Adapting Brief Behavioral Treatment for Insomnia for Former National Football League Players: A Pilot Study.
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| Title: | Adapting Brief Behavioral Treatment for Insomnia for Former National Football League Players: A Pilot Study. |
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| Authors: | Wanberg, Lindsey J. (AUTHOR), Thomas, S. Justin (AUTHOR), Reid, Michelle (AUTHOR), Rottapel, Rebecca (AUTHOR), von Ash, Tayla (AUTHOR), Jones, Nicole (AUTHOR), Brar, Laurie (AUTHOR), Beidas, Rinad (AUTHOR), Rueschman, Michael (AUTHOR), Edwards, Robert R. (AUTHOR), Buysse, Daniel J. (AUTHOR), Redline, Susan (AUTHOR), Bertisch, Suzanne M. (AUTHOR) |
| Source: | Behavioral Sleep Medicine. May/Jun2023, Vol. 21 Issue 3, p273-290. 18p. 2 Diagrams, 3 Charts, 2 Graphs. |
| Subjects: | National Football League, Sleep interruptions, Cognitive therapy, Insomnia, Behavior therapy, Drowsiness, Pilot projects, Chronic pain |
| Abstract: | Insomnia is highly prevalent among persons with chronic pain. Although cognitive behavioral therapy for insomnia is recommended as first-line treatment for insomnia, it is underutilized. We tested the feasibility of a potentially scalable alternative – Brief Behavioral Therapy for Insomnia (BBTI) for former National Football League (NFL) players, a group with a high prevalence of chronic pain. We assessed changes in sleep, pain, and psychological health. Single-arm clinical trial of an adapted telephone-delivered BBTI intervention in 40 former NFL players with insomnia. We collected data on changes in sleep, pain, and psychological health outcomes. Among former players (30% racial/ethnic minorities), BBTI was both acceptable and feasible. BBTI was associated with improvements in sleep disturbance (primary exploratory sleep outcome, mean T-score change −6.2, 95% CI: −7.6, −4.8), sleep-related impairment (mean T-score change −5.7, 95% CI: −7.9, −3.5) and insomnia severity (mean change −5.3, 95% CI: −6.8, −3.5) post-intervention. Improvements were maintained at 2-months. BBTI was also associated with improvements in pain interference and intensity, but not psychological health. An adapted telephone-delivered BBTI is acceptable and feasible among retired players with a range of insomnia symptoms and shows promise for improving sleep and pain. These data support the need for future trials assessing BBTI's effect on both sleep and pain outcomes. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Insomnia is highly prevalent among persons with chronic pain. Although cognitive behavioral therapy for insomnia is recommended as first-line treatment for insomnia, it is underutilized. We tested the feasibility of a potentially scalable alternative – Brief Behavioral Therapy for Insomnia (BBTI) for former National Football League (NFL) players, a group with a high prevalence of chronic pain. We assessed changes in sleep, pain, and psychological health. Single-arm clinical trial of an adapted telephone-delivered BBTI intervention in 40 former NFL players with insomnia. We collected data on changes in sleep, pain, and psychological health outcomes. Among former players (30% racial/ethnic minorities), BBTI was both acceptable and feasible. BBTI was associated with improvements in sleep disturbance (primary exploratory sleep outcome, mean T-score change −6.2, 95% CI: −7.6, −4.8), sleep-related impairment (mean T-score change −5.7, 95% CI: −7.9, −3.5) and insomnia severity (mean change −5.3, 95% CI: −6.8, −3.5) post-intervention. Improvements were maintained at 2-months. BBTI was also associated with improvements in pain interference and intensity, but not psychological health. An adapted telephone-delivered BBTI is acceptable and feasible among retired players with a range of insomnia symptoms and shows promise for improving sleep and pain. These data support the need for future trials assessing BBTI's effect on both sleep and pain outcomes. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 15402002 |
| DOI: | 10.1080/15402002.2022.2082429 |
