Pilot feasibility and acceptability study evaluating use of group CBT-I in improving sleep and fatigue in older adults

Aisling Smyth; Shehnas Alam; Sabine Pangerl

doi:10.1111/ajag.13233

Pilot feasibility and acceptability study evaluating use of group CBT-I in improving sleep and fatigue in older adults

Aisling Smyth, Shehnas Alam, Sabine Pangerl

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Abstract

OBJECTIVE: This paper describes a pilot study, in a small sample of older adults, designed to ascertain the feasibility, acceptability and potential effectiveness of group Cognitive Behavioural Therapy For Insomnia (CBT-I).

METHODS: Eleven older adults participated in a 3-week group CBT-I intervention with pre- and post-intervention outcome measures of sleep and fatigue. Acceptability was measured via post-intervention focus groups. Feasibility was measured via recruitment, retention and completion data. Subjective sleep outcomes were measured pre- and post-intervention using the Pittsburgh Sleep Quality Index. Fatigue was measured using the Fatigue Severity Index. Objective sleep outcome measures were obtained via pre- and post-intervention wrist actigraphy.

RESULTS: Feasibility and acceptability were confirmed in the pilot study. Retention and completion levels were high, with participants largely positive in the focus group feedback. Preliminary sleep outcome data supported the potential effectiveness of the intervention in significantly improving several measures of sleep and fatigue including a three-point reduction in the Global PSQI scores, an increase in total sleep time of almost an hour per night and these results were mirrored by a significant reduction of nine points in the overall measure of fatigue severity.

CONCLUSIONS: A group CBT-I intervention is a low-cost, low-risk intervention which improves subjective and objective measures of sleep in older adults. These positive sleep outcomes are translated into significantly decreased levels of fatigue. Future research should focus on a larger sample size with a randomised controlled trial design.

Original language	English
Pages (from-to)	728-735
Number of pages	8
Journal	Australasian Journal on Ageing
Volume	42
Issue number	4
DOIs	https://doi.org/10.1111/ajag.13233
Publication status	Published - Dec 2023

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title = "Pilot feasibility and acceptability study evaluating use of group CBT-I in improving sleep and fatigue in older adults",

abstract = "OBJECTIVE: This paper describes a pilot study, in a small sample of older adults, designed to ascertain the feasibility, acceptability and potential effectiveness of group Cognitive Behavioural Therapy For Insomnia (CBT-I).METHODS: Eleven older adults participated in a 3-week group CBT-I intervention with pre- and post-intervention outcome measures of sleep and fatigue. Acceptability was measured via post-intervention focus groups. Feasibility was measured via recruitment, retention and completion data. Subjective sleep outcomes were measured pre- and post-intervention using the Pittsburgh Sleep Quality Index. Fatigue was measured using the Fatigue Severity Index. Objective sleep outcome measures were obtained via pre- and post-intervention wrist actigraphy.RESULTS: Feasibility and acceptability were confirmed in the pilot study. Retention and completion levels were high, with participants largely positive in the focus group feedback. Preliminary sleep outcome data supported the potential effectiveness of the intervention in significantly improving several measures of sleep and fatigue including a three-point reduction in the Global PSQI scores, an increase in total sleep time of almost an hour per night and these results were mirrored by a significant reduction of nine points in the overall measure of fatigue severity.CONCLUSIONS: A group CBT-I intervention is a low-cost, low-risk intervention which improves subjective and objective measures of sleep in older adults. These positive sleep outcomes are translated into significantly decreased levels of fatigue. Future research should focus on a larger sample size with a randomised controlled trial design.",

keywords = "cognitive behavioural therapy, fatigue, insomnia, intervention, middle-aged",

author = "Aisling Smyth and Shehnas Alam and Sabine Pangerl",

note = "Funding Information: The authors acknowledge the funding support of the Australian Association of Gerontology which was integral in undertaking this work. Open access publishing facilitated by Edith Cowan University, as part of the Wiley ‐ Edith Cowan University agreement via the Council of Australian University Librarians. Funding Information: AS is in receipt of funding from Australian Association of Gerontology and Dementia Australia, in the form of the RM Gibson grant, which supported this work. No other conflicts of interest to declare. Funding Information: The authors acknowledge the funding support of the Australian Association of Gerontology which was integral in undertaking this work. Open access publishing facilitated by Edith Cowan University, as part of the Wiley - Edith Cowan University agreement via the Council of Australian University Librarians. Publisher Copyright: {\textcopyright} 2023 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc{\textquoteright}.",

year = "2023",

month = dec,

doi = "10.1111/ajag.13233",

language = "English",

volume = "42",

pages = "728--735",

journal = "Australasian Journal on Ageing",

issn = "1440-6381",

publisher = "Wiley-Blackwell",

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T1 - Pilot feasibility and acceptability study evaluating use of group CBT-I in improving sleep and fatigue in older adults

