Developing a cognitive behavioral therapy for hypersomnia using telehealth: A feasibility study

Jason C. Ong*, Spencer C. Dawson, Jennifer M. Mundt, Cameron Moore

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Study Objectives: The purpose of this study was to evaluate the feasibility and acceptability of a novel cognitive behavioral therapy for hypersomnia (CBT-H) in people with central disorders of hypersomnolence and co-occurring depressive symptoms using a telehealth model for delivery and assessment. Methods: Thirty-five adults with narcolepsy or idiopathic hypersomnia received a 6-session CBT-H delivered individually or in small groups using videoconferencing. The clinical impact of CBT-H was evaluated using the Patient Health Questionnaire, Patient-Reported Outcomes Measurement Information System measures, Epworth Sleepiness Scale, and other patient-reported outcomes collected online at baseline and posttreatment. Feasibility and acceptability of the intervention and telehealth model was also evaluated using qualitative data collected from exit interviews conducted through videoconferencing. Results: Forty percent of the sample achieved a clinically significant baseline to posttreatment change in depressive symptoms (decrease in Patient Health Questionnaire ≥ 5), which is below the prespecified efficacy benchmark (50% of the sample). The prespecified benchmark for a minimal clinically important difference (Cohen's d > 0.5) on other psychosocial measures was met only on the Patient-Reported Outcomes Measurement Information System global selfefficacy (d = 0.62) in the total sample. Qualitative data revealed enthusiasm for the accessibility of telehealth delivery and the usefulness of several cognitive and behavioral modules but also revealed opportunities to refine the CBT-H program. Conclusions: These findings indicate that this new CBT-H programcan potentially reduce depressive symptoms and improve self-efficacy in people with central disorders of hypersomnolence. Furthermore, telehealth is a promising model for remote delivery and data collection to enhance participant accessibility and engagement.

Original languageEnglish (US)
Pages (from-to)2047-2062
Number of pages16
JournalJournal of Clinical Sleep Medicine
Volume16
Issue number12
DOIs
StatePublished - Dec 15 2020

Keywords

  • Cognitive-behavior therapy
  • Depression
  • Health-related quality of life
  • Idiopathic hypersomnia
  • Narcolepsy
  • Psychosocial

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

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