Table 1.
Shows The Program Structure.
| iCBT-I Content | |
|---|---|
| Module 1: | Introduction into the program structure and motivation for the program (statement that CBT-I is the treatment of choice for insomnia). Introduction of a sleep diary. |
| Module 2: | Psychoeducation: Information about sleep regulation and sleep hygiene. |
| Module 3: | Sleep Restriction: Stepwise reduction of time in bed (to min. 6 h) to increase sleep pressure based on the sleep diary that patients fill in since the beginning of module 1. If sleep efficiency is above 85%, participants can increase time in bed for 15 min. |
| Module 4: | Sleep hygiene and stimulus control: Information on sleep-inhibiting substances, sleep-wake-rhythm, evening rituals, physical exercise, etc., as well as information on the principle of stimulus control with the aim of re-associating the bed with sleep. |
| Module 5: | Progressive Muscle Relaxation (PMR) based on Jacobson with audio tape and written instruction to download. |
| Module 6: | Cognitive restructuring: Identifying, reexamining and changing dysfunctional thoughts about sleep and the consequences of insomnia. |
| Module 7: | Relapse prevention: what to do to prevent sleep disorders or when the sleep disturbances come back, when to seek medical help and what are the conditions of safe pharmacotherapy for insomnia. |
| Module 8: | Repetition and end. |