Feasibility Test of Preference-Based Insomnia Treatment for Iraq and Afghanistan War Veterans
Article first published online: 14 JAN 2013
© 2013 Association of Rehabilitation Nurses
Volume 38, Issue 3, pages 120–132, May/June 2013
How to Cite
Epstein, D. R., Babcock-Parziale, J. L., Herb, C. A., Goren, K. and Bushnell, M. L. (2013), Feasibility Test of Preference-Based Insomnia Treatment for Iraq and Afghanistan War Veterans. Rehabilitation Nursing, 38: 120–132. doi: 10.1002/rnj.67
- Issue published online: 8 MAY 2013
- Article first published online: 14 JAN 2013
- Manuscript Accepted: 23 JUN 2012
- VA Health Services Research and Development. Grant Number: RRP 09-124
- behavior therapy;
The study determined the feasibility of implementing a brief, preference-based non-medication insomnia treatment for Iraq/Afghanistan war Veterans who experienced blast and/or other injuries resulting in an altered level of consciousness.
The study used a one-group pre-post design with a 3-month follow-up assessment. Forty-one veterans (two females, mean age 30.32 ± 7.73 years) with a mean insomnia duration of 3.90 years (±2.03) received treatment that included one in-person and three telephone sessions of behavioral intervention and incorporated electronic delivery components. Feasibility indicators and preliminary treatment effectiveness were assessed.
Results indicate the preference-based treatment was acceptable to veterans and feasible to implement. Treatment components delivered in-person were used more than electronic methods. Insomnia decreased from moderate severity to the sub-threshold range. Pre- to post-treatment effect sizes were large for most sleep outcomes. Sleep improvement maintained at the 3-month follow-up assessment.
Further testing of a brief insomnia treatment model is needed.
Successful insomnia treatment has the potential to maximize rehabilitation outcomes in Operations Enduring Freedom and Iraqi Freedom veterans and may provide a non-stigmatizing entry to mental health services.