"The results of meta-analysis showed that telemedicine methods are more effective in treating chronic insomnia than face-to-face methods,” The researchers found that insomnia treatment, that is cbt-i treatment, was more effective in improving chronic insomnia when delivered by telemedicine than when conducted as face-to-face CBT-i. Medical conditions such as breast cancer patients. Insomnia and co-occuring mental health conditions, such as veterans with PTSD & older patients with depression Studies included a range of different populations, including those with: The studies included were randomized controlled trials because they are the strongest kind of scientific studies. Researchers at Baylor College of Medicine, Houston conducted a systematic review and meta-analysis of randomized controlled trials (676 different studies were considered) to look at whether treating insomnia online could be as effective as traditional in-person sleep medicine service for the diagnosis, follow-up, and treatment of insomnia. What A Systematic Review Tells Us About The Effectiveness Of Online Insomnia Treatment Using CBT-i So it's been an open question as to whether sleep disorders treatment by video show improvements in insomnia symptoms comparable to standard treatment.Īnd importantly, it’s an open question whether cognitive behavioural therapy for insomnia via video is as effective as in-person insomnia disorder treatment with cognitive behavior therapy? In fact, multiple scientific studies show that cognitive behavioral therapy for chronic insomnia is more effective than any sleep aid or medication that a doctor can prescribe - that's why cognitive behavior therapy for insomnia is the recommended first line treatment for people with insomnia by all Sleep Associations and Medical Colleges.īut most studies on the effectiveness of CBTi have been done on in person treatment.Īnd scientific studies are what we use to answer the question: "Is a therapy for insomnia effective?" We particularly like the telemedicine approach as it enables us to offer evidence-based treatment to individuals with insomnia throughout New Zealand and overseas.Īs you've probably heard, the most effective treatment for chronic insomnia is cognitive behavioral therapy for insomnia aka CBT-i. We often get asked this question because our service is a telemedicine based treatment service (we do insomnia treatment online using video sessions via Zoom, but doing online treatment using any video platform, MS Teams and the like, is known as “telemedicine” or “telehealth” in healthcare circles). Is online insomnia treatment - that is seeing a sleep specialist via a video treatment session - as effective as in-person treatment for insomnia? This article reviews the diagnosis of sleep disorders with a focus on insomnia in patients on dialysis.Can you do CBT for sleep disorders online? Considering the polypharmacy and altered metabolism in this patient population, treatment trials are clearly needed. There are only a few studies specifically addressing the management of this sleep disorder in patients with chronic renal disease. The treatment of chronic insomnia is often challenging. In some cases acute insomnia resolves spontaneously, but if left untreated, it may lead to chronic sleep problems. Optimally the treatment of insomnia involves the combination of both pharmacologic and nonpharmacologic approaches. In most cases, the diagnosis of insomnia is based on the patient& amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp amp #39 s history, but in some patients objective assessment of sleep pattern may be necessary. It is also associated with daytime consequences, such as sleepiness and fatigue, and impaired daytime functioning. Insomnia is defined as difficulty initiating or maintaining sleep, or having nonrestorative sleep. Biochemical and metabolic changes, lifestyle factors, depression, anxiety, and other underlying sleep disorders can all have an effect on the development and persistence of sleep disruption, leading to chronic insomnia. This is especially true for insomnia, which is the most common sleep disorder in different populations, including patients on dialysis. The etiology of sleep disorders is often multifactorial: biologic, social, and psychological factors play a role. Increasing evidence suggests that sleep disruption has a profound impact both on an individual and on a societal level. Sleep disorders impair quality of life significantly. Sleep-related complaints affect 50-80% of patients on dialysis.
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