![]() These findings are promising, and a larger noninferiority clinical trial is warranted. Comparing these response and remission rates with previously published results for in-person trials showed no significant differences.Ĭonclusion: Participants who received evidence-based recommendations from their assigned clinicians through the iREST platform showed clinically significant improvements in insomnia severity, overall sleep quality, and disruptive nocturnal disturbances. At posttreatment, 70% (19/27) of participants met the criteria for treatment response and 59% (16/27) achieved remission. Between pre- and postintervention, clinically and statistically significant improvements in primary and secondary outcomes were detected (eg, a mean reduction on the ISI of 9.96, t 26=9.99, P<.001). Results: A total of 27 participants completed the posttreatment assessments. To explore potential effectiveness, self-report measures were used, including the Insomnia Severity Index (ISI), the Pittsburgh Sleep Quality Index (PSQI), and the PSQI Addendum for Posttraumatic Stress Disorder. Through the clinician portal, trained clinicians offered recommendations consistent with evidence-based behavioral sleep treatments on weeks 2 through 4. Participants were asked to use iREST for a period of 4 to 6 weeks during which time they completed a daily sleep/wake diary. Methods: In this pilot study, military service members and veterans between the ages of 18 and 60 years who reported clinically significant service-related sleep disturbances were enrolled as participants. The second aim was to explore the potential effectiveness of this treatment delivery form relative to habitual in-person delivery. Objective: The first aim of the pilot study was to evaluate the effectiveness of JITAI using the iREST platform for delivering evidence-based sleep interventions in a sample of military service members and veterans. The platform includes a mobile phone–based patient app linked to a clinician portal. iREST, or interactive Resilience Enhancing Sleep Tactics, is a mobile health platform designed to provide a just-in-time adaptive intervention (JITAI) in the assessment, monitoring, and delivery of evidence-based sleep recommendations in a scalable and personalized manner. Mobile health tools can address this scalability challenge. JMIR Bioinformatics and Biotechnology 12 articlesĮmail: Although evidence-based cognitive behavioral sleep treatments have been shown to be safe and effective, these treatments have limited scalability.JMIR Biomedical Engineering 58 articles.JMIR Perioperative Medicine 61 articles.Journal of Participatory Medicine 68 articles.JMIR Rehabilitation and Assistive Technologies 164 articles. ![]() JMIR Pediatrics and Parenting 221 articles.Interactive Journal of Medical Research 236 articles.JMIR Public Health and Surveillance 915 articles.Journal of Medical Internet Research 6701 articles.
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