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Table 1 Cognitive behavioural therapy for insomnia: intervention overview

From: Cognitive behavioural therapy for insomnia in patients with rheumatoid arthritis: protocol for the randomised, single-blinded, parallel-group Sleep-RA trial

Session 1

Introduction

Presentation

 

Goals

 

Expectations

Sleep education

Normal sleep and its determinants

 

Sleep needs

 

Consequences of insomnia

 

Nature of insomnia

 

Evaluation of participant sleep

 

Sleep hygiene

Sleep restriction

Introduce sleep diary

Session 2

Follow-up

Since last session

Sleep education

Sleep hygiene

Stimuli control

Rationale; conditioned arousal

 

Instructions

Sleep restriction

Rationale; sleep drive and sleep consolidation

 

Sleep efficiency and sleep window for week 2

Relaxation

Bed time wind-down

Session 3

Follow-up

Since last session

Stimuli control

Experiences and challenges

Sleep restriction

Experiences and challenges

 

Sleep efficiency and sleep window for week 3

Cognitive therapy

Cognitions affecting sleep

 

Cognitive techniques to treat insomnia

Session 4

Follow-up

Since last session

Sleep restriction

Experiences and challenges

 

Sleep efficiency and sleep window for week 4

Cognitive therapy

Experiences and challenges

 

Cognitive techniques to treat insomnia

 

Worry-time

Relaxation

Rationale, break the tension and return to a relaxed state

 

Body scan meditation

Session 5

Follow-up

Since last session

Stimuli control

Experiences and challenges

Sleep restriction

Experiences and challenges

 

Sleep efficiency and sleep window for week 5

Cognitive therapy

Experiences and challenges

 

Cognitive techniques to treat insomnia

Relaxation

Experiences and challenges

Session 6

Follow-up

Since last session

Sleep restriction

Experiences and challenges

 

Sleep efficiency and sleep window for week 6

Closure

Plan for further work

 

Relapse prevention