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Care of the older person
Randomised controlled trial
Cognitive–behavioural therapy for insomnia is effective, safe and highly deployable
  1. Michael V Vitiello
  1. University of Washington, Seattle, Washington, USA
  1. Correspondence to : Michael V Vitiello, Psychiatry Box 356560, University of Washington, Seattle, WA 98195-6560, USA; vitiello{at}uw.edu

https://doi.org/10.1136/eb-2016-102523

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    Commentary on: Alessi C , Martin JL , Fiorentino L , et al . Cognitive behavioral therapy for insomnia in older veterans using nonclinician sleep coaches: randomized controlled trial. J Am Geriatr Soc 2016;64:1830–8.OpenUrl

    Implications for practice and research

    • The ability of non-clinician sleep coaches to deliver efficacious cognitive–behavioural therapy for insomnia (CBT-I) was demonstrated, suggesting such coaches can increase the rate and range of deployment of CBT-I to provide effective first-line treatment of insomnia into general medical and healthcare practice.

    • Similar studies should be conducted to replicate and extend this finding and explore its likely generalisability beyond the older veteran population. Such research should explore which patients with insomnia respond best to non-clinical sleep coaches and which might require referral to practitioners with greater clinical expertise.

    Context

    Insomnia is the most common sleep disorder in older adults, is often chronic …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.