Feasibility test of preference-based insomnia treatment for Iraq and Afghanistan War Veterans

Dana R. Epstein, Judith L. Babcock-Parziale, Christine A. Herb, Kathleen Goren, Mary Lu Bushnell

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Purpose: The study determined the feasibility of implementing a brief, preference-based non-medication insomnia treatment for Iraq/Afghanistan war Veterans who experienced blast and/or other injuries resulting in an altered level of consciousness. Methods: The study used a one-group pre-post design with a 3-month follow-up assessment. Forty-one veterans (two females, mean age 30.32 ± 7.73 years) with a mean insomnia duration of 3.90 years (±2.03) received treatment that included one in-person and three telephone sessions of behavioral intervention and incorporated electronic delivery components. Feasibility indicators and preliminary treatment effectiveness were assessed. Findings: Results indicate the preference-based treatment was acceptable to veterans and feasible to implement. Treatment components delivered in-person were used more than electronic methods. Insomnia decreased from moderate severity to the sub-threshold range. Pre- to post-treatment effect sizes were large for most sleep outcomes. Sleep improvement maintained at the 3-month follow-up assessment. Conclusion: Further testing of a brief insomnia treatment model is needed. Clinical Relevance Successful insomnia treatment has the potential to maximize rehabilitation outcomes in Operations Enduring Freedom and Iraqi Freedom veterans and may provide a non-stigmatizing entry to mental health services.

Original languageEnglish (US)
Pages (from-to)120-132
Number of pages13
JournalRehabilitation Nursing
Issue number3
StatePublished - May 1 2013
Externally publishedYes


  • Insomnia
  • behavior therapy
  • veterans

ASJC Scopus subject areas

  • General Nursing
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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