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Digital insomnia therapy improved severity scores, with mixed sleep-diary results

The program improved insomnia severity and nighttime wakefulness compared with sleep education, while effects on falling asleep remained uncertain.

By 100HP editorialAbstract-based explanation checked

Based on the published abstract. The full paper may contain additional methods, results and limitations.

The 30-second takeaway

SleepioRx improved insomnia severity more than online sleep hygiene education, with differences sustained at follow-up. Time awake after initially falling asleep also improved. However, time taken to fall asleep did not show a statistically significant benefit under the adjusted threshold, so the trial's sleep outcomes were not uniformly positive.

Keep in mind

The abstract omits raw severity-score changes, the size of diary-recorded sleep improvements and completion figures. These gaps limit interpretation of individual benefit and participants' experience of the program.

THE NUMBERS, WITH CONTEXT

What researchers found

Cohen d = 0.60

Insomnia Severity Index: SleepioRx versus sleep hygiene education

At 10 weeks, the advantage was 0.60 standard deviations (P < .001), a unit based on score variability rather than raw severity-score points.

JMIR Ment Health, 2025 · Original source ↓

Separate measures of insomnia

The trial assessed overall insomnia severity alongside sleep diaries. Reduced wakefulness during the night and faster sleep onset were separate outcomes, with stronger statistical evidence for the former.

Persistence within the study

Severity-score differences and reduced nighttime wakefulness persisted through later assessments. These findings apply to the named digital program in adults with diagnosed insomnia, compared with online educational material.

CHECK THE ORIGINAL

The original publication

The Effectiveness of Digital Cognitive Behavioral Therapy to Treat Insomnia Disorder in US Adults: Nationwide Decentralized Randomized Controlled Trial.

Prather AA, Krystal AD, Emsley R et al.
JMIR Ment Health · 2025

PubMed ID
41343796
Record checked

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