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.
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]
Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Adapting Brief Behavioral Treatment for Insomnia for Former National Football League Players: A Pilot Study.
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  Data: <searchLink fieldCode="AR" term="%22Wanberg%2C+Lindsey+J%2E%22">Wanberg, Lindsey J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thomas%2C+S%2E+Justin%22">Thomas, S. Justin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reid%2C+Michelle%22">Reid, Michelle</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rottapel%2C+Rebecca%22">Rottapel, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22von+Ash%2C+Tayla%22">von Ash, Tayla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones%2C+Nicole%22">Jones, Nicole</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brar%2C+Laurie%22">Brar, Laurie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Beidas%2C+Rinad%22">Beidas, Rinad</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rueschman%2C+Michael%22">Rueschman, Michael</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Edwards%2C+Robert+R%2E%22">Edwards, Robert R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Buysse%2C+Daniel+J%2E%22">Buysse, Daniel J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Redline%2C+Susan%22">Redline, Susan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bertisch%2C+Suzanne+M%2E%22">Bertisch, Suzanne M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Sleep+Medicine%22">Behavioral Sleep Medicine</searchLink>. May/Jun2023, Vol. 21 Issue 3, p273-290. 18p. 2 Diagrams, 3 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22National+Football+League%22">National Football League</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+interruptions%22">Sleep interruptions</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Insomnia%22">Insomnia</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Drowsiness%22">Drowsiness</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/15402002.2022.2082429
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 18
        StartPage: 273
    Subjects:
      – SubjectFull: National Football League
        Type: general
      – SubjectFull: Sleep interruptions
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Insomnia
        Type: general
      – SubjectFull: Behavior therapy
        Type: general
      – SubjectFull: Drowsiness
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Chronic pain
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      – TitleFull: Adapting Brief Behavioral Treatment for Insomnia for Former National Football League Players: A Pilot Study.
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              Text: May/Jun2023
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              Y: 2023
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