Non-inferiority Study of Telemedicine versus Conventional CBT-I in Recently Hospitalized Patients with Insomnia
2017 Strategic Research Grant
SAIRAM PARTHASARATHY, MD
UNIVERSITY OF ARIZONA
Key Project Outcomes
Insomnia is a highly prevalent condition that is associated with increased risk for hospitalization and mortality. Telemedicine approaches for delivering the standard of care therapy (cognitive behavioral therapy for insomnia [CBTi]) are burgeoning, and comparisons against in-person delivery of care have been performed previously. However, none of these studies compared telemedicine CBTi against in-person CBTi in recently hospitalized patients with insomnia.
Our study used the American Academy of Sleep Medicine (AASM) telemedicine platform to study the following aims: Aim #1: To perform comparative effectiveness research of CBT-I administered by telemedicine versus conventional office-based CBT-I on insomnia severity in recently hospitalized patients. Aim #2: To perform comparative effectiveness research of CBT-I administered by telemedicine versus conventional office-based CBT-I on patient satisfaction. Our study found that telemedicine CBTi is non-inferior compared to in-person CBTi with regards to the treatment of insomnia in recently hospitalized patients. Interestingly, our study found that patients receiving telemedicine CBTi reported greater satisfaction with healthcare delivery than recently hospitalized patients receiving care for their insomnia. Considering the significant increase in healthcare delivered through telemedicine, and the uncertain future of telemedicine parity laws, the finding of greater patient-centered care through telemedicine is a very important finding that will have significant favorable impact on healthcare delivery in sleep medicine.