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Letter to the Editor on racial disparities in engagement with digital CBT-I among pregnant women

  • Jennifer N. Felder
    Correspondence
    Corresponding author: Osher Center for Integrative Health, University of California, San Francisco, UCSF Box 1726, San Francisco, CA 94143, USA.
    Affiliations
    Osher Center for Integrative Health, University of California, San Francisco, San Francisco, California, USA
    Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA
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  • Gabriela Gutierrez
    Affiliations
    School of Medicine, University of California, San Francisco, San Francisco, California, USA
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      Kalmbach and colleagues recently investigated racial disparities in engagement with and response to digital cognitive behavioral therapy for insomnia (CBT-I) in pregnant women with insomnia.
      • Kalmbach D.A.
      • Cheng P.
      • Reffi A.N.
      • et al.
      Racial disparities in treatment engagement and outcomes in digital cognitive behavioral therapy for insomnia among pregnant women.
      Non-Hispanic Black women were more likely to discontinue digital CBT-I before receiving an adequate dose (ie, 4 sessions) compared with non-Hispanic White women. Further, White women reported larger reductions in insomnia symptom severity, which persisted after adjusting for engagement. Of note, racial disparities in engagement were specific to digital CBT-I; the authors found no disparities in engagement with their control condition, a sleep education program.
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