TABLE 1.

Summary of key recommendations for future research and practice.

1. Increase efforts to raise awareness and knowledge about sleep health and insomnia in the general public. This can begin with investigating what strategies are most effective in disseminating that knowledge (e.g., increased sleep health education in schools, sleep wellness check-ups from primary care doctors and pediatricians, or social media campaigns) and what factors are important when tailoring that information to certain communities (e.g., making sure the information is relatable and from a relevant source). This information should include the importance of sleep on overall health and well-being and what treatment options are available and effective (e.g., CBT-I) and for whom

2. Increase efforts to promote basic sleep and insomnia training among clinicians and healthcare professionals. These efforts should be broadly aimed at increasing the behavioral sleep medicine workforce. This includes expanding the scope of who can provide psychoeducation about sleep and treatment for insomnia (even if in a limited way) to master’s level providers, such as social workers, and primary care providers, such as physicians and nurses. Increased training efforts are needed at all levels, from incorporating sleep and insomnia education into standard training programs to national roll-outs or continuing education programs (both at the basic and advanced levels). The latter will likely need to include efforts to understand what will incentivize healthcare systems and providers to acquire this additional training

3. Adapt behavioral sleep interventions to be more suitable with other healthcare systems or communities. Traditional behavioral sleep interventions, such as CBT-I, are not compatible (e.g., in terms of number of sessions or session length) with the way that healthcare is delivered or reimbursed in the United States. More research is needed to develop and test behavioral interventions (i.e., modified versions of CBT-I) that can be easily integrated into routine practice. Some of these alternatives already exist (e.g., BBTI, “one-shot” CBT-I, mobile CBT-I) and therefore the next steps may be to design strategies for how to implement them into practice. Additional work is also needed to identify if and how CBT-I can be culturally-tailored to underserved populations. These efforts can target strategies for how to make CBT-I more effective and/or how to increase patient engagement with CBT-I