CBT-I CBT-I Group Therapy & Digital Delivery 2 — Questions and Answers
Question 1: Which digital CBT-I program has one of the most substantial evidence bases from multiple RCTs?
- SleepTown
- Sleepio (Correct answer)
- DreamMapper
- SleepSync
Correct answer: Sleepio
Sleepio is one of the most extensively researched digital CBT-I programs, with multiple RCTs demonstrating its efficacy.
Question 2: The primary barrier to accessing in-person CBT-I that digital delivery addresses is:
- Lack of evidence base for CBT-I
- Shortage of trained CBT-I therapists and geographic or logistical access barriers (Correct answer)
- Patient preference for pharmacotherapy
- Cost of digital technology
Correct answer: Shortage of trained CBT-I therapists and geographic or logistical access barriers
There are far more patients needing CBT-I than trained providers available, and dCBT-I extends reach to rural and underserved populations.
Question 3: When comparing telehealth-delivered individual CBT-I to in-person CBT-I, research shows:
- Telehealth is significantly inferior
- Comparable outcomes with high patient satisfaction (Correct answer)
- Telehealth eliminates the ability to use behavioral components
- Telehealth requires longer treatment duration
Correct answer: Comparable outcomes with high patient satisfaction
Research demonstrates that video-based CBT-I produces outcomes equivalent to in-person delivery, expanding access without compromising quality.
Question 4: Engagement and adherence in dCBT-I programs is most commonly improved by:
- Removing all homework requirements
- Personalized feedback, reminders, and gamification features (Correct answer)
- Extending program duration indefinitely
- Eliminating the sleep restriction component
Correct answer: Personalized feedback, reminders, and gamification features
Personalized automated feedback, push notifications, progress tracking, and gamification elements improve user engagement in digital CBT-I platforms.
Question 5: Group CBT-I delivered via telehealth requires particular attention to:
- Eliminating all between-session homework
- Privacy and confidentiality, technical setup, and managing group dynamics virtually (Correct answer)
- Reducing session length to 15 minutes
- Avoiding sleep diary review in sessions
Correct answer: Privacy and confidentiality, technical setup, and managing group dynamics virtually
Telehealth group delivery requires addressing privacy concerns with multiple participants, ensuring reliable technology access, and adapting facilitation for virtual group dynamics.
Question 6: Self-help CBT-I delivered via bibliotherapy (written materials) has shown:
- No clinical benefit in RCTs
- Modest but significant improvements, particularly for mild-to-moderate insomnia (Correct answer)
- Outcomes superior to therapist-guided CBT-I
- Benefits comparable only to sleep hygiene alone
Correct answer: Modest but significant improvements, particularly for mild-to-moderate insomnia
Bibliotherapy-based CBT-I produces meaningful improvements in insomnia, though effect sizes are typically smaller than therapist-guided delivery.
CBT-I CBT-I Group Therapy & Digital Delivery 2
Which digital CBT-I program has one of the most substantial evidence bases from multiple RCTs?