Can brief behavioral therapy improve sleep in older adults with insomnia?
Although based on only a few studies, it appears that a brief 4-week behavioral therapy program will improve sleep quality in older adults with chronic insomnia. These findings underscore guidelines from the American College of Physicians and others to eschew drugs and use nonpharmacologic approaches for the initial management of insomnia. (LOE = 2a)
Overuse alert: This POEM aligns with the Canadian Geriatrics Society’s Choosing Wisely Canada recommendation: Don’t use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia, agitation or delirium. Choosing Wisely Canada's hospital and primary care care toolkits provide tools to reduce inappropriate use of benzodiazepines.
Study design: Meta-analysis (randomized controlled trials)
Setting: Various (meta-analysis)
Henry C. Barry, MD, MS
Michigan State University
East Lansing, MI