Manualised CBT for insomnia delivered by nurse practitioners: results from studies conducted in primary care and in oncology

CA Espie, KMA MacMahon, H-L Kelly, NM Broomfield, L Fleming, SJ Inglis, B McKinstry, CM Morin, A Walker, P Wilson, LM Taylor, L Walker, J Paul, J Cassidy

Research output: Contribution to journalConference Contribution

96 Citations (Scopus)

Abstract

Aims : To summarise outcome data from three recent randomised clinical trials of CBT for insomnia, where nurse practitioners delivered the interventions Methods : Across three trials, two community-based and one based in oncology outpatient settings (secondary insomnia), a total of 490 adults with persistent insomnia were randomised either to CBT or treatment as usual (TAU). Health Visitors and Cancer Nurse Specialists were trained and supervised in the delivery of a validated, manualised therapy provided in small group format-the ‘Glasgow Model’. Results : CBT was associated with an average reduction in sleep-onset latency plus wake time after sleep onset of approximately 60 minutes per night of sleep, relative to little change in TAU. Demographic and clinical factors did not contraindicate response to this form of insomnia treatment. Conclusions : Clinical psychologists/ behavioural sleep medicine specialists have more to offer than direct clinical work. Insomnia assessment and treatment programme development, including the training and supervision of first-level CBT practitioners, offers one possible way forward.
LanguageEnglish
Article numberTS 13.03
PagesS29
Number of pages1
JournalSleep Medicine
Volume6
Issue numberSuppl. 2
DOIs
Publication statusPublished - 31 Oct 2005
Externally publishedYes
EventWorld Association of Sleep Medicine (WASM): First Congress, Advancing Sleep Health Worldwide - Berlin, Germany
Duration: 15 Oct 200518 Oct 2005

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Nurse Practitioners
Sleep Initiation and Maintenance Disorders
Primary Health Care
Sleep
Behavioral Medicine
Therapeutics
Community Health Nurses
Program Development
Outpatients
Randomized Controlled Trials
Demography
Psychology
Neoplasms

Keywords

  • insomnia
  • nurse practitioners
  • CBT

Cite this

Espie, CA ; MacMahon, KMA ; Kelly, H-L ; Broomfield, NM ; Fleming, L ; Inglis, SJ ; McKinstry, B ; Morin, CM ; Walker, A ; Wilson, P ; Taylor, LM ; Walker, L ; Paul, J ; Cassidy, J. / Manualised CBT for insomnia delivered by nurse practitioners : results from studies conducted in primary care and in oncology. In: Sleep Medicine. 2005 ; Vol. 6, No. Suppl. 2. pp. S29.
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Espie, CA, MacMahon, KMA, Kelly, H-L, Broomfield, NM, Fleming, L, Inglis, SJ, McKinstry, B, Morin, CM, Walker, A, Wilson, P, Taylor, LM, Walker, L, Paul, J & Cassidy, J 2005, 'Manualised CBT for insomnia delivered by nurse practitioners: results from studies conducted in primary care and in oncology' Sleep Medicine, vol. 6, no. Suppl. 2, TS 13.03, pp. S29. https://doi.org/10.1016/j.sleep.2005.08.002

Manualised CBT for insomnia delivered by nurse practitioners : results from studies conducted in primary care and in oncology. / Espie, CA; MacMahon, KMA; Kelly, H-L; Broomfield, NM; Fleming, L; Inglis, SJ; McKinstry, B; Morin, CM; Walker, A; Wilson, P; Taylor, LM; Walker, L; Paul, J; Cassidy, J.

In: Sleep Medicine, Vol. 6, No. Suppl. 2, TS 13.03, 31.10.2005, p. S29.

Research output: Contribution to journalConference Contribution

TY - JOUR

T1 - Manualised CBT for insomnia delivered by nurse practitioners

T2 - Sleep Medicine

AU - Espie, CA

AU - MacMahon, KMA

AU - Kelly, H-L

AU - Broomfield, NM

AU - Fleming, L

AU - Inglis, SJ

AU - McKinstry, B

AU - Morin, CM

AU - Walker, A

AU - Wilson, P

AU - Taylor, LM

AU - Walker, L

AU - Paul, J

AU - Cassidy, J

PY - 2005/10/31

Y1 - 2005/10/31

N2 - Aims : To summarise outcome data from three recent randomised clinical trials of CBT for insomnia, where nurse practitioners delivered the interventions Methods : Across three trials, two community-based and one based in oncology outpatient settings (secondary insomnia), a total of 490 adults with persistent insomnia were randomised either to CBT or treatment as usual (TAU). Health Visitors and Cancer Nurse Specialists were trained and supervised in the delivery of a validated, manualised therapy provided in small group format-the ‘Glasgow Model’. Results : CBT was associated with an average reduction in sleep-onset latency plus wake time after sleep onset of approximately 60 minutes per night of sleep, relative to little change in TAU. Demographic and clinical factors did not contraindicate response to this form of insomnia treatment. Conclusions : Clinical psychologists/ behavioural sleep medicine specialists have more to offer than direct clinical work. Insomnia assessment and treatment programme development, including the training and supervision of first-level CBT practitioners, offers one possible way forward.

AB - Aims : To summarise outcome data from three recent randomised clinical trials of CBT for insomnia, where nurse practitioners delivered the interventions Methods : Across three trials, two community-based and one based in oncology outpatient settings (secondary insomnia), a total of 490 adults with persistent insomnia were randomised either to CBT or treatment as usual (TAU). Health Visitors and Cancer Nurse Specialists were trained and supervised in the delivery of a validated, manualised therapy provided in small group format-the ‘Glasgow Model’. Results : CBT was associated with an average reduction in sleep-onset latency plus wake time after sleep onset of approximately 60 minutes per night of sleep, relative to little change in TAU. Demographic and clinical factors did not contraindicate response to this form of insomnia treatment. Conclusions : Clinical psychologists/ behavioural sleep medicine specialists have more to offer than direct clinical work. Insomnia assessment and treatment programme development, including the training and supervision of first-level CBT practitioners, offers one possible way forward.

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