Implementing Cognitive Behavioral Therapy for Insomnia with Motivational Interviewing in the Mental Health Setting
Date of Final Presentation
Cara Gallegos, PhD, RN
Jennifer Stock, DNP, FNP-BC
Coordinator/ Chair of DNP Program
Teresa Serratt, PhD, RN
Abstract/ Executive Summary
Can you imagine not sleeping well for weeks or months at a time? Insomnia impacts approximately one-third of adults and is considered the most prevalent of all sleep disorders. With a lack of consistent, quality sleep, insomnia has significant negative consequences that impact a person’s overall mental well-being, like increased anxiety, depression, chronic pain, and daily coping. Cognitive Behavioral Therapy for Insomnia (CBT-I) allows patients to reduce or eliminate insomnia or related symptoms without needing medication to obtain quality and consistent sleep. CBT-I is difficult, so partnering it with Motivational Interviewing (MI) techniques provides patient engagement and compliance to strike a good balance for completion and reduce patient drop-out rates. The primary purposes of the project were to increase patients’ quality of sleep, reduce insomnia symptoms, and reduce symptoms of depression, all while keeping patients engaged. Project outcomes were measured using pre- and post-assessments and weekly sleep diaries. For the project results, 80% of patients improved their sleep quality, reduced insomnia severity, and reduced sleep aid administration. Additionally, 100% of patients improved their sleep efficiency, increased their sleep confidence, and decreased their depressive symptoms. When CBT-I is implemented independently, it typically has a drop-out rate of between 24.7-33%. This project had a 100% patient completion rate, likely attributed to the small group size, longer project implementation duration, and use of MI from project initiation.
Ransom, Kassandra E., "Implementing Cognitive Behavioral Therapy for Insomnia with Motivational Interviewing in the Mental Health Setting" (2023). Doctor of Nursing Practice Projects. 57.