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Improving sleep after stroke: A randomised controlled trial of digital cognitive behavioural therapy for insomnia
J Sleep Res. 2023 Jul 5:e13971. doi: 10.1111/jsr.13971. Online ahead of print.ABSTRACTStroke is frequently accompanied by long-term sleep disruption. We therefore aimed to assess the efficacy of digital cognitive behavioural therapy for insomnia to improve sleep after stroke. A parallel group randomised controlled trial was conducted remotely in participant's homes/online. Randomisation was online with minimisation of between-group differences in age and baseline Sleep Condition Indicator-8 score. In total, 86 community-dwelling stroke survivors consented, of whom 84 completed baseline assessments (39 female, mean 5.5 year...
Source: Journal of Sleep Research - July 5, 2023 Category: Sleep Medicine Authors: Melanie K Fleming Tom Smejka Ellie Macey Ramon Luengo-Fernandez Alasdair L Henry Barbara Robinson Simon D Kyle Colin A Espie Heidi Johansen-Berg Source Type: research

Improving sleep and learning in rehabilitation after stroke, part 2 (INSPIRES2): study protocol for a home-based randomised control trial of digital cognitive behavioural therapy (dCBT) for insomnia
Introduction Consolidation of motor skill learning, a key component of rehabilitation post-stroke, is known to be sleep dependent. However, disrupted sleep is highly prevalent after stroke and is often associated with poor motor recovery and quality of life. Previous research has shown that digital cognitive behavioural therapy (dCBT) for insomnia can be effective at improving sleep quality after stroke. Therefore, the aim of this trial is to evaluate the potential for sleep improvement using a dCBT programme, to improve rehabilitation outcomes after stroke. Methods and analysis We will conduct a parallel-arm randomised c...
Source: BMJ Open - April 6, 2023 Category: General Medicine Authors: Weightman, M., Robinson, B., Fallows, R., Henry, A. L., Kyle, S. D., Garratt, E., Pick, A., Teal, R., Ajina, S., Demeyere, N., Espie, C. A., Seymour, B., Johansen-Berg, H., Fleming, M. K. Tags: Open access, Rehabilitation medicine Source Type: research

A blended eHealth intervention for insomnia following acquired brain injury: a randomised controlled trial
In conclusion, our randomised clinical trial shows that blended CBT is an effective treatment for insomnia, and feasible for people with acquired brain injury, regardless of cognitive and psychiatric complaints. Online treatment has major advantages in terms of availability and cost and may contribute to the successful implementation of insomnia treatment for people with acquired brain injuries.PMID:35641443 | DOI:10.1111/jsr.13629
Source: Journal of Sleep Research - May 31, 2022 Category: Sleep Medicine Authors: Marthe E Ford Gert J Geurtsen Erny Groet Radha D Rambaran Mishre Coen A M Van Bennekom Eus J W Van Someren Source Type: research

A Systematic Review of the Impact of Select Mindfulness Interventions on Psychological Outcomes among Older Adults with Chronic Health Conditions
CONCLUSIONS: Early evidence for MIs impact on psychological outcomes is promising, though more work involving randomized control trials is needed. Current studies generally lack methodological rigor and have a high risk of bias. Given the high rates of chronic pain in older adults and the emerging evidence for MIs, future work in this area is of particular value.CLINICAL IMPLICATIONS: Practitioners should be guardedly optimistic about the value of MIs and ACT for older adults with chronic health conditions.PMID:35585039 | DOI:10.1080/07317115.2022.2076636
Source: Cancer Control - May 18, 2022 Category: Cancer & Oncology Authors: Jay Kayser Rita Xiaochen Hu Danielle Rosenscruggs Lydia Li Xiaoling Xiang Source Type: research

Can't Sleep? Now There's A Coach For That.
First came diet coaches, exercise coaches, career coaches and spiritual and life coaches. There should be no surprise that as the population ages and increasingly has trouble staying asleep that the next step would be sleep coaches. Insomnia is the most common sleep problem for adults, and has been linked to depression, falls, stroke and memory problems. Cognitive behavioral therapy for insomnia, or CBTI, is considered a highly effective method for treating the disorder, but many do not receive it due to a lack of therapists with CBTI training, according to a paper published in the Journal of the American Geriatrics Socie...
Source: Healthy Living - The Huffington Post - November 1, 2016 Category: Consumer Health News Source Type: news