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Randomized controlled trial of cognitive refocusing versus stimulus control treatment for college insomnia: feasibility of a brief, electronic-based, and peer-led approach. | LitMetric
Objective : Performance of Cognitive Refocusing Treatment for Insomnia (CRT-I) relative to stimulus control treatment (SCT) remains unknown among college students. This pilot trial compared single-session, electronic-based, peer-led CRT-I to SCT, and as well as awareness-based (AC) and no-treatment (NTC) controls.Participants : College students ( = 82; =18.59 [ = 0.78]; 58% female; 61% White; 16% Hispanic) with insomnia symptoms were randomly assigned to CRT-I ( = 12), SCT ( = 14), and AC ( = 14) conditions, or non-randomly recruited to NTC ( = 42).Methods : All participants completed baseline and one-month follow-up surveys, and reported daily task enactment (except NTC).Results : Feasibility ratings were comparable across conditions. Within-group treatment effects revealed greater improvements in (a) insomnia symptom severity among CRT-I ( = 1.13) and SCT ( = 1.66) groups relative to AC ( = 0.90) and (b) pre-sleep cognitive arousal among CRT-I ( = 0.94) and SCT ( = 1.42) groups relative to AC ( = 0.75).Conclusions : Brief, electronic-based, peer-led CRT-I and SCT interventions appear feasible and potentially efficacious for college insomnia.
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