The internet-based sleep intervention helped family caregivers improve sleep quality, particularly those with the most demanding caregiving responsibilities.
Summary: Research from the University of Virginia (UVA) School of Medicine shows that an online insomnia treatment, SHUTi (Sleep Healthy Using the Internet), improved sleep for family caregivers, particularly those with the most demanding responsibilities. The SHUTi program, which offers cognitive behavioral therapy for insomnia, was well-received by most participants, helping them manage stress, guilt, and anxiety associated with caregiving. The findings suggest that SHUTi could provide accessible, effective sleep treatment for caregivers who struggle to find time for in-person therapy.
Key Takeaways:
- SHUTi Improves Sleep for Caregivers – The online sleep intervention helped caregivers, especially those with the heaviest caregiving duties, improve their sleep quality and reduce nighttime awakenings.
- Accessible Insomnia Treatment – The online format of SHUTi offers a practical solution for caregivers who face challenges accessing traditional in-person insomnia treatments due to their responsibilities.
- Stress and Guilt Reduction – Caregivers reported that SHUTi not only improved their sleep but also helped them manage feelings of stress, anxiety, and guilt, contributing to better overall well-being.
Providing care for a family member with a disabling illness can be a demanding job that leaves many people unable to sleep, but an online insomnia treatment developed at the University of Virginia (UVA) School of Medicine can help, new research shows.
Not only did the SHUTi (Sleep Healthy Using the Internet) sleep intervention help caregivers get better rest, but it also most benefited those shouldering the greatest responsibilities in caring for their loved ones, the researchers found.
The results suggest the online format of the program holds great promise for helping people access insomnia treatment who otherwise could not because of their demanding caregiving responsibilities, the investigators say.
“Compared to the general population, caregivers are more likely to experience insomnia but have a harder time getting help for this problem,” says researcher Kelly M. Shaffer, PhD, a clinical psychologist at UVA Health who is part of UVA’s Center for Behavioral Health and Technology, in a release. “Effective and accessible Internet-based interventions like SHUTi can give more caregivers meaningful relief.”
Caregivers and Insomnia
Approximately one in six Americans provides physical, emotional, or medical care for a loved one disabled by illness. This can place a huge emotional and physical toll on caregivers. Many end up stressed and sleep-deprived but still struggle to fall asleep even when they have the opportunity.
SHUTi has helped many people overcome sleep difficulties in previous research trials. Shaffer and her fellow researchers wanted to see if this intervention, and the cognitive behavioral therapy it provides, would be helpful for caregivers.
To determine that, the researchers provided SHUTi to 100 “high-intensity” caregivers experiencing insomnia. Of those, 60 completed the program, while 22 started but did not finish it. Of the 18 who didn’t use the program, most said they had not because of concerns about the time it would require and fitting it into their caregiving obligations.
Overall, the verdict was very positive, with most participants who used the program finding it user-friendly and seeing benefit in the cognitive-behavioral strategies provided.
Notably, the most engagement and the best outcomes were largely seen in participants with the most challenging caregiving situations. In particular, caregivers reporting more guilt about taking time for their own well-being at the start of the study tended to show some of the greatest improvements in their sleep quality and number of awakenings through the night. Many of these caregivers appreciated that SHUTi gave them space to focus on their own health goals.
Users also said that they liked that SHUTi helped them manage their feelings of stress, anxiety, and overwhelming responsibility. This made it easier for them to stop their minds from racing as they tried to fall asleep, the researchers report.
Implications
The results suggest that SHUTi could be a useful tool for helping busy caregivers access insomnia treatment they might not be able to get in person. Further, the research suggests that the program is helpful as is, even without custom tailoring for caregivers, such as content on how to fall asleep more easily after helping a loved one during the night. Still, this tailored information may be helpful for some caregivers, and the researchers hope to study this next.
“Family caregivers fill an irreplaceable role in their loved ones’ healthcare teams,” Shaffer says in a release. “In turn, they deserve care for their own health concerns that is effective, affordable, and practical. Our study provides hope that Internet-based interventions like SHUTi can make that a reality.”
The researchers have published their findings in a pair of papers in the Annals of Behavioral Medicine.
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