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Research Evaluating Brief Behavioral Sleep Treatments for Rural Elderly (RESTORE): A Preliminary Examination of Effectiveness

From the University of Florida, Gainesville, FL (CSM, AMS); and the Department of Neurobehavioral Sciences, A.T. Still University and Kirksville College of Osteopathic Medicine, Kirksville, MO (RM, RL).

Objective: To test the effectiveness of brief behavioral intervention for insomnia in rural elderly.

Methods: Twenty older insomniacs (65 years of age) were randomly assigned to sleep hygiene education (SHE; N = 9) or multicomponent behavioral treatment (MBT; N = 11). Rural care providers individually administered treatment (two in-person sessions/two telephone follow-ups). Training involved a two-day workshop.

Results: At posttreatment, 10 MBT participants no longer met criteria for insomnia compared to 3 SHE participants.

Conclusion: Brief behavioral intervention for late-life insomnia can be quickly taught and effectively delivered by "real-world" care providers in rural primary care settings.

Key Words: insomnia • treatment outcome • rural elderly • behavioral intervention • effectiveness