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.
1
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.To read this article in full you will need to make a payment
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References
- Racial disparities in treatment engagement and outcomes in digital cognitive behavioral therapy for insomnia among pregnant women.Sleep Health. 2022; 9 (Nov 28): 18-25https://doi.org/10.1016/j.sleh.2022.10.010
- Effect of culturally tailored, internet-delivered cognitive behavioral therapy for insomnia in Black women: a randomized clinical trial.JAMA Psychiatry. 2022; 79: 538-549https://doi.org/10.1001/jamapsychiatry.2022.0653
- Improving African American women's engagement in clinical research: a systematic review of barriers to participation in clinical trials.J Natl Med Assoc. 2022; 114: 324-339https://doi.org/10.1016/j.jnma.2022.02.004
- Development of a multi-component intervention to promote participation of Black and Latinx individuals in biomedical research.J Clin Transl Sci. 2021; 5e134https://doi.org/10.1017/cts.2021.797
- Race/ethnicity matching boosts enrollment of Black participants in clinical trials.Contemp Clin Trials. 2022; 122106936https://doi.org/10.1016/j.cct.2022.106936
Article info
Publication history
Published online: May 23, 2023
Accepted:
February 25,
2023
Received:
February 10,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 National Sleep Foundation. Published by Elsevier Inc. All rights reserved. All rights reserved.