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May 10, 2026SLEEP0 citations

Perioperative Cognitive Behavioral Therapy for Insomnia in Older Surgical Patients

0437 Perioperative CBT-I for Older Surgical Patients: Feasibility and Engagement Results from the SLEEP-BOOST Trial

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Authors

ASAndrea Castillo SuarezMGMili Jimenez GallardoKSKaroline Sanchez

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Overview

Randomized trial tests the feasibility of CBT-I in older surgical patients, suggesting high engagement levels.

Key Points

  • To assess the feasibility of a condensed cognitive behavioral therapy for insomnia (CBT-I) intervention in older adults undergoing surgery.
  • Single-site randomized pilot trial (NCT06052397) at MGH with 27 knee/hip replacement patients aged ≥65.
  • Randomized 1:1 to CBT-I (three virtual sessions, CBT-I Coach app) or sleep-hygiene education pre- and post-op.
  • Feasibility assessed by daily sleep diary completion and adherence scores based on a Likert scale.
  • Daily sleep-diary completion was 97%±15.2 in the treatment arm, 93%±14.9 in control.
  • 100% of treatment-arm participants engaged with CBT-I components; 80% used the app throughout the intervention.
  • Adherence scores improved significantly from Week 2 to Week 3, with treatment-arm scores rising to 20.0±3.91.

Cite This Study

Suarez et al. (2026) studied this question.

synapsesocial.com/papers/6a002222c8f74e3340f9d1c4https://doi.org/10.1093/sleep/zsag091.0437
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