AU - Smyth, Aisling

AU - Alam, Shehnas

AU - Pangerl, Sabine

N1 - Funding Information: The authors acknowledge the funding support of the Australian Association of Gerontology which was integral in undertaking this work. Open access publishing facilitated by Edith Cowan University, as part of the Wiley ‐ Edith Cowan University agreement via the Council of Australian University Librarians. Funding Information: AS is in receipt of funding from Australian Association of Gerontology and Dementia Australia, in the form of the RM Gibson grant, which supported this work. No other conflicts of interest to declare. Funding Information: The authors acknowledge the funding support of the Australian Association of Gerontology which was integral in undertaking this work. Open access publishing facilitated by Edith Cowan University, as part of the Wiley - Edith Cowan University agreement via the Council of Australian University Librarians. Publisher Copyright: © 2023 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc’.

PY - 2023/12

Y1 - 2023/12

N2 - OBJECTIVE: This paper describes a pilot study, in a small sample of older adults, designed to ascertain the feasibility, acceptability and potential effectiveness of group Cognitive Behavioural Therapy For Insomnia (CBT-I).METHODS: Eleven older adults participated in a 3-week group CBT-I intervention with pre- and post-intervention outcome measures of sleep and fatigue. Acceptability was measured via post-intervention focus groups. Feasibility was measured via recruitment, retention and completion data. Subjective sleep outcomes were measured pre- and post-intervention using the Pittsburgh Sleep Quality Index. Fatigue was measured using the Fatigue Severity Index. Objective sleep outcome measures were obtained via pre- and post-intervention wrist actigraphy.RESULTS: Feasibility and acceptability were confirmed in the pilot study. Retention and completion levels were high, with participants largely positive in the focus group feedback. Preliminary sleep outcome data supported the potential effectiveness of the intervention in significantly improving several measures of sleep and fatigue including a three-point reduction in the Global PSQI scores, an increase in total sleep time of almost an hour per night and these results were mirrored by a significant reduction of nine points in the overall measure of fatigue severity.CONCLUSIONS: A group CBT-I intervention is a low-cost, low-risk intervention which improves subjective and objective measures of sleep in older adults. These positive sleep outcomes are translated into significantly decreased levels of fatigue. Future research should focus on a larger sample size with a randomised controlled trial design.

AB - OBJECTIVE: This paper describes a pilot study, in a small sample of older adults, designed to ascertain the feasibility, acceptability and potential effectiveness of group Cognitive Behavioural Therapy For Insomnia (CBT-I).METHODS: Eleven older adults participated in a 3-week group CBT-I intervention with pre- and post-intervention outcome measures of sleep and fatigue. Acceptability was measured via post-intervention focus groups. Feasibility was measured via recruitment, retention and completion data. Subjective sleep outcomes were measured pre- and post-intervention using the Pittsburgh Sleep Quality Index. Fatigue was measured using the Fatigue Severity Index. Objective sleep outcome measures were obtained via pre- and post-intervention wrist actigraphy.RESULTS: Feasibility and acceptability were confirmed in the pilot study. Retention and completion levels were high, with participants largely positive in the focus group feedback. Preliminary sleep outcome data supported the potential effectiveness of the intervention in significantly improving several measures of sleep and fatigue including a three-point reduction in the Global PSQI scores, an increase in total sleep time of almost an hour per night and these results were mirrored by a significant reduction of nine points in the overall measure of fatigue severity.CONCLUSIONS: A group CBT-I intervention is a low-cost, low-risk intervention which improves subjective and objective measures of sleep in older adults. These positive sleep outcomes are translated into significantly decreased levels of fatigue. Future research should focus on a larger sample size with a randomised controlled trial design.

KW - cognitive behavioural therapy

KW - fatigue

KW - insomnia

KW - intervention

KW - middle-aged

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U2 - 10.1111/ajag.13233

DO - 10.1111/ajag.13233

M3 - Article

C2 - 37641859

SN - 1440-6381

VL - 42

SP - 728

EP - 735

JO - Australasian Journal on Ageing

JF - Australasian Journal on Ageing

IS - 4

ER -

Pilot feasibility and acceptability study evaluating use of group CBT-I in improving sleep and fatigue in older adults

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