{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:44:34Z","timestamp":1791967474201,"version":"4.3.4"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Insomnia is a common and significant concern within family medicine; however, there is limited access to qualified sleep specialists trained in the first-line treatment: cognitive behavioral treatment for insomnia (CBT-I). Technology advancements allowed for \u201capp delivery\u201d of CBT-I, but platforms do not customize treatment. To our knowledge, DrLullaby was the first to offer a hybrid approach, to improve behavioral sleep medicine access, through \u201ctech-enabled services,\u201d including telehealth sessions alongside our sleep data portal. We hypothesized that this approach would yield improved sleep outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective chart review of patients who engaged in hybrid CBT-I treatment (n = 155) was performed. The sample was split into two groups based on treatment protocol: (G1) hybrid CBT-I, non-sleep medication tapering (n = 113) and (G2) sleep medication tapering (n = 42). CBT-I-trained clinicians provided virtual insomnia treatment and assigned lessons in the sleep data portal for support between sessions. Self-reported sleep log and medication tapering (for G2) data were analyzed pre-and-post treatment using one-way repeated-measures ANOVA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sleep metrics significantly improved from baseline to posttreatment for the hybrid CBT-I group, including total sleep time, sleep onset latency, wake after sleep onset, and sleep efficiency (Ps &amp;lt; 0.001). Almost 67% of patients in the sleep medication tapering group completely discontinued their sleep medication(s).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>DrLullaby's hybrid approach resulted in a significant reduction of insomnia symptoms and sleep medication dosage. Virtual delivery of tech-enabled CBT-I, alongside sleep medication tapering, may be a viable referral option for family medicine clinicians who otherwise lack access to the first-line insomnia treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmag080","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:19:47Z","timestamp":1789989587000},"source":"Crossref","is-referenced-by-count":0,"title":["An innovative hybrid cognitive behavioral therapy for insomnia approach to insomnia treatment: a retrospective chart review study"],"prefix":"10.1093","volume":"43","author":[{"given":"Brittney","family":"Jones","sequence":"first","affiliation":[{"name":"Clinical Psychology and Behavioral Sleep Medicine, Today's Psychologist , Atlanta, Georgia 30318 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine E","family":"Smith-Mason","sequence":"additional","affiliation":[{"name":"Sleep & Change Specialists, LLC , Atlanta, Georgia 30308 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Medalie","sequence":"additional","affiliation":[{"name":"DrLullaby, LLC , Miami Shores, Florida 33138 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7699-0184","authenticated-orcid":false,"given":"Alyssa M","family":"Minnick","sequence":"additional","affiliation":[{"name":"DrLullaby, LLC , Miami Shores, Florida 33138 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8195-6036","authenticated-orcid":false,"given":"David","family":"Gozal","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, Biomedical Sciences, Dentistry and Maxillofacial Surgery, Joan C. 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