TY - JOUR T1 - Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial JO - Scandinavian Journal of Work, Environment & Health PY - 2015/3VL - 41 IS - 2 SP - 164 EP - 174 AU - Thiart, Hanne AU - Lehr, Dirk AU - Ebert, David Daniel AU - Berking, Matthias AU - Riper, Heleen M3 - doi: 10.5271/sjweh.3478 UR - https://www.sjweh.fi/show_abstract.php?abstract_id=3478 KW - CBT-I KW - cognitive behavioral therapy for insomnia KW - guided self-help KW - insomnia KW - internet KW - internet-based training KW - occupational health KW - online KW - randomized controlled trial KW - recovery KW - recovery training KW - recreation KW - sleepless KW - sleepless employee KW - stress KW - teacher N2 - '

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OBJECTIVES ': 'The primary purpose of this randomized controlled trial (RCT) was to evaluate the efficacy of a guided internet-based recovery training for employees who suffer from both work-related strain and sleep problems (GET.ON Recovery). The recovery training consisted of six lessons, employing well-established methods from cognitive behavioral therapy for insomnia (CBT-I) such as sleep restriction, stimulus control, and hygiene interventions as well as techniques targeted at reducing rumination and promoting recreational activities.

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METHODS ': 'In a two-arm RCT (N=128), the effects of GET.ON Recovery were compared to a waitlist-control condition (WLC) on the basis of intention-to-treat analyses. German teachers with clinical insomnia complaints (Insomnia Severity Index ≥15) and work-related rumination (Irritation Scale, cognitive irritation subscale ≥15) were included. The primary outcome measure was insomnia severity.

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RESULTS ': 'Analyses of covariance (ANCOVA) revealed that, compared to the WLC, insomnia severity of the intervention group decreased significantly stronger (F=74.11, P<0.001) with a d=1.45 [95% confidence interval (95% CI) 1.06–1.84] The number needed to treat (NNT) was <2 for reliable change and NNT <4 for reduction in expert-rated diagnosis of primary insomnia.

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CONCLUSION ': 'The training significantly reduces sleep problems and fosters mental detachment from work and recreational behavior among adult stressed employees at post-test and 6-months follow up. Given the low threshold access this training could reach out to a large group of stressed employees when results are replicated in other studies.

SN - 0355-3140 ER -