Doctor of Nursing Practice
Family Nurse Practioner
Year Degree Awarded
Month Degree Awarded
Insomnia, Diabetes, Cognitive Behavioral Therapy, CBT-I, CBT-i Coach
Dr. Jeungok Choi
DNP Project Outside Member Name
Dr. Margaret Ferry
Background: Managing and treating insomnia in patients with diabetes mellitus requires the examination of current literature of evidence-based research implementing pharmacological and non-pharmacological interventions. This QI project focused on the implementation of Cognitive Behavioral Therapy for Insomnia (CBT-I). Purpose: The purpose of this project was to implement CBT-I in adult patients with diabetes mellitus (DM) and examined whether it alleviated their insomnia symptoms using the Pittsburg Sleep Quality Index (PSQI) tool. Methods: The study used a one-group pre-test and post-test intervention design; the intervention is a free application, “CBT-i Coach”. 20 participants were invited to participate from an Endocrinology office who were over the age 18, and who fit additional criteria. Participants used the self-study application at home for 4 weeks with scheduled follow-up emails and calls. The Pittsburg Sleep Quality Index (PSQI) was used to assess the baseline and post-intervention sleep quality. Results: 40% of participants (n=8) completed the intervention. The pre-PSQI mean score was 9.9 (SD=3.4) and the post-PSQI mean score was 6.6 (SD=5.1), demonstrating improvement in insomnia sleep quality post intervention implementation. Discussion: The study findings demonstrated that CBT-i Coach improved insomnia after participants used it at home for 4 weeks. Nursing Implication: CBT-i Coach is an effective intervention for nurses and providers to teach to their patients and implement for adults with Diabetes Mellitus. Due to the easy-to-use and free digital format, healthcare providers would be inclined to recommend the use of CBT-i Coach in patients complaining of insomnia symptoms.
Keywords: Diabetes, insomnia, sleep disturbance and diabetes, CBT for diabetes, treatment for insomnia in diabetes, nonpharmacological interventions for sleep in diabetes, cognitive behavioral therapy, and sleep disorders.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.