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Behav. Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Family caregivers frequently experience sleep challenges that impact their own health and ability to provide care for a care recipient (i.e., the person a caregiver supports). Cognitive-behavioral therapy for insomnia (CBT-I) effectively treats insomnia, but there is limited evidence regarding caregivers\u2019 perceived impacts of this intervention. The current study evaluated caregivers\u2019 experiences using Sleep Healthy Using The Internet (SHUTi), an Internet-delivered CBT-I intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      The sample comprised caregivers with insomnia who supported care recipients requiring medium- or high-intensity care for any condition, including Alzheimer\u2019s disease\/dementia (21%), cancer (11%), or a mobility problem (11%). Participating caregivers who used SHUTi (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200982; age\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u200953.20, 85% female, 59% lived with the care recipient) provided open-ended feedback about their experience. Responses were analyzed using a rapid content analysis approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Responses revealed that caregivers perceived benefits of SHUTi to their\n                      <jats:italic>functioning<\/jats:italic>\n                      and their\n                      <jats:italic>understanding of sleep<\/jats:italic>\n                      . Caregivers described how the intervention improved their overall daytime abilities, mood, and caregiving capacity. They also shared how the intervention helped them prioritize sleep and self-care, gave them insight into their sleep, and increased their knowledge of healthy sleep.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Caregivers reported wide-ranging benefits from CBT-I beyond improved sleep. Despite the untailored nature of this intervention, several caregivers described positive impacts on their caregiving capabilities and outlook, resulting from the program helping them to improve their sleep and self-care more broadly. These results suggest that framing caregiver-focused health interventions as important to both caregivers and care recipients may increase caregivers\u2019 uptake of such resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s12529-025-10425-3","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T15:42:39Z","timestamp":1767714159000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cBetter Sleep Means I\u2019m Better Able to Provide Care\u201d: Caregivers\u2019 Perceived Impacts of an Internet-Delivered Insomnia Intervention"],"prefix":"10.1007","author":[{"given":"Kate","family":"Perepezko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia","family":"Gallagher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jillian","family":"Glazer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi","family":"Donovan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Mattos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Klinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Buysse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Ritterband","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Shaffer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,6]]},"reference":[{"key":"10425_CR1","unstructured":"AARP and National Alliance for Caregiving (2025) Caregiving in the US 2025. 24 July. 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Over the past 3\u00a0years, DB has served as a paid or unpaid consultant to Sleep Number, Idorsia, and Eisai. All consulting agreements have been for a total of less than $5000 per year from any single entity. Consulting has focused on insomnia, behavioral sleep treatments, and the measurement of sleep characteristics. DB is an author of the Pittsburgh Sleep Quality Index, Pittsburgh Sleep Quality Index Addendum for PTSD (PSQI-A), Brief Pittsburgh Sleep Quality Index (B-PSQI), Daytime Insomnia Symptoms Scale, Pittsburgh Sleep Diary, Insomnia Symptom Questionnaire, and RU_SATED (copyrights held by the University of Pittsburgh). These instruments have been licensed to commercial entities for fees. He is also co-author of the Consensus Sleep Diary (copyright held by Ryerson University), which is licensed to commercial entities for a fee. LR reports having equity ownership in BeHealth Solutions, LLC, the company that was originally established to make available digital health products, including Sleep Healthy Using the Internet (SHUTi), now licensed by Nox Health. LR is a paid consultant of Nox Health, which owns the IP of Somryst, a commercial PDT for insomnia based on the SHUTi program. These companies had no role in the preparation of this manuscript. The terms of these arrangements have been reviewed and approved by the University of Virginia in accordance with its policies.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}