9‐week follow‐up. The mean ISI score in the I‐CBTI group at 9 weeks post‐treatment was maintained at the 6‐month follow‐up. Patients' adherence to I‐CBTI was associated with a better effect on both the ISI and SF‐12.

【 授权许可】

Unknown