Developing and Testing a Web-Based Provider Training for Cognitive Behavioral Therapy of Insomnia

Mil Med. 2021 Jan 25;186(Suppl 1):230-238. doi: 10.1093/milmed/usaa359.


Introduction: Chronic insomnia is a common and debilitating disease that increases risk for significant morbidity and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment, but there is a critical lack of behavioral health providers trained in CBT-I because, in part, of a bottleneck in training availability and costs. The current project developed and evaluated a web-based provider training course for CBT-I:

Materials and methods: Subject matter experts developed the content for Then, trainees completed alpha testing (n = 24) and focus groups, and the site was improved. Next, licensed behavioral health providers and trainees completed beta testing (n = 41) and the site underwent another round of modifications. Finally, to compare to an in-person workshop, licensed behavioral health providers were randomly assigned to (n = 21) or an in-person workshop (n = 23). All participants were CBT-I naïve and completed the following assessments: Computer System Usability Questionnaire, Website Usability Satisfaction Questionnaire, Website Content Satisfaction Questionnaire, and Continuing Education knowledge acquisition questionnaires.

Results: Alpha and beta testers of reported high levels of usability and satisfaction with the site and showed significant within-group knowledge acquisition. In the pilot comparison study, linear fixed-effects modeling on the pre-/postquestionnaires revealed a significant main effect for time, indicating a significant increase in knowledge acquisition from 69% correct at baseline to 92% correct at posttraining collapsed across in-person and groups. The interaction effect of Time by Condition was nonsignificant, indicating equivalence in knowledge gains across both groups.

Conclusion: appears to be an engaging, interactive, and concise provider training that can be easily navigated by its users and produce significant knowledge gains that are equivalent to traditional in-person workshops. will allow for worldwide dissemination of CBT-I to any English-speaking behavioral health providers. Future research will work on translating this training to other languages and extending this web-based platform to the treatment of other sleep disorders (e.g., nightmares) and populations (e.g., pediatric populations with insomnia).

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Cognitive Behavioral Therapy*
  • Dreams
  • Humans
  • Internet
  • Sleep Initiation and Maintenance Disorders* / therapy
  • Surveys and Questionnaires
  • Treatment Outcome