Randomized Controlled Trial

. 2024 Nov 1;20(11):1763-1772.

doi: 10.5664/jcsm.11256.

Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial

Kai-Mei Chang¹, Chia-Jou Lin¹, Ya-Wen Jan^{2

3}, Christopher J Gordon^{4

5}, Hsin-Chien Lee^{6

7

8}, Chun-Ying Shih¹, Delwyn J Bartlett^{4

9}, Yen-Chun Fan^{10

11}, Hsiao-Yean Chiu^{1

6

8

12}

Affiliations

¹ School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
² Department of Psychology, Chung Yuan Christian University, Taoyuan, Taiwan.
³ Department of Clinical Psychology, Fu-Jen Catholic University, Taipei, Taiwan.
⁴ CIRUS, Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, Macquarie University, Sydney, Australia.
⁵ Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, Australia.
⁶ Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
⁷ Graduate Institute of Humanities in Medicine, College of Humanities & Social Sciences, Taipei Medical University, Taipei, Taiwan.
⁸ Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei, Taiwan.
⁹ Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
¹⁰ College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
¹¹ Department of Allied Health Education and Digital Learning, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
¹² Department of Nursing, Taipei Medical University, Taipei, Taiwan.

PMID: 38935053
PMCID: PMC11530976 (available on 2025-11-01)
DOI: 10.5664/jcsm.11256

Randomized Controlled Trial

Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial

Kai-Mei Chang et al. J Clin Sleep Med. 2024.

. 2024 Nov 1;20(11):1763-1772.

doi: 10.5664/jcsm.11256.

Authors

Affiliations

¹ School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
² Department of Psychology, Chung Yuan Christian University, Taoyuan, Taiwan.
³ Department of Clinical Psychology, Fu-Jen Catholic University, Taipei, Taiwan.
⁴ CIRUS, Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, Macquarie University, Sydney, Australia.
⁵ Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, Australia.
⁶ Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
⁷ Graduate Institute of Humanities in Medicine, College of Humanities & Social Sciences, Taipei Medical University, Taipei, Taiwan.
⁸ Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei, Taiwan.
⁹ Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
¹⁰ College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
¹¹ Department of Allied Health Education and Digital Learning, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
¹² Department of Nursing, Taipei Medical University, Taipei, Taiwan.

PMID: 38935053
PMCID: PMC11530976 (available on 2025-11-01)
DOI: 10.5664/jcsm.11256

Abstract

Study objectives: We examined the effects of nurse-led brief behavioral treatment for insomnia (BBTI) on insomnia severity, sleep status, daytime function, quality of life, psychological distress levels, treatment response, and insomnia remission in young and middle-aged Asian adults with insomnia symptoms.

Methods: This 2-parallel, randomized controlled trial recruited 42 participants with insomnia symptoms randomly allocated to the nurse-led BBTI group or sleep hygiene group. The outcome measurements included the Insomnia Severity Index, sleep diary, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Brief Fatigue Inventory, RAND-36 Health Status Inventory, and the Depression, Anxiety, and Stress Scale-21. The measurement time points included baseline, the end of each week of the intervention period, and 1-month follow-up.

Results: Compared with the sleep hygiene group, participants in the BBTI group had significantly improved insomnia severity, sleep onset latency, sleep efficiency, sleep quality, daytime sleepiness, and the mental components of quality of life after completing nurse-led BBTI immediately and 1 month later (P < .05). In addition, 52.4% and 71.4% of the participants achieved remission after completing nurse-led BBTI immediately and 1 month later, which was significantly higher than in the sleep hygiene group (14.3%, P = .02; 14.3%, P < .001, respectively).

Conclusions: We suggested the relative effects of BBTI on declined insomnia severity and improved sleep status among young and middle-aged Asian adults with insomnia symptoms and confirmed the benefits of nurse-led BBTI in alleviating insomnia. Nurses should incorporate BBTI into insomnia care further to enhance the daytime function and quality of life of the population with insomnia symptoms.

Clinical trial registration: Registry: ClinicalTrials.gov; Name: Effects of Nurse-led Brief Behavioral Treatment for Insomnia: A Feasibility Randomized Controlled Trial; URL: https://clinicaltrials.gov/study/NCT05310136; Identifier: NCT05310136.

Citation: Chang K-M, Lin C-J, Jan Y-W, et al. Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial. J Clin Sleep Med. 2024;20(11):1763-1772.

Keywords: adults; behavioral therapy; insomnia; nurse-led.

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Conflict of interest statement

All authors have seen and approved the manuscript. Work for this study was performed at a biobehavioral laboratory at a university in northern Taiwan. This study was supported by the National Science and Technology Council, Taiwan under grant numbers NSTC 112-2628-B-038-003 and NSTC 111-2314-B-038-033-MY3. The authors report no conflicts of interest.

References

1. Morin CM, Jarrin DC . Epidemiology of insomnia: prevalence, course, risk factors, and public health burden . Sleep Med Clin. 2022. ; 17 ( 2 ): 173 – 191 . - PubMed
1. World Health Organization . ICD-11 for Mortality and Morbidity statistics . https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fent... . Accessed April 9, 2022.
1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 5th ed., text rev . Washington, DC: : American Psychiatric Association; ; 2022. .
1. Rosekind MR, Gregory KB . Insomnia risks and costs: health, safety, and quality of life . Am J Manag Care. 2010. ; 16 ( 8 ): 617 – 626 . - PubMed
1. Guo X, Zheng L, Wang J, et al. . Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis . Sleep Med. 2013. ; 14 ( 4 ): 324 – 332 . - PubMed

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Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial

Affiliations

Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Associated data

LinkOut - more resources

Full Text Sources

Medical