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. Author manuscript; available in PMC: 2017 Jul 1.
Published in final edited form as: JAMA Intern Med. 2016 Jul 1;176(7):913–920. doi: 10.1001/jamainternmed.2016.1795

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