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Influence of Stepped Support on Older Adults’ Engagement with and Outcomes from an Internet Insomnia Intervention

Year: 2025

Type: preprint

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: This randomized trial tested whether stepped human support improves engagement and outcomes in older adults (age ≥55) using a fully-automated online insomnia intervention. Among 207 older adults with insomnia, stepped support was rarely activated and did not enhance engagement or outcomes. Most participants engaged with the program independently with strong treatment outcomes, suggesting that well-designed digital interventions can meet behavioral health needs in older adults without requiring additional human support.

DOI: 10.31219/osf.io/x9hvg_v3

Authors: Kelly M Shaffer, Katharine E Daniel, Philip Chow, Karen Ingersoll, Lee Michael Ritterband

Institution: University of Virginia

Language: English

Topic: Sleep and related disorders

Subfield: Experimental and Cognitive Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

OpenAlex ID: W4414312976

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