CBT-I Group Therapy & Digital Delivery Flashcards

Group-delivered CBT-I has been shown to be:

Answer: Comparable in efficacy to individual CBT-I with greater cost-effectiveness

Meta-analyses demonstrate that group CBT-I produces outcomes comparable to individual format, making it more scalable and cost-effective.

The typical group size recommended for group CBT-I is:

Answer: 6-10 patients

Groups of 6-10 allow sufficient individual attention, sharing of experiences, and group cohesion without overwhelming the clinician.

A key therapeutic advantage of group CBT-I over individual therapy is:

Answer: Normalization of insomnia experiences and peer support

Hearing others' experiences with insomnia reduces shame and isolation, and peer accountability enhances adherence.

Digital CBT-I (dCBT-I) programs most commonly deliver treatment through:

Answer: Web-based or smartphone app platforms with interactive modules

Digital CBT-I uses interactive web or app platforms that guide users through CBT-I components with automated feedback and tracking.

Research on fully automated dCBT-I without therapist involvement shows:

Answer: Significant improvements in insomnia severity, often comparable to therapist-guided CBT-I

Multiple RCTs demonstrate that fully automated dCBT-I programs produce clinically meaningful improvements in insomnia, though therapist-guided programs may enhance adherence.

The stepped care model for insomnia treatment begins with:

Answer: The least intensive effective intervention and escalates as needed

Stepped care matches treatment intensity to patient need, starting with lower-intensity options (e.g., self-help or dCBT-I) and stepping up if response is insufficient.