Table 1.
Six session content of CBT-I and MEC telephone sessions*
Session | CBT-I | MEC |
---|---|---|
1 | Sleep changes during menopause Rationale for behavioral approach Sleep scheduling/bed restriction |
Introduction to menopause: What to expect Sleep hygiene strategies |
2 | Review of behavioral sleep plan Stimulus control instructions |
Hot flashes: Self-management techniques |
3 | Review of behavioral sleep plan Sleep stages and cycles across the age span |
Pharmacological supplements and natural remedies |
4 | Review of behavioral sleep plan Changing beliefs/attitudes about sleep |
Benefits of exercise in menopause |
5 | Review of behavioral sleep plan Constructive worry Sleep hygiene recommendations |
Post-menopausal health concerns and nutrition |
6 | Review of behavioral sleep plan Maintenance/relapse prevention plan |
Sexuality, urinary, and vaginal tract health |
Treatment components |
Education Sleep monitoring Sleep scheduling and goal setting Behavioral homework and problem-solving |
Education Sleep monitoring Support |
CBT-I = Cognitive Behavior Therapy for Insomnia; MEC = Menopause Education Condition