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Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis.

Publication ,  Journal Article
Shaffer, KM; Finkelstein, EA; Camacho, F; Ingersoll, KS; Thorndike, F; Ritterband, LM
Published in: Ann Behav Med
June 2, 2021

BACKGROUND: Cognitive-behavioral therapy for insomnia (CBT-I) may improve productivity along with insomnia symptoms, but the long-term duration of productivity gains is unknown. PURPOSE: In this secondary analysis, effects of Internet-delivered CBT-I on work-related and daily activity productivity were examined through 1 year post-treatment. METHODS: Adults with chronic insomnia (N = 303) were randomized to Internet-delivered CBT-I (Sleep Healthy Using the Internet [SHUTi]) or to patient education (PE). Participants reported interference with attendance (absenteeism) and productivity (presenteeism) at paid employment and in daily activities outside work on the Work Productivity Activity Impairment scale at baseline, 9 weeks later for postintervention assessment (post-assessment), and 6- and 12-month follow-ups. RESULTS: Participants randomized to SHUTi were about 50% less likely than those in the PE condition to report any absenteeism (logistic regression odds ratio [OR] = 0.48 [95% confidence intervals {CI} = 0.24,0.96]), total impairment (OR = 0.52 [95% CI = 0.29,0.93]), or activity impairment (OR = 0.50 [95% CI = 0.30,0.85]) at post-assessment; however, differences were not detected at 6- or 12-month follow-ups. SHUTi participants also reported lower overall levels of presenteeism (constrained longitudinal data analysis MDiff = -6.84 [95% CI = -11.53, -2.15]), total impairment (MDiff = -7.62 [95% CI = -12.50, -2.73]), and activity impairment (MDiff = -7.47 [95% CI = -12.68, -2.26]) at post-assessment relative to PE participants. Differences were sustained at 6-month follow-up for presenteeism (MDiff = -5.02 [95% CI = -9.94, -0.10]) and total impairment (MDiff = -5.78 [95% CI = -10.91, -0.65]). No differences were detected by 12-month follow-up. CONCLUSIONS: Findings suggest that Internet-based CBT-I may help accelerate improvement in work-related and daily activity impairment corroborating prior research, but did not find that CBT-I has persistent, long-term benefits in productivity relative to basic insomnia education. TRIAL REGISTRATION: NCT00328250 "Effectiveness of Internet Cognitive Behavioral Therapy Intervention for Treating Insomnia" (https://clinicaltrials.gov/ct2/show/NCT00328250).

Duke Scholars

Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

June 2, 2021

Volume

55

Issue

6

Start / End Page

592 / 599

Location

England

Related Subject Headings

  • Treatment Outcome
  • Sleep Initiation and Maintenance Disorders
  • Self Report
  • Public Health
  • Presenteeism
  • Male
  • Internet-Based Intervention
  • Humans
  • Follow-Up Studies
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Shaffer, K. M., Finkelstein, E. A., Camacho, F., Ingersoll, K. S., Thorndike, F., & Ritterband, L. M. (2021). Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis. Ann Behav Med, 55(6), 592–599. https://doi.org/10.1093/abm/kaaa085
Shaffer, Kelly M., Eric A. Finkelstein, Fabian Camacho, Karen S. Ingersoll, Frances Thorndike, and Lee M. Ritterband. “Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis.Ann Behav Med 55, no. 6 (June 2, 2021): 592–99. https://doi.org/10.1093/abm/kaaa085.
Shaffer KM, Finkelstein EA, Camacho F, Ingersoll KS, Thorndike F, Ritterband LM. Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis. Ann Behav Med. 2021 Jun 2;55(6):592–9.
Shaffer, Kelly M., et al. “Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis.Ann Behav Med, vol. 55, no. 6, June 2021, pp. 592–99. Pubmed, doi:10.1093/abm/kaaa085.
Shaffer KM, Finkelstein EA, Camacho F, Ingersoll KS, Thorndike F, Ritterband LM. Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis. Ann Behav Med. 2021 Jun 2;55(6):592–599.
Journal cover image

Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

June 2, 2021

Volume

55

Issue

6

Start / End Page

592 / 599

Location

England

Related Subject Headings

  • Treatment Outcome
  • Sleep Initiation and Maintenance Disorders
  • Self Report
  • Public Health
  • Presenteeism
  • Male
  • Internet-Based Intervention
  • Humans
  • Follow-Up Studies
  • Female