Article

The purpose of this pilot study was to establish the feasibility of
completing a future controlled trial of a multi-component cognitive behavioral
therapy for insomnia program for military veterans with sleep disturbance.
METHOD: This was a single-arm feasibility and pilot study. Participants were
United States post-9/11 veterans with service-connected injuries, university
students, and had self-reported sleep disturbances.
Restoring Effective Sleep
Tranquility was a multi-component cognitive behavioral therapy for insomnia
intervention consisting of seven sessions of group therapy and eight 1:1 sessions
delivered by occupational therapists. Feasibility and pilot indicators were
process, resources, management, and scientific, including pre-post-assessments of
sleep difficulties, dysfunctional sleep beliefs, participation, and pain
interference. FINDINGS: Indicators were supportive of feasibility, including
reduced sleep difficulties (for example Medical Outcomes Study Sleep Measure [t =
3.29, p = .02]), reduced nightmares: t = 2.79, p = .03; fewer dysfunctional sleep
beliefs: t = 3.63, p = .01, and greater ability to participate in social roles: t
= -2.86, p = .03, along with trends towards improved satisfaction with
participation and reduced pain interference.
CONCLUSION: The Restoring Effective
Sleep Tranquility program may reduce sleep difficulties and improve participation
in US veterans with service-connected injuries, and evidence indicates a controlled trial would be feasible to deliver.

Langue : ANGLAIS