{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:57:37Z","timestamp":1791485857150,"version":"4.3.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Montana INBRE","award":["P20GM103474"],"award-info":[{"award-number":["P20GM103474"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Sleep disturbances are highly prevalent among veterans and negatively impact mental health and occupational performance. Occupational therapy (OT) practitioners are