@Article{Thiart2015, author = "Thiart, Hanne and Lehr, Dirk and Ebert, David Daniel and Berking, Matthias and Riper, Heleen", title = "Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial", journal = "Scandinavian Journal of Work, Environment & Health", year = "2015", month = "Mar", day = "41", number = "2", pages = "164--174", keywords = "CBT-I; cognitive behavioral therapy for insomnia; guided self-help; insomnia; internet; internet-based training; occupational health; online; randomized controlled trial; recovery; recovery training; recreation; sleepless; sleepless employee; stress; teacher", abstract = "'
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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.
", issn = "0355-3140", doi = "10.5271/sjweh.3478", url = "https://www.sjweh.fi/show_abstract.php?abstract_id=3478", url = "https://doi.org/10.5271/sjweh.3478" }