We found that veterans with insomnia participating in a four session behavioral treatment for insomnia improved on a series of functioning measures, as well as on some sleep, mood, and energy measures, and that these gains were maintained at
6-month follow-up. Notably, they did not improve on several sleep diary measures, with the exception of SL, nor on measures of fatigue, PTSD, or pain. The treatment provided was brief in duration, including two in-person and two phone sessions, which is shorter than the current behavioral treatment typically provided within VA mental health clinics, lasting six to eight sessions (CBT-I). Being able to offer a shorter treatment as an option could increase treatment engagement for several reasons. First, BBTI can be easily integrated into and offered within a primary care or integrated care setting, which can reduce mental health-related stigma. Second, due to quick symptom improvement, BBTI can serve as a positive mental health experience and serve as a bridge to further mental health treatment, if needed. Third, BBTI is convenient since it requires two in-person and two phone visits, making it easier for busy veterans to obtain needed care.
Future research can also examine the impact of BBTI for veterans that is entirely remote.

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