Mobile Application–Assisted Cognitive Behavioral Therapy for Insomnia in an Older Adult

Abstract

Introduction: Current evidence suggests potential efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults. Mobile applications (apps) have been developed to facilitate CBT-I in the general population. However, because of deteriorating perceptual and cognitive functioning, the effectiveness of mobile apps in older adults remains unknown. Materials and Methods: This case report aims to demonstrate the utilization, advantages, and limitations of mobile app–assisted CBT-I in an older female adult. An app (“Win-Win aSleep” [WWaS]) was applied in a six-session CBT-I treatment. Results: The patient successfully discontinued her hypnotics and had restored sleep quality after the intervention with WWaS-assisted CBT-I. Several limitations of WWaS were summarized, and pertinent approaches for enhancing future work were discussed. Conclusions: Mobile apps integrating wearable devices might overcome the difficulty for applying WWaS in older adults. In addition to tailored design of mobile technology for older adults, psychosocial support for the utilization of apps may not only enhance the compliance but also provide additional connection to the environment.