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Kyle SD, Bower P, Yu LM, et al. Nurse-delivered sleep restriction therapy to improve insomnia disorder in primary care: the HABIT RCT. Southampton (UK): National Institute for Health and Care Research; 2024 Aug. (Health Technology Assessment, No. 28.36.)

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Nurse-delivered sleep restriction therapy to improve insomnia disorder in primary care: the HABIT RCT.

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Appendix 3Results for pre versus during pandemic

TABLE 35

Treatment effect for those completing the primary outcome (ISI) at 6 months pre vs. during the COVID-19 pandemic

SRT
(N = 321)
SH
(N = 321)
Adjusted treatment difference (95% CI)aTest of interaction
(p-value)b
ISI at 6 months, mean (SD) (N)
6-month follow-up assessment completion c 0.420
Pre-pandemic10.9 (5.82) (155)14.2 (5.15) (180)−3.31 (−4.30 to −2.32)
During pandemic10.9 (5.04) (102)13.4 (5.34) (111)−2.65 (−3.90 to −1.41)
a

SRT vs. SH.

b

Level of significance = 0.05.

c

Linear mixed-effects model with an unstructured variance–covariance structure for the random effects, modelled against group, outcome score at baseline, minimisation factors (baseline ISI score, region, age, use of prescribed sleep-promoting medication, sex and baseline PHQ-9 score), assessment time point, an indicator variable for if the participant’s 6-month assessment time point was (or would have been, if the participant withdrew or was lost to follow-up) before or after the UK went into a national lockdown (23 March 2020), and an interaction between randomised group, assessment time point, and the pandemic indicator variable as fixed effects; GP practice as a random effect, and a random intercept for each participant.

Copyright © 2024 Kyle et al.

This work was produced by Kyle et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This is an Open Access publication distributed under the terms of the Creative Commons Attribution CC BY 4.0 licence, which permits unrestricted use, distribution, reproduction and adaption in any medium and for any purpose provided that it is properly attributed. See: https://creativecommons.org/licenses/by/4.0/. For attribution the title, original author(s), the publication source – NIHR Journals Library, and the DOI of the publication must be cited.

Bookshelf ID: NBK606293

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