Ereckson, Elisa

The purpose of this quality improvement initiative was to improve sleep quality and reduce insomnia severity in individuals diagnosed with insomnia. This project was completed with 11 total participants, in which smartphone-delivered cognitive behavioral therapy for insomnia (i.e., CBT-I Coach) was utilized four or more days out of the week. The project spanned the course of six weeks. Insomnia severity was measured using the Insomnia Severity Index (ISI) and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The General Self- Efficacy Scale (GSE) was also utilized to evaluate participants general self-efficacy. Questionnaires were administered pre and post intervention. Additionally, a self-developed CBT-I utilization questionnaire was administered at weekly check-ins. The results yielded a mean decrease of 57% for PSQI scores and 50% for ISI scores, as well as a mean increase of 17% on GSE scores. The results confirm that smartphone delivered CBT-I is a beneficial tool in improving sleep outcomes for individuals suffering from insomnia. Mobile CBT-I has significant implications for enhancing patient care and evolving current healthcare practices, particularly for the treatment of insomnia.