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Cognitive behavioral therapy is efficacious for chronic insomnia, but it is not feasible in most practice settings because it is provided by highly trained therapists over 6 to 8 weekly sessions. This study tested the efficacy of a 2-session brief behavioral treatment for insomnia (BBTI) vs an information control (IC) condition, both delivered by a nurse practitioner, in 79 older adults with chronic insomnia. Treatment response (66.7% vs 25.0%; χ2 = 13.8, P < .001) and the proportion of participants without insomnia after 4 weeks (55.3% vs 12.8%; χ2 = 15.5, P < .001) were significantly higher for BBTI than IC. The number needed to treat was 2.4 for each outcome, and improvements were maintained at 6 months. For chronic insomnia in older adults, BBTI is a simple, efficacious, and durable intervention that has the potential for dissemination across medical settings.
In This Issue of Archives of Internal Medicine. Arch Intern Med. 2011;171(10):879. doi:10.1001/archinternmed.2011.177
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