Effectiveness of digital cognitive behavioral therapy for insomnia in nurses with shift work sleep disorder: Results of a randomized controlled trial

作者：Hanna Brückner, Johanna Ell, Lina Kalon, Jana Strahler, Antje Ducki, Dieter Riemann, Claudia Buntrock, Kai Spiegelhalder, Dirk Lehr · 发表于：International Journal of Nursing Studies · 年份：2025 · DOI：10.1016/j.ijnurstu.2025.105112 · 被引用次数：9 · 研究领域：Sleep and Work-Related Fatigue、Sleep and related disorders、Circadian rhythm and melatonin

BACKGROUND: Shift work is associated with many adverse effects on health and, in particular, affects sleep. In nurses, one of the most common forms of insomnia is shift work sleep disorder. Traditional face-to-face cognitive behavioral therapy for insomnia is often impractical for shift-working nurses due to irregular work schedules. Digital therapy presents a promising alternative to provide nurses with access to cognitive behavioral therapy for insomnia. OBJECTIVE: To investigate the effectiveness of the digital SleepCare intervention for reducing insomnia in nurses being affected by shift work sleep disorder. DESIGN: Randomized controlled trial. PARTICIPANTS: 74 nurses affected by shift work sleep disorder. METHODS: In a two-armed randomized controlled trial, SleepCare was compared to shift work-specific psychoeducation published digitally by the German Sleep Society. The diagnosis of shift work sleep disorder was established through a clinical interview. The primary outcome was insomnia severity as measured by the Insomnia Severity Index at baseline before randomization, at 8 weeks, and 3 months after randomization. Further indicators of mental health and long-term hair cortisol concentration were evaluated as secondary endpoints. RESULTS: Intention-to-treat analysis of covariance showed a greater reduction in insomnia severity in the intervention group versus psychoeducation, at both post-intervention (d = 1.11[0.7-1.6]) and follow-up (d = 0.97 [0.5-1.4]), corresponding ...