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Patient Educ Couns. 2009 Jan;74(1):29-34. doi: 10.1016/j.pec.2008.07.050. Epub 2008 Sep 17.

Self-help treatment for insomnia through television and book: a randomized trial.

Author information

1
Vrije Universiteit Amsterdam, FPP, Department of Clinical Psychology, Van der Boechorststraat 1, Amsterdam, The Netherlands. a.van.straten@psy.vu.nl

Abstract

OBJECTIVE:

Recently, a Dutch educational broadcasting company developed a 6 week self-help course for insomnia, which consists of a book and television programmes. In this study we examined its effects.

METHODS:

247 subjects with sleep problems were recruited through the media and randomized to the self-help treatment (n=126) or a waiting list control group (n=121). The intervention group received the book, and for 6 consecutive weeks a DVD or videotape. Subjects were assessed before and after the course.

RESULTS:

Both groups improved significantly with respect to sleep but there were no significant differences in improvements between the groups. However, the intervention group improved significantly more on secondary outcomes: the subjective evaluation of sleep quality (d=0.65), dysfunctional beliefs and attitudes about sleep (d=0.62), depressive symptoms (d=0.35), and quality of life (d=0.34).

CONCLUSION:

Cognitive-behavioral self-help treatment does not necessarily lead to sleep improvements but it does improve coping with insomnia.

PRACTICE IMPLICATIONS:

About 2% of the Dutch adult population has watched the regular broadcastings of the course after the trial ended. This huge number of viewers underlines that there is a need for this type of low cost self-help treatment.

PMID:
18801639
DOI:
10.1016/j.pec.2008.07.050
[Indexed for MEDLINE]

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