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Perceptions and effectiveness of a fully-automated brief behavioral insomnia therapy, delivered by a virtual companion, in older and young adults

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dc.contributor.authorSagaspe, Patricia
dc.contributor.authorSánchez Ortuño, María Montserrat
dc.contributor.authorDupuy, Lucile
dc.contributor.authorPecune, Florian
dc.contributor.authorCoelho, Julien
dc.contributor.authorMicoulaud Franch, Jean Arthur
dc.contributor.authorLevavasseur, Yannick
dc.contributor.authorSevin, Etienne de
dc.contributor.authorChanteclair, Alex
dc.contributor.authorPhilip, Pierre
dc.contributor.authorSalles, Nathalie
dc.contributor.departmentEnfermería
dc.date.accessioned2025-01-14T11:23:46Z
dc.date.available2025-01-14T11:23:46Z
dc.date.issued2024-09-24
dc.description© The Author(s) 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Accepted version of a Published Work that appeared in final form in Innovation in Aging. To access the final edited and published work see https://doi.org/10.1093/geroni/igae086es
dc.description.abstractBackground and Objectives: One of the most common sleep disturbances in older people is insomnia. Cognitive-behavioral therapy is the first-line treatment for this condition in older adults, but in-person treatment is costly and often unavailable. In this study, in a group of older and young subjects, we aimed to compare: (1) their initial perceptions of a fully-automated mobile health intervention to manage insomnia, (2) how these perceptions related to treatment completion, and (3) the effects of the intervention on insomnia severity and related outcomes. Research Design and Methods: A case series study was conducted with a self-selected sample of older (>65 years) and young (18-35 years) adults (n=5,660) who downloaded a free app, available in France, that delivers a brief behavioral intervention for insomniaaided by a virtual companion. The 17-day intervention included sleep hygiene and stimulus control recommendations. Primary outcome was treatment completion (yes/no). At the beginning of the intervention, treatment acceptability and trust in the virtual companion were assessed with two short questionnaires (completion rate: 1,597 users). Insomnia was evaluated with the Insomnia Severity Index. Results: Logistic regression analyses showed that higher credibility and trust in the app’s virtual companion were associated with higher odds of treatment completion, but only in older adults (Trust scores x Age group: OR=1.12, [95%CI=1.01-1.25], p < .05, and Credibility scores x Age group: OR=1.25, [95%CI=1.06-1.47], p < .01). Within the subset of users who completed the intervention (n=289), insomnia remission (χ2=2.72, NS) and insomnia response rates (χ2=2.34, NS) were comparable across both groups. Discussion and Implications: This brief behavioral intervention appears to be efficacious for the self-managementof insomnia symptoms in older adults. The integration of persuasive interaction elements, such as avatars and virtual coaches, in fully-automated interventions could be particularly useful to stimulate older adults’ engagement.es
dc.formatapplication/pdfes
dc.format.extent29es
dc.identifier.citationInnovation in Aging, 2024 : igae086
dc.identifier.doihttps://doi.org/10.1093/geroni/igae086
dc.identifier.issnElectronic: 2399-5300
dc.identifier.urihttp://hdl.handle.net/10201/148403
dc.languageenges
dc.publisherOxford University Presses
dc.relationThis work was supported by National Grants GPR BRAIN 2030 and Neurocampus (University of Bordeaux), by an award from the European Union, Next Generation EU, for the re-training of university professors (to MMSO), and by the French National Research Agency -ANR (to FP).es
dc.relation.publisherversionhttps://academic.oup.com/innovateage/advance-article/doi/10.1093/geroni/igae086/7773859es
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectSleepes
dc.subjectMobile health interventiones
dc.subjectUser engagementes
dc.titlePerceptions and effectiveness of a fully-automated brief behavioral insomnia therapy, delivered by a virtual companion, in older and young adultses
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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