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Table 1 Summary of the intervention sessions

From: Assessing the feasibility and acceptability of a cluster-randomized study of cognitive behavioral therapy for chronic insomnia in a primary care setting

 

T0

Session 1

Session 2

Session 3

Session 4

Session 5 (hypnotic withdrawal)

Session 5/6

T3

Objectives

1. Baseline evaluation

2. Provide information on the intervention

1. Identify the factors that perpetuate insomnia (behavior-problem)

2. Identify beliefs and predispositions to change

3. Establish objectives (behavior-goal)

1. Review difficulties and changes during the week

2. Identify factors in the patient’s environment related with going to sleep

3. Establish objectives of sleep hygiene modification

1. Review difficulties and changes during the week

2. Identify the times a patient gives to certain habits and develop a timetable

3. Establish objectives of sleep hygiene modification

1. Review difficulties and changes during the week

2. Identify distorting beliefs

3. Transform and implement realistic thinking

1. Review problems related to benzodiazepine consumption

2. Negotiate with the patient to implement a gradual dose reduction

1. Review the Sleep Diary

2. Assess the sessions and identify what has been accomplished

3. Assess what was not accomplished and the next goals

1.Follow up assessment at 3 months after the end of CBT-i

Techniques

 

Structured interview

Relaxation

Sleep hygiene

Stimulus Control Relaxation

Restriction of bed time

Paradoxical intention

Relaxation

Cognitive restructuring

Relaxation

Structured interview

Structured interview

 

Spreadsheet of tasks

 

Sleep diary

How are my routines?

How are my times?

How they interfere my thinking’s

To release of written information on gradual reduction of benzodiazepines

Sleep diary

 

Duration (min)

20–30

20

20

20

20

20

20

20