Karen Falloon|C Raina Elley|Antônio Fernando|Arier Lee|Bruce Arroll
Simplified sleep restriction for insomnia in general practice: a randomised controlled trial
University of Auckland
insomnia common primary care cognitive behavioural therapy insomnia cbti effective requires time available general practice consultation sleep restriction one behavioural component cbtito assess whether simplified sleep restriction ssr effective improving sleep primary insomniarandomised controlled trial patients urban general practice settings auckland new zealandadults persistent primary insomnia mental health significant comorbidity eligible intervention patients received ssr instructions sleep hygiene advice control patients received sleep hygiene advice alone primary outcomes included change sleep quality 6 months measured pittsburgh sleep quality index psqi insomnia severity index isi sleep efficiency se proportion participants reaching predefined insomnia remission treatment response calculatedninetyseven patients randomised 94 97 completed study 6month followup ssr participants improved psqi scores 62 versus 84 p0001 isi scores 86 versus 111 p 0001 actigraphyassessed se difference 22 p 0006 reduced fatigue difference 23 units p 004 compared controls ssr produced higher rates treatment response 67 28 42 versus 41 20 49 number needed treat 4 95 ci 20 190 controlling age sex severity insomnia adjusted odds ratio insomnia remission 27 95 ci 11 65 significant differences outcomes adverse effectsssr effective brief intervention adults primary insomnia comorbidities suitable use general practice