Abstract

Digital cognitive behavioural therapy for insomnia: the answer to a major public health issue?

Highlights

  • Insomnia is a major public health concern across high-income countries

  • Very few people are given cognitive behavioural therapy for insomnia (CBT-I), and most people presenting to their general practitioners with insomnia are prescribed sleep medications, which lack long-term efficacy and can have unwanted side-effects such as dependency

  • Several studies on dCBT-I, with or without human support, have been published, and reviews and metaanalyses have shown that this intervention is effective.[2]

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Summary

Introduction

Insomnia is a major public health concern across high-income countries. Current treatment guidelines advocate cognitive behavioural therapy for insomnia (CBT-I) as the preferred treatment. Digital cognitive behavioural therapy for insomnia: the answer to a major public health issue? Several studies on dCBT-I, with or without human support, have been published, and reviews and metaanalyses have shown that this intervention is effective.[2] Øystein Vedaa and colleagues’ study in The Lancet Digital Health is an excellent addition to this evidence.[3] The study assessed the effectiveness of an automated dCBT-I intervention, Sleep Healthy Using the Internet (SHUTi), in a well conducted large-scale (n=1721) randomised controlled trial in Norway.

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