Feasibility of Single-Session Online Cognitive Behavioral Therapy for Insomnia: Brief Report

Abstract

This brief report presents the initial results of the ongoing study. The study aims to assess the feasibility of an online, single-session Cognitive-Behavioral Therapy (CBT) intervention for insomnia. The intervention was implemented after the training of therapists using a Therapist Manual developed by the authors. Four patients and two therapists participated in the study. Survey responses were transcribed into data tabulation spreadsheets for analysis. Quantitative data were analyzed using descriptive statistics, while qualitative data underwent thematic analysis. All patients reported low sleep quality and the presence of some level of anxiety, specifically anticipatory anxiety connected to sleep. Patients and therapists expressed divergent perceptions of the treatment, with patients holding positive views and expectations of improvement. In contrast, therapists presented less favorable perceptions regarding the feasibility of the intervention in terms of time and efficacy. However, despite integrity issues during the application, the intervention proved to be feasible, prompting inquiries into the specific treatment components that contributed to patient improvement. Results of the therapeutic relationship were positive for both groups. In conclusion, the intervention demonstrated feasibility despite inherent limitations. Nonetheless, the primary finding in this clinical research underscores the importance of carefully considering the perceptions and experiences of all involved parties, along with the necessity of scrutinizing preconceived assumptions and biases that may impact treatment and clinical research outcomes.