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Brief Behavioral Treatment for Insomnia in Persons Living with HIV
Authors:Diana Taibi Buchanan  Susan M McCurry  Kristi Eilers  Shauna Applin  Ellita T Williams  Joachim G Voss
Institution:1. Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, Washington, USA;2. Department of Psychosocial and Community Health, School of Nursing, University of Washington, Seattle, Washington, USA;3. Winder Clinic, Madigan Army Medical Center, Tacoma, Washington, USA;4. Hilltop Family Medical Clinic, Community Health Care, Tacoma, Washington, USA;5. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
Abstract:This study examined the feasibility and preliminary efficacy of brief behavioral treatment for insomnia (BBTI) for persons living with HIV (PLWH). Of the 22 persons enrolled, 9 were lost before starting treatment, and one dropped out after starting BBTI. Acceptability was rated favorably by those completing the treatment (n = 12). The most common problems pertained to sleep hygiene: variable bedtimes and rise times, watching television, or consuming caffeine. Improvements on sleep outcomes at posttreatment were clinically and statistically significant on questionnaire and sleep diary outcomes. This study supports the overall feasibility of BBTI in PLWH, and the preliminary evidence supports further research on this treatment for PLWH who have insomnia, but dropouts indicate that some individuals may have difficulty initiating treatment.
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