Isabelle Tully
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View article: 0543 Health and Sleep Outcomes in Triaged Stepped-Care for Insomnia: Secondary Outcomes from the RESTING Study
0543 Health and Sleep Outcomes in Triaged Stepped-Care for Insomnia: Secondary Outcomes from the RESTING Study Open
Introduction Given the worldwide shortage of providers trained to deliver cognitive behavior therapy for insomnia (CBT-I), digital CBT-I (dCBT-I) may increase access to CBT-I. Determining how best to allocate digital and therapist-led reso…
View article: 1186 Change in Global and Trauma-Related Sleep Difficulties Among Adults Receiving Treatment for Posttraumatic Stress Disorder
1186 Change in Global and Trauma-Related Sleep Difficulties Among Adults Receiving Treatment for Posttraumatic Stress Disorder Open
Introduction Sleep difficulties are prevalent among individuals with posttraumatic stress disorder (PTSD). While sleep often improves following psychotherapy for PTSD, residual sleep difficulties are common. Most studies assessing sleep in…
View article: 1243 Sleep of Caregiving Family Members for Adults with Serious Mental Illness
1243 Sleep of Caregiving Family Members for Adults with Serious Mental Illness Open
Introduction Inadequate sleep is common concern among caregivers. Evidence is drawn mostly from caregivers of patients with dementia and physical ailments. However, research into sleep impairment among familial caregivers of patients with …
View article: 0544 Trajectories of Hypnotic Medication Use in a Triaged Stepped-Care CBT-I Trial for Insomnia: Results from the RESTING Study
0544 Trajectories of Hypnotic Medication Use in a Triaged Stepped-Care CBT-I Trial for Insomnia: Results from the RESTING Study Open
Introduction Previous research has demonstrated that patients with insomnia disorder who use hypnotic medication and engage in cognitive behavioral therapy for insomnia (CBT-I) decrease or eliminate prescription hypnotic medication use in …
View article: 0594 Effects of a Triaged CBTI Approach Using Digital or Therapist Delivery on Prescription Hypnotic Use: Results from the RESTING Study
0594 Effects of a Triaged CBTI Approach Using Digital or Therapist Delivery on Prescription Hypnotic Use: Results from the RESTING Study Open
Introduction Use of prescription hypnotic medications and the negative impacts of their use increase in older age. This study aimed to compare the effects of two delivery strategies for CBT-I on prescription medication use among adults age…
View article: 0593 Investigating Behavior Change in Therapist-Led versus Digital CBT-I and Its Mediating Role on Clinical Outcomes
0593 Investigating Behavior Change in Therapist-Led versus Digital CBT-I and Its Mediating Role on Clinical Outcomes Open
Introduction This study analyzed data from a subset of participants from the RESTING Study who were previously shown have differential reduction in insomnia severity (ISI) following digital CBT-I (dCBT-I) or therapist delivered CBT-I (tCBT…
View article: Patient perceptions of digital and therapist-led CBT for insomnia: A qualitative study
Patient perceptions of digital and therapist-led CBT for insomnia: A qualitative study Open
Findings suggest that, despite an overall preference for therapist-led treatment, most middle-aged and older adults are open to dCBTI. As both dCBTI and telehealth-delivered CBTI are perceived as convenient, these modalities offer the pote…
View article: Beliefs about prescription sleep medications and interest in reducing hypnotic use: an examination of middle-aged and older adults with insomnia disorder
Beliefs about prescription sleep medications and interest in reducing hypnotic use: an examination of middle-aged and older adults with insomnia disorder Open
View article: 0467 Preference for Digital CBTI: Changes due to the COVID-19 Pandemic in a Randomized Controlled Trial of CBTI for Middle Aged and Older Adults
0467 Preference for Digital CBTI: Changes due to the COVID-19 Pandemic in a Randomized Controlled Trial of CBTI for Middle Aged and Older Adults Open
Introduction Digital CBTI programs are effective at treating symptoms of insomnia. They also have the potential to increase treatment reach, convenience, and affordability for patients, and to reduce long wait times for behavioral sleep me…
View article: 0459 The First Step of a Triaged Stepped-Care Delivery of CBTI: A Preliminary Report from the RESTING Study
0459 The First Step of a Triaged Stepped-Care Delivery of CBTI: A Preliminary Report from the RESTING Study Open
Introduction Both online and therapist-led cognitive behavioral therapy for insomnia (CBTI) are effective. However, little is known about the optimal combination and sequence to maximize both access and effectiveness. The RESTING study is …
View article: 0466 Living Alone as a Predictor of Symptom Change During Cognitive Behavioral Therapy for Insomnia
0466 Living Alone as a Predictor of Symptom Change During Cognitive Behavioral Therapy for Insomnia Open
Introduction Interpersonal factors have implications for sleep quality. Research has begun to explore how such factors may play a role in cognitive behavioral therapy for insomnia (CBTI). This study investigated whether living alone predic…
View article: 0468 Predictors of Response to Digital CBTI in a Randomized Controlled Trial of Middle Aged and Older Adults with Insomnia
0468 Predictors of Response to Digital CBTI in a Randomized Controlled Trial of Middle Aged and Older Adults with Insomnia Open
Introduction Digital CBTI (dCBTI) may serve as a good initial intervention in a stepped-care approach to treat insomnia. Understanding who is likely to respond to dCBTI can guide triaging of care, thus shortening wait times for those who m…
View article: 0652 Associations Between Anhedonia and Maladaptive Beliefs About Sleep in Middle Age and Older Adults with Insomnia Disorder
0652 Associations Between Anhedonia and Maladaptive Beliefs About Sleep in Middle Age and Older Adults with Insomnia Disorder Open
Introduction Comorbid depression often exacerbates dysfunctional beliefs about sleep in those with insomnia disorder. Anhedonia, a core symptom of depression, may be mechanistic in this association. Previous research suggests that, when ap…
View article: 0465 Exploring Differences in Self-Report Sleep Measures in Adults with Insomnia who Use or Do Not Use Sleep Medication
0465 Exploring Differences in Self-Report Sleep Measures in Adults with Insomnia who Use or Do Not Use Sleep Medication Open
Introduction Adults seeking non-pharmacological treatment for insomnia often present for care already taking prescription medication for sleep. Understanding how such patients differ from those who do not use medication could be useful for…
View article: 0479 Prescribing Patterns for Hypnotic Medication Among Adults Seeking CBTI Treatment: A Preliminary Report from the RESTING Study
0479 Prescribing Patterns for Hypnotic Medication Among Adults Seeking CBTI Treatment: A Preliminary Report from the RESTING Study Open
Introduction Use of prescription hypnotic medications is common among adults with chronic insomnia; however, little is known about prescribing patterns for hypnotic medication in middle-to-older age adults with insomnia disorder who seek t…
View article: RCT of the effectiveness of stepped-care sleep therapy in general practice: The RESTING study protocol
RCT of the effectiveness of stepped-care sleep therapy in general practice: The RESTING study protocol Open
Cognitive behavioral therapy for insomnia (CBT-I) is an effective, non-pharmacological intervention, designated by the American College of Physicians as the first-line treatment of insomnia disorder. The current randomized controlled study…
View article: 676 Age is only a number: Treatment modality preferences in a randomized controlled trial of CBTI in older adults
676 Age is only a number: Treatment modality preferences in a randomized controlled trial of CBTI in older adults Open
Introduction Use of telemedicine platforms for conducting CBTI has the potential to reach more patients than in person treatment alone. While CBTI has been shown to be effective in older adults, questions about proficiency with technology …
View article: 356 Examining Use and Beliefs about Sleep Medications in a Sample of Older Adults: The Role of Hypnotic Dependency
356 Examining Use and Beliefs about Sleep Medications in a Sample of Older Adults: The Role of Hypnotic Dependency Open
Introduction Prevalence of insomnia and prescription of sleep medications increases in older adults and is associated with heightened risk of falls, cognitive and psychomotor detriments, and exacerbation of pre-existing conditions. The pre…
View article: 382 Measuring Daytime Sleepiness in Insomnia Disorder
382 Measuring Daytime Sleepiness in Insomnia Disorder Open
Introduction The EPWORTH Sleepiness Scale (ESS) is correlated with clinical parameters among patients with obstructive sleep apnea. However, its clinical relevance among patients with insomnia disorder is not clear. These patients often do…
View article: 373 Historical Use of Substances for Insomnia Impacts Current Beliefs about Hypnotic Medications
373 Historical Use of Substances for Insomnia Impacts Current Beliefs about Hypnotic Medications Open
Introduction The purpose of the current study was to examine the relationship between current beliefs about hypnotic medications and historical use of prescription hypnotic medications or non-prescription substances for sleep (i.e., over t…