ArticleBMC nursing2026
Effects of nurse-led cognitive behavioral therapy on insomnia in adults: a meta-analysis.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
backgroundInsomnia is a common health problem in the adult population, and nurse-led cognitive behavioral therapy (Nurse-led CBT-I) is considered an effective intervention. However, there is inconsistency in the findings of existing studies regarding the efficacy of CBT-I, with some studies demonstrating its effectiveness while others failing to observe a significant effect.
aimsTo explore the efficacy of nurse-led CBT-I in adults using meta-analysis.
methodsSearch of PubMed, Embase, Cochrane library, web of science databases for randomized controlled studies on the effect of nurses on insomnia was performed from the time of database creation to 25th of January 2025. Search terms used included “cognitive behavioral therapy”, “CBT-I”, and “insomnia”. In addition, we considered the gray literature and manually searched conference abstract and dissertation databases. The analysis was done using stata15 software and quality assessment was done using risk of bias.
resultsTen articles involved 1537 patients, the results of meta-analysis suggest nurse-led CBT-I significantly reduced Pittsburgh Sleep Quality Index (PSQI) scores [SMD = -1.95, 95% CI (-3.20, − 0.71)], reduced Insomnia Severity Index (ISI) scores [SMD = -3.34, 95% CI (-5.26, -1.42)], improve quality of life (QOL) scores [SMD = 0.42, 95% CI (0.09, 0.75)], improve Sleep efficiency (SE) [SMD = 2.56, 95% CI (0.92, 4.20)]. However, there was no effect on Total sleep time (TST) [SMD =-0.09, 95% CI (-0.38, 0.20)].
conclusionBased on the results of the current study, nurse-led CBT-I may be effective for insomnia in adults, therefore, it is recommended that CBT-I be incorporated into nurses’ training programs to enhance their ability to intervene in the management of insomnia and to further promote the outcome of patients with insomnia. But due to the large limitations of the study, more high-quality, multicenter, large sample randomized controlled studies are needed to support our conclusions in the future.
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