Chronic Insomnia / Insomnia Disorder

CBTi - Referral to Digital CBTi Programs

Patients may be referred to digital CBTi programs which can be effective insomnia treatments when monitored regularly for changes in symptoms, and to encourage adherence.^{1, 2, 3}

Table. Digital CBTi program examples

This Way Up is an Australian internet-based program (free)
Sleep better without drugs is an Australian-based program including audio files and booklet (cost $9.99 and $9 or physical booklet and CDs $99)
A Mindful Way to Healthy Sleep is an Australian evidence-based online program for insomnia ($247)
Sleep Ninja is a free, evidence-based adolescent sleep improvement mobile application, developed by the Black Dog Institute (free)
Bedtime Window is a free 5-session interactive digital CBTi program with scientific support (free through research studies)

Abbreviations

AHI - Apnoea-Hypopnoea Index
BBTi - Brief Behavioural Therapy for Insomnia
BMI - Body Mass Index (kg/m2)
BQ - Berlin Questionnaire
CBTi - Cognitive Behavioural Therapy for Insomnia
CELL - Coblation Endoscopic Lingual Lightening
COPD - Chronic Obstructive Pulmonary Disease
CVA - Cerebrovascular Accident
CPAP - Continuous Positive Airway Pressure
CSA - Central Sleep Apnoea
DASS - Depression Anxiety Stress Scale
DBAS - Dysfunctional Beliefs and Attitudes about Sleep
DBP - Diastolic Blood Pressure
DIMS - Difficulties Initiating and/or Maintaining Sleep
DISE - Drug-Induced Sleep Endoscopy
DISS - Daytime Insomnia Symptom Scale
ENT - Ear Nose and Throat
ESS - Epworth Sleepiness Scale
FOSQ - Functional Outcomes of Sleep Questionnaire
FSH - Follicle-Stimulating Hormone
FTP - Friedman Tong Position
GP - General Practitioner
HANDI - RACGP Handbook of Non-Drug Interventions
HGNS - Hypoglossal Herve Htimulation
ISI - Insomnia Severity Index
K10 - Kessler Psychological Distress Scale
MAD - Mandibular Advancement Device
MAS - Mandibular Advancement Rplint
MBS - Medicare Benefits Schedule
MMA - Maxillomandibular Advancement Surgery
MRA - Mandibular Repositioning Appliance
ODI - Oxygenation Desaturation Index
OSA - Obstructive Sleep Apnoea
PLMD - Periodic Limb Movement Disorder
PT - Positional Therapy
PTSD - Post-Traumatic Stress Disorder
PSG - Polysomnography
QSQ - Quebec Sleep Questionnaire
REM - Rapid Eye Movement
RFTB - Radiofrequency Thermotherapy of the Tongue Base
SBP - Systolic Blood Pressure
SCI - Sleep Condition Indicator
SE - Sleep Efficiency
SF36 - Short-Form (36) Health Survey
SMILE - Submucosal Minimally Invasive Lingual Excision
SNRIs - Serotonin-Norepinephrine Reuptake Inhibitors
SOL - Sleep Onset Latency
SSRI - Selective Serotonin Reuptake Inhibitors
TFTs - Thyroid Function Tests
TIB - Time In Bed
TORS - Transoral Robotic Surgery
TST - Total Sleep Time
UPPP - Uvulopalatopharyngoplasty
WASO - Wake After Sleep Onset

Quick links

Obstructive Sleep Apnoea

Overview

OSA

Steps in Assessment & Management

OSA

Questionnaires

Insomnia

Overview

Insomnia

Steps in Assessment & Management

Insomnia

Questionnaires

References

RACGP gplearning ‘Managing insomnia in general practice https://www.racgp.org.au/education/professional-development/online-learning/gplearning
Zachariae R, et al. Efficacy of internet-delivered cognitive-behavioral therapy for insomnia–a systematic review and meta-analysis of randomized controlled trials. Sleep medicine Reviews 2016;30:1-10
Seyffert M, et al. Internet-delivered cognitive behavioral therapy to treat insomnia: a systematic review and meta-analysis. PLOS ONE 2016;11(2): e0149139