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| Title | Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis |
| Creator | 楊建銘 Yang, Chien-Ming Hasan, Faizul;Tu, Yu-Kang;Gordon, Christopher James;Wu, Dean;Lee, Hsin-Chien;Yuliana, Lia Taurussia;Herawati, Lucky;Chen, Ting-Jhen;Chiu, Hsiao-Yean |
| Contributor | 心理系 |
| Key Words | Cognitive behavioral therapy for insomnia; Insomnia; Digital CBTi; Network meta-analysis; Adults |
| Date | 2022-02 |
| Date Issued | 23-Aug-2022 15:08:34 (UTC+8) |
| Summary | The comparative efficacy of various approaches of digital cognitive behavioral therapy for insomnia (CBTi) is still unclear. This network meta-analysis explored the comparative efficacy of digital CBTi approaches in adults with insomnia. Four electronic databases were searched from inception to June 27, 2020. Primary outcomes were self-reported total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), and insomnia symptoms; these were measured using sleep diaries or valid questionnaires. A random-effects network meta-analysis in a frequentist framework was used. Fifty-four randomized controlled trials comprising 11,815 participants were included. Compared with usual care, web-based CBTi with a therapist demonstrated significantly longer TST (mean difference [MD]: 23.19 min, 95% confidence interval [CI]: 18.98–27.39 min), shorter SOL (MD: −18.76 min, 95% CI −24.20 to −13.31 min), lower WASO (MD: −31.40 min, 95% CI: −36.26 to −26.55 min), and greater SE (MD: 10.37%, 95% CI: 8.08%–12.65%). The surface under the cumulative ranking curve indicates that web-based CBTi with therapists is most likely to be ranked the highest among all treatments, and thus, this network meta-analysis suggests that such a treatment is the optimal intervention for improving sleep duration and SE as well as the reductions in SOL and WASO. |
| Relation | Sleep Medicine Reviews, Vol.61, 101567 |
| Type | article |
| DOI | https://doi.org/10.1016/j.smrv.2021.101567 |
| dc.contributor | 心理系 | |
| dc.creator (作者) | 楊建銘 | |
| dc.creator (作者) | Yang, Chien-Ming | |
| dc.creator (作者) | Hasan, Faizul;Tu, Yu-Kang;Gordon, Christopher James;Wu, Dean;Lee, Hsin-Chien;Yuliana, Lia Taurussia;Herawati, Lucky;Chen, Ting-Jhen;Chiu, Hsiao-Yean | |
| dc.date (日期) | 2022-02 | |
| dc.date.accessioned | 23-Aug-2022 15:08:34 (UTC+8) | - |
| dc.date.available | 23-Aug-2022 15:08:34 (UTC+8) | - |
| dc.date.issued (上傳時間) | 23-Aug-2022 15:08:34 (UTC+8) | - |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/141501 | - |
| dc.description.abstract (摘要) | The comparative efficacy of various approaches of digital cognitive behavioral therapy for insomnia (CBTi) is still unclear. This network meta-analysis explored the comparative efficacy of digital CBTi approaches in adults with insomnia. Four electronic databases were searched from inception to June 27, 2020. Primary outcomes were self-reported total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), and insomnia symptoms; these were measured using sleep diaries or valid questionnaires. A random-effects network meta-analysis in a frequentist framework was used. Fifty-four randomized controlled trials comprising 11,815 participants were included. Compared with usual care, web-based CBTi with a therapist demonstrated significantly longer TST (mean difference [MD]: 23.19 min, 95% confidence interval [CI]: 18.98–27.39 min), shorter SOL (MD: −18.76 min, 95% CI −24.20 to −13.31 min), lower WASO (MD: −31.40 min, 95% CI: −36.26 to −26.55 min), and greater SE (MD: 10.37%, 95% CI: 8.08%–12.65%). The surface under the cumulative ranking curve indicates that web-based CBTi with therapists is most likely to be ranked the highest among all treatments, and thus, this network meta-analysis suggests that such a treatment is the optimal intervention for improving sleep duration and SE as well as the reductions in SOL and WASO. | |
| dc.format.extent | 106 bytes | - |
| dc.format.mimetype | text/html | - |
| dc.relation (關聯) | Sleep Medicine Reviews, Vol.61, 101567 | |
| dc.subject (關鍵詞) | Cognitive behavioral therapy for insomnia; Insomnia; Digital CBTi; Network meta-analysis; Adults | |
| dc.title (題名) | Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis | |
| dc.type (資料類型) | article | |
| dc.identifier.doi (DOI) | 10.1016/j.smrv.2021.101567 | |
| dc.doi.uri (DOI) | https://doi.org/10.1016/j.smrv.2021.101567 |