RANDOMIZED CONTROLLED TRIAL OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY.
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| Title: | RANDOMIZED CONTROLLED TRIAL OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY. |
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| Authors: | YMER, Lucy, MCKAY, Adam, WONG, Dana, FRENCHAM, Kate, GRIMA, Natalie, ROPER, Monique, NGUYEN, Sylvia, MURRAY, Jade, SPITZ, Gershon, PONSFORD, Jennie |
| Source: | Journal of Rehabilitation Medicine. 2025, Issue 57, p1-11. 11p. |
| Subjects: | Cognitive therapy, Health education, Brain injuries, Sleep disorders, Randomized controlled trials, Stroke patients |
| Abstract: | Objective: Evaluate efficacy of cognitive behavioural therapy for sleep and fatigue adapted for brain injury relative to health education control in alleviating sleep disturbance and fatigue after acquired brain injury. Design: Parallel groups randomized controlled trial. Subjects: 126 community dwelling adults with stroke or traumatic brain injury. Methods: Participants were randomized 2:1 to receive 8-weeks of cognitive behavioural therapy for sleep and fatigue (n = 86) or health education (n = 40). The Pittsburgh Sleep Quality Index was assessed pre- and post-treatment, and 2 and 4-months post-treatment, with secondary measures of insomnia, fatigue, sleepiness, mood, quality of life, activity levels, self-efficacy, and actigraphy. Results: Both groups showed improved sleep by 4-month follow-up. However, cognitive behavioural therapy for sleep and fatigue had significantly larger and more rapid improvements than health education immediately post-treatment (ß = -1.50, p < 0.001, 95% confidence interval -2.35 to -0.64). There were no significant between-groups differences in fatigue; however, cognitive behavioural therapy for sleep and fatigue showed within-group gains on both fatigue measures immediately post-treatment and over time (ß = -0.29, p = 0.047, 95% confidence interval -0.58 to -0.01). Health education had delayed improvements at 4-month follow-up on 1 fatigue measure. Conclusions: Both cognitive behavioural therapy for sleep and fatigue and health education led to improvement in sleep and fatigue; however, effects were larger and more rapid for cognitive behavioural therapy for sleep and fatigue immediately posttreatment. This supports the efficacy of cognitive behavioural therapy for sleep and fatigue in acquired brain injury but also highlights that health education may result in delayed improvements in symptoms. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Rehabilitation Medicine is the property of Foundation of Rehabilitation Medicine 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.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 191758187 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: RANDOMIZED CONTROLLED TRIAL OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22YMER%2C+Lucy%22">YMER, Lucy</searchLink><br /><searchLink fieldCode="AR" term="%22MCKAY%2C+Adam%22">MCKAY, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22WONG%2C+Dana%22">WONG, Dana</searchLink><br /><searchLink fieldCode="AR" term="%22FRENCHAM%2C+Kate%22">FRENCHAM, Kate</searchLink><br /><searchLink fieldCode="AR" term="%22GRIMA%2C+Natalie%22">GRIMA, Natalie</searchLink><br /><searchLink fieldCode="AR" term="%22ROPER%2C+Monique%22">ROPER, Monique</searchLink><br /><searchLink fieldCode="AR" term="%22NGUYEN%2C+Sylvia%22">NGUYEN, Sylvia</searchLink><br /><searchLink fieldCode="AR" term="%22MURRAY%2C+Jade%22">MURRAY, Jade</searchLink><br /><searchLink fieldCode="AR" term="%22SPITZ%2C+Gershon%22">SPITZ, Gershon</searchLink><br /><searchLink fieldCode="AR" term="%22PONSFORD%2C+Jennie%22">PONSFORD, Jennie</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Rehabilitation+Medicine%22">Journal of Rehabilitation Medicine</searchLink>. 2025, Issue 57, p1-11. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Health+education%22">Health education</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+patients%22">Stroke patients</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: Evaluate efficacy of cognitive behavioural therapy for sleep and fatigue adapted for brain injury relative to health education control in alleviating sleep disturbance and fatigue after acquired brain injury. Design: Parallel groups randomized controlled trial. Subjects: 126 community dwelling adults with stroke or traumatic brain injury. Methods: Participants were randomized 2:1 to receive 8-weeks of cognitive behavioural therapy for sleep and fatigue (n = 86) or health education (n = 40). The Pittsburgh Sleep Quality Index was assessed pre- and post-treatment, and 2 and 4-months post-treatment, with secondary measures of insomnia, fatigue, sleepiness, mood, quality of life, activity levels, self-efficacy, and actigraphy. Results: Both groups showed improved sleep by 4-month follow-up. However, cognitive behavioural therapy for sleep and fatigue had significantly larger and more rapid improvements than health education immediately post-treatment (ß = -1.50, p < 0.001, 95% confidence interval -2.35 to -0.64). There were no significant between-groups differences in fatigue; however, cognitive behavioural therapy for sleep and fatigue showed within-group gains on both fatigue measures immediately post-treatment and over time (ß = -0.29, p = 0.047, 95% confidence interval -0.58 to -0.01). Health education had delayed improvements at 4-month follow-up on 1 fatigue measure. Conclusions: Both cognitive behavioural therapy for sleep and fatigue and health education led to improvement in sleep and fatigue; however, effects were larger and more rapid for cognitive behavioural therapy for sleep and fatigue immediately posttreatment. This supports the efficacy of cognitive behavioural therapy for sleep and fatigue in acquired brain injury but also highlights that health education may result in delayed improvements in symptoms. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Rehabilitation Medicine is the property of Foundation of Rehabilitation Medicine 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.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=191758187 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.2340/jrm.v57.41302 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 1 Subjects: – SubjectFull: Cognitive therapy Type: general – SubjectFull: Health education Type: general – SubjectFull: Brain injuries Type: general – SubjectFull: Sleep disorders Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Stroke patients Type: general Titles: – TitleFull: RANDOMIZED CONTROLLED TRIAL OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: YMER, Lucy – PersonEntity: Name: NameFull: MCKAY, Adam – PersonEntity: Name: NameFull: WONG, Dana – PersonEntity: Name: NameFull: FRENCHAM, Kate – PersonEntity: Name: NameFull: GRIMA, Natalie – PersonEntity: Name: NameFull: ROPER, Monique – PersonEntity: Name: NameFull: NGUYEN, Sylvia – PersonEntity: Name: NameFull: MURRAY, Jade – PersonEntity: Name: NameFull: SPITZ, Gershon – PersonEntity: Name: NameFull: PONSFORD, Jennie IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: 2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 16501977 Numbering: – Type: issue Value: 57 Titles: – TitleFull: Journal of Rehabilitation Medicine Type: main |
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