{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:42:35Z","timestamp":1787236955934,"version":"build-2736575974"},"reference-count":66,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":70,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Study Objectives<\/jats:title>\n                    <jats:p>Two in five Veterans report symptoms of insomnia, with higher rates among those who drink heavily. Although Cognitive Behavioral Therapy for Insomnia (CBT-I) has demonstrated efficacy among those with Alcohol Use Disorder, abstinence is often considered a prerequisite for treatment, leaving its impact unclear among those who are actively drinking. This trial tested the efficacy of CBT-I among heavy-drinking Veterans with insomnia (#NCT03804788).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Veterans from across the United States were randomly assigned to CBT-I or sleep hygiene control. Participants completed retrospective surveys and 14 sleep diaries at baseline, post-treatment, and 3-month follow-up. Primary outcomes were feasibility and insomnia severity. All other outcomes are secondary\/exploratory. Intent-to-treat analyses were conducted using multilevel models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Recruitment spanned June 2019 to March 2023 (N\u2005=\u200571, 80% male, M\u2005=\u200538 years). On average, we recruited 4 participants per month, with retention of 86% at post-treatment and 90% at follow-up. Of 38 CBT-I participants, 33 (87%) completed all 5 treatment sessions, and most responded to treatment (based on change in outcome scores; 22\/38 at post, 27\/38 at follow-up). Relative to control (n\u2005=\u200533), CBT-I participants reported large improvements in insomnia severity, both post-treatment [d\u2005=\u20051.26 (95% CI: 0.74, 1.76)] and at 3-month follow-up [d\u2005=\u20051.33 (95% CI: 0.81, 1.84)]. At follow-up, results for use of alcohol as a sleep aid [d\u2005=\u20050.66 (95% CI: 0.18, 1.14)] and sleep medication [d\u2005=\u20050.44 (95% CI: \u22120.03, 0.91)] also favored CBT-I.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CBT-I is feasible among heavy-drinking Veterans and has large effects on insomnia severity. Studies testing mechanistic effects on alcohol outcomes are warranted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Information<\/jats:title>\n                    <jats:p>The iTAP Study for Veterans, registered on clinicaltrials.gov (#NCT03804788) on January 11, 2019: https:\/\/clinicaltrials.gov\/study\/NCT03804788?term=NCT03804788&amp;rank=1<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sleepadvances\/zpaf037","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T07:42:06Z","timestamp":1748504526000},"source":"Crossref","is-referenced-by-count":4,"title":["Cognitive behavioral therapy for insomnia among heavy-drinking veterans: a randomized pilot trial"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0624-1414","authenticated-orcid":false,"given":"Mary Beth","family":"Miller","sequence":"first","affiliation":[{"name":"Department 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