{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T19:33:07Z","timestamp":1787945587077,"version":"build-2784847793"},"reference-count":31,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"U.S. Army Medical Research and Materiel Command, Congressionally Directed Medical Research Programs","award":["W81XWH-21-1-0576"],"award-info":[{"award-number":["W81XWH-21-1-0576"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Chronic nightmares are associated with a range of mental and physical health problems, including posttraumatic stress disorder, depression, alcohol use, and suicide risk. Cognitive behavioral therapy for nightmares (CBT-N) is a recommended treatment, but is underutilized because of the lack of providers trained in CBT-N. We developed and evaluated a web-based provider training for CBT-N: CBTNightmares.org.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Experts developed the content and a prototype of CBTNightmares.org. Testing occurred in 3 phases. First, licensed behavioral health providers and trainees with and without a background in CBT-N (n\u2009=\u200917) completed alpha testing, including pre- and post-module quizzes, evaluation questionnaires, and individual interviews. The feedback was used to refine CBTNightmares.org. Next, licensed behavioral health providers and trainees (n\u2009=\u200947) without CBT-N training completed beta testing, including pre- and post-module quizzes and evaluation questionnaires. This informed a second round of revisions to the web-based training. Finally, licensed behavioral health providers were randomly assigned to complete either CBTNightmares.org (n\u2009=\u200957) or a live-virtual 1-day workshop (n\u2009=\u200957). Both groups completed knowledge assessments and a mock therapy session in which they implemented core components of CBT-N (i.e., assessment, exposure-related activities, and rescription-related activities) with a standardized patient and were rated for fidelity to each component of the CBT-N consensus manual.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Alpha and beta testing provided valuable feedback used to improve the site. In the comparison study, estimated marginal posttest mean scores were 8% better in CBTNightmares.org (i.e., CBTNightmares.org\u2009=\u200986% vs. CBT-N live-virtual workshop\u2009=\u200978%), indicating that CBTNightmares.org not only met the non-inferiority criterion set at 10 percentage points, but outperformed CBT-N live-virtual workshop. For fidelity ratings, training condition did not have a statistically significant multivariate effect (Wilks\u2019 \u039b\u2009=\u20090.78, F(11, 60) = 1.53, P\u2009=\u2009.144).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Web-based provider training for CBT-N, CBTNightmares.org, was comparable to a live-virtual workshop and effectively equipped providers with knowledge and skills in assessing and treating nightmares. With its user-friendly access to multimedia resources and its affordability, CBTNightmares.org is poised to promote wide dissemination of training in the delivery of CBT-N and thereby improve the treatment of nightmares in military, veteran, and civilian populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usaf385","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T11:53:20Z","timestamp":1752926000000},"source":"Crossref","is-referenced-by-count":2,"title":["The Development and Evaluation of a Web-Based Training Program for Cognitive Behavioral Therapy for Nightmares: CBTNightmares.org"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6585-4670","authenticated-orcid":false,"given":"Kristi E","family":"Pruiksma","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio , San Antonio, TX 78229,","place":["United 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