Yuska Taylor, DeVries Aleya, Kanelos Melina, Delphus Daniela, Toperzer Katie, O'Malley Kaitlyn, Katerji Sammy, Desai Priyal, Pedrigal Kim, Thach Romon, Li Pei-Fen
College of Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.
Department of Couple and Family Therapy, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus. 2025 May 30;17(5):e85086. doi: 10.7759/cureus.85086. eCollection 2025 May.
Insomnia, characterized by difficulty falling asleep or staying asleep, is prevalent among shift workers due to irregular work hours. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for alleviating insomnia symptoms; however, accessibility of CBT-I for shift workers is limited. To increase the user access and usefulness of CBT-I, digital CBT-I (dCBT-I) has attracted growing clinical and research interest in the field. This scoping review examines the effects of dCBT-I on improving sleep quality among shift workers. A comprehensive literature search across multiple databases identified 11 primary studies from 2014 to 2024, encompassing various shift-working populations. The findings were synthesized into themes, including the impacts of dCBT-I on sleep quality, sleep hygiene, objective sleep data, anxiety, depression, quality of life, and user feedback. All studies showed improved sleep quality after the implementation of dCBT-I, except for one. Two studies suggest that dCBT-I is equally effective as in-person delivery of CBT-I in improving sleep quality among shift workers. Per user feedback, incorporating individualized feedback and more customization options in dCBT-I would improve engagement and adherence to the intervention. Collectively, the findings in this review suggest that dCBT-I is an accessible and effective alternative to traditionally delivered CBT-I for improving sleep quality in shift workers.
失眠的特征是难以入睡或保持睡眠状态,由于工作时间不规律,在轮班工作者中很普遍。失眠的认知行为疗法(CBT-I)是缓解失眠症状的一线治疗方法;然而,轮班工作者获得CBT-I的机会有限。为了增加用户对CBT-I的使用和其有效性,数字CBT-I(dCBT-I)在该领域引起了越来越多的临床和研究关注。本范围综述研究了dCBT-I对改善轮班工作者睡眠质量的影响。通过对多个数据库进行全面的文献检索,确定了2014年至2024年的11项主要研究,涵盖了各种轮班工作人群。研究结果被综合成几个主题,包括dCBT-I对睡眠质量、睡眠卫生、客观睡眠数据、焦虑、抑郁、生活质量和用户反馈的影响。除了一项研究外,所有研究都表明实施dCBT-I后睡眠质量有所改善。两项研究表明,在改善轮班工作者的睡眠质量方面,dCBT-I与面对面提供的CBT-I同样有效。根据用户反馈,在dCBT-I中纳入个性化反馈和更多定制选项将提高对干预措施的参与度和依从性。总体而言,本综述的研究结果表明,dCBT-I是传统提供的CBT-I的一种可获得且有效的替代方法,可用于改善轮班工作者的睡眠质量。