Aaron M Eakman1, Arlene A Schmid2, Natalie R Rolle3, Adam R Kinney4, Kimberly L Henry5. 1. Aaron M. Eakman, PhD, OTR/L, FAOTA, is Associate Professor, Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins; aaron.eakman@colostate.edu. 2. Arlene A. Schmid, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins. 3. Natalie R. Rolle, MOT, OTR/L, is Occupational Therapist, Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins. 4. Adam R. Kinney, PhD, OTR/L, is Research Health Science Specialist, Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC) for Suicide Prevention, U.S. Department of Veterans Affairs, and Assistant Professor, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz School of Medicine, Aurora. 5. Kimberly L. Henry, PhD, is Professor, Department of Psychology, College of Natural Sciences, Colorado School of Public Health, Colorado State University, Fort Collins.
Abstract
IMPORTANCE: Veterans often experience chronic insomnia, and professionals capable of delivering effective interventions to address this problem are lacking. OBJECTIVE: To evaluate the efficacy of the Restoring Effective Sleep Tranquility (REST) program, an occupational therapist-led cognitive-behavioral therapy for insomnia (CBT-I) intervention to treat sleep problems among post- 9/11 veterans. DESIGN: Wait-list controlled trial with 3-mo follow-up. SETTING: Community-based veteran support program in a Mountain West university. PARTICIPANTS: Fifteen post-9/11 veterans with sleep disturbances who were assigned to either the REST intervention or a wait-list control group. Outcomes and Measures: Sleep-related, health-related, and participation-related patient-reported outcomes (PROs) and daily sleep diary variables. RESULTS: Wait-list controlled trial benefits included improved sleep-related (e.g., sleep disturbance), health-related (e.g., depression), and participation-related (e.g., meaningful activity) PROs. Findings were confirmed after participants in both the intervention and the control groups (n = 13) received the REST intervention, including improved daily sleep diary outcomes (e.g., sleep efficiency). All gains were maintained at 3 mo. CONCLUSIONS AND RELEVANCE: Occupational therapy practitioners with advanced training in CBT-I have the potential to safely deliver an effective CBT-I intervention to veterans with sleep disturbances in a community-based setting. What This Article Adds: Occupational therapy practitioners with sleep-related education and training can positively affect the well-being of their clients through improving sleep participation.
IMPORTANCE: Veterans often experience chronic insomnia, and professionals capable of delivering effective interventions to address this problem are lacking. OBJECTIVE: To evaluate the efficacy of the Restoring Effective Sleep Tranquility (REST) program, an occupational therapist-led cognitive-behavioral therapy for insomnia (CBT-I) intervention to treat sleep problems among post- 9/11 veterans. DESIGN: Wait-list controlled trial with 3-mo follow-up. SETTING: Community-based veteran support program in a Mountain West university. PARTICIPANTS: Fifteen post-9/11 veterans with sleep disturbances who were assigned to either the REST intervention or a wait-list control group. Outcomes and Measures: Sleep-related, health-related, and participation-related patient-reported outcomes (PROs) and daily sleep diary variables. RESULTS: Wait-list controlled trial benefits included improved sleep-related (e.g., sleep disturbance), health-related (e.g., depression), and participation-related (e.g., meaningful activity) PROs. Findings were confirmed after participants in both the intervention and the control groups (n = 13) received the REST intervention, including improved daily sleep diary outcomes (e.g., sleep efficiency). All gains were maintained at 3 mo. CONCLUSIONS AND RELEVANCE: Occupational therapy practitioners with advanced training in CBT-I have the potential to safely deliver an effective CBT-I intervention to veterans with sleep disturbances in a community-based setting. What This Article Adds: Occupational therapy practitioners with sleep-related education and training can positively affect the well-being of their clients through improving sleep participation.
Authors: Wendy M Troxel; Regina A Shih; Eric R Pedersen; Lily Geyer; Michael P Fisher; Beth Ann Griffin; Ann C Haas; Jeremy Kurz; Paul S Steinberg Journal: Rand Health Q Date: 2015-11-30
Authors: Melissa M Jenkins; Peter J Colvonen; Sonya B Norman; Niloofar Afari; Carolyn B Allard; Sean P A Drummond Journal: Sleep Date: 2015-10-01 Impact factor: 5.849
Authors: Robert H Pietrzak; Douglas C Johnson; Marc B Goldstein; James C Malley; Alison J Rivers; Charles A Morgan; Steven M Southwick Journal: J Affect Disord Date: 2010-01 Impact factor: 4.839