Development and Perceived Utility and Impact of an Internet Intervention for Insomnia
Frances Thorndike, Drew Saylor, Elaine Bailey, Linda Gonder-Frederick, Charles Morin, Lee Ritterband

Insomnia is a major health problem, with significant psychological, health, and economic consequences. Studies have demonstrated that cognitive-behavioral therapy can effectively treat insomnia; however, treatment availability is limited by many factors, including a lack of trained clinicians. One potential way to overcome these barriers is to use the Internet to deliver treatment. Toward this aim, we developed a self-guided, interactive, tailored Internet intervention for adults with insomnia (SHUTi: Sleep Healthy Using The Internet). The current paper provides a detailed description of SHUTi and examines users’ perceptions of the intervention as useful and effective. The study was part of a larger RCT to test the efficacy of SHUTi, but findings in this paper are based only on the 21 participants who used SHUTi. The overwhelming majority rated SHUTi as convenient, understandable, and useful. Nearly all (95%) indicated that the program had at least somewhat improved their sleep, sleep efficiency, and overall quality of life. Ninety percent perceived the intervention as effective and predicted it would be effective in producing a long-term cure. Although these results were based on a small sample, they provide encouraging evidence of the potential for Internet interventions to be accepted by patients.


Internet, Web-based, Insomnia, Patient Acceptance

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