HealthDay News A cognitive behavioral therapy (CBT) intervention for insomnia tailored for Black women improves sleep outcomes and intervention engagement, according to a study published online April 20 in JAMA Psychiatry.

Eric S. Zhou, PhD, from the Dana-Farber Cancer Institute in Boston, and colleagues compared the efficacy of a standard versus a culturally tailored version of an internet-delivered CBT program for improving insomnia symptoms. The analysis included 333 Black women randomly assigned to an automated internet-delivered treatment called Sleep Healthy Using the Internet (SHUTi), a tailored version of SHUTi for Black women (SHUTi-BWHS), or patient education (PE) about sleep.

The researchers found that those randomly assigned to receive either SHUTi or SHUTi-BWHS reported significantly greater reductions in the Insomnia Severity Index score at 6-month follow-up (SHUTi: −10.0 points; SHUTi-BWHS: −9.3 points) versus PE (−3.6 points). Intervention completion was significantly higher among participants assigned to SHUTi-BWHS versus SHUTi (78.2 versus 64.8%), with those completing either intervention showing greater reductions in insomnia severity versus noncompleters.


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“Known sleep health disparities facing Black women in the US were addressed with an evidence-based treatment, and engagement was increased using a culturally adapted intervention,” the authors write.

One author disclosed financial ties to the digital therapeutic industry.

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