Comparative Effects of Various Delivery Methods of Cognitive Behavioral Therapy for Insomnia Among Patients With Cancers: Systematic Review and Network Meta-Analysis.
Chen-I Lee, Muhammad Amirul Mukminin, Ya-Wen Jan et al.
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In 30 seconds
This systematic review and network meta-analysis evaluated the efficacy of various delivery methods of cognitive behavioral therapy for insomnia (CBTi) in cancer survivors. Analyzing 22 randomized controlled trials with 2040 participants, the study found that digital CBTi (dCBTi) led to the most significant reduction in insomnia severity index (ISI) scores, with a mean difference of -9.70 compared to treatment as usual.
Key findings
- Digital CBTi reduced ISI scores by a mean difference of -9.70 compared to treatment as usual.
- Digital CBTi improved sleep onset latency by 30.95 minutes and total sleep time by 31.67 minutes.
- Telephone CBTi showed a mean difference of -8.74 in ISI scores.
- Group CBTi significantly improved sleep onset latency by 11.60 minutes.
Why it matters
Insomnia is prevalent among cancer survivors, impacting their quality of life. Understanding the effectiveness of different CBTi delivery methods can help clinicians provide better treatment options for managing insomnia in this population.
What to keep in mind
The certainty of evidence ranged from low to very low due to imprecision and network incoherence.