Feasibility test of preference-based insomnia treatment for Iraq and Afghanistan War Veterans

Dana Epstein, Judith L. Babcock-Parziale, Christine A. Herb, Kathleen Goren, Mary Lu Bushnell

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: The study determined the feasibility of implementing a brief, preference-based non-medication insomnia treatment for Iraq/Afghanistan war Veterans who experienced blast and/or other injuries resulting in an altered level of consciousness. Methods: The study used a one-group pre-post design with a 3-month follow-up assessment. Forty-one veterans (two females, mean age 30.32 ± 7.73 years) with a mean insomnia duration of 3.90 years (±2.03) received treatment that included one in-person and three telephone sessions of behavioral intervention and incorporated electronic delivery components. Feasibility indicators and preliminary treatment effectiveness were assessed. Findings: Results indicate the preference-based treatment was acceptable to veterans and feasible to implement. Treatment components delivered in-person were used more than electronic methods. Insomnia decreased from moderate severity to the sub-threshold range. Pre- to post-treatment effect sizes were large for most sleep outcomes. Sleep improvement maintained at the 3-month follow-up assessment. Conclusion: Further testing of a brief insomnia treatment model is needed. Clinical Relevance Successful insomnia treatment has the potential to maximize rehabilitation outcomes in Operations Enduring Freedom and Iraqi Freedom veterans and may provide a non-stigmatizing entry to mental health services.

Original languageEnglish (US)
Pages (from-to)120-132
Number of pages13
JournalRehabilitation Nursing
Volume38
Issue number3
DOIs
StatePublished - May 1 2013
Externally publishedYes

Fingerprint

Afghanistan
Iraq
Sleep Initiation and Maintenance Disorders
Veterans
Therapeutics
Sleep
Afghan Campaign 2001-
Consciousness Disorders
Mental Health Services
Feasibility Studies
Warfare
Telephone
Wounds and Injuries

Keywords

  • behavior therapy
  • Insomnia
  • veterans

ASJC Scopus subject areas

  • Nursing(all)
  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Feasibility test of preference-based insomnia treatment for Iraq and Afghanistan War Veterans. / Epstein, Dana; Babcock-Parziale, Judith L.; Herb, Christine A.; Goren, Kathleen; Bushnell, Mary Lu.

In: Rehabilitation Nursing, Vol. 38, No. 3, 01.05.2013, p. 120-132.

Research output: Contribution to journalArticle

Epstein, Dana ; Babcock-Parziale, Judith L. ; Herb, Christine A. ; Goren, Kathleen ; Bushnell, Mary Lu. / Feasibility test of preference-based insomnia treatment for Iraq and Afghanistan War Veterans. In: Rehabilitation Nursing. 2013 ; Vol. 38, No. 3. pp. 120-132.
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