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Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial.

Journal of behavioral medicine
December 1, 2024
Soohyun Nam et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the feasibility, acceptability, and preliminary efficacy of mindfulness-based therapy for insomnia (MBT-I) among Black women.

Results Summary

MBT-I significantly reduced insomnia severity and improved anxiety and depression symptoms compared to the control group, with both interventions showing clinically meaningful improvements in insomnia symptoms.

Population

Black women with insomnia

Effective Dosage

Weekly sessions (6-8 out of 8 sessions attended by 97% of participants)

Duration

10 weeks

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based therapy for insomnia (MBT-I)
decrease
Insomnia Severity Index (ISI) scores
Black women
-7.67
reduced
#1
lifestyle health education (HE)
decrease
Insomnia Severity Index (ISI) scores
Black women
-7.22
reduced
#2
mindfulness-based therapy for insomnia (MBT-I)
decrease
anxiety symptoms
Black women
-
significantly improved
#3
mindfulness-based therapy for insomnia (MBT-I)
decrease
depression symptoms
Black women
-
significantly improved
#4
mindfulness-based therapy for insomnia (MBT-I)
decrease
insomnia symptoms
Black women
ISI reduction > 7
showed a clinically significant improvement
#5
lifestyle health education (HE)
decrease
insomnia symptoms
Black women
ISI reduction > 7
showed a clinically significant improvement
#6
Abstract

The purpose of the study was to evaluate the feasibility, acceptability, and preliminary efficacy of mindfulness-based therapy for insomnia (MBT-I) among Black women. The MBT-I group received weekly sessions that included mindfulness meditation and behavioral sleep strategies. The time and attention control group received lifestyle health education (HE) that included healthy eating, physical activity, and sleep hygiene. The primary outcome was post-intervention changes in insomnia severity score by the Insomnia Severity Index (ISI) at week 10. Other measures included: Pittsburgh Sleep Quality Index, Sleep Hygiene Practice, Spielberger State-Trait Anxiety Inventory (STAI), and Patient Health Questionnaire-9 (PHQ-9). Objective sleep was measured by Actiwatch™ at baseline and week 10. Thirty Black women completed the interventions with no attrition. About 97% of all participants attended 6-8 out of 8 sessions. The ISI scores were reduced at week 10 (MBT-I vs. HE: -7.67 vs. -7.22, p < .05). Anxiety and depression symptoms were significantly improved only in the MBT-I group. This is the first MBT-I for Black women with insomnia. Online MBT-I may be feasible and acceptable for Black women. The MBT-I and HE showed a clinically significant improvement in insomnia symptoms (ISI reduction > 7). MBT-I may be more effective in improving anxiety and depression symptoms than HE. Our findings encourage further study efforts with a longer follow-up and larger sample size to address sleep health disparities among Black women.

Medical Subject Headings (MeSH)
HumansFemaleSleep Initiation and Maintenance DisordersMindfulnessPilot ProjectsAdultMiddle AgedBlack or African AmericanAnxietyDepressionTreatment OutcomeFeasibility Studies
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.34
Normalized Score0.69
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Mindfulness-based therapy for insomnia in Black women: a pil... | Panacea Index