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Putting insomnia to bed: nurse-led insomnia therapy is effective in primary care
  1. Christopher Gordon
  1. Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
  1. Correspondence to Dr Christopher Gordon, Department of Health Sciences, Macquarie University Faculty of Medicine and Health Sciences, Sydney, New South Wales, Australia; c.gordon{at}

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Commentary on: Kyle SD, Siriwardena AN, Espie CA, Yang Y, Petrou S, Ogburn E, Begum N, Maurer LF, Robinson B, Gardner C, Lee V, Armstrong S, Pattinson J, Mort S, Temple E, Harris V, Yu LM, Bower P, Aveyard P. Clinical and cost-effectiveness of nurse-delivered sleep restriction therapy for insomnia in primary care (HABIT): a pragmatic, superiority, open-label, randomised controlled trial. Lancet. 2023 Sep 16;402(10406):975–87. doi: 10.1016/S0140-6736(23)00683-9. Epub 2023 Aug 10.

Implications for practice and research

  • Primary care nurses with specialist training in behavioural insomnia therapy can effectively treat patients with insomnia by improving their symptoms and mental health.

  • Future research should focus on codesign with practising nurses to better understand how insomnia therapy could be implemented into existing models of care.


Insomnia is the most prevalent sleep disorder, characterised by chronic difficulty initiating or maintaining sleep, coupled with daytime impairments. Patients with insomnia often present to primary care with other chronic diseases, especially anxiety and depression, …

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  • Competing interests CG designed and developed a digital sleep intervention, SleepFix.

  • Provenance and peer review Commissioned; internally peer reviewed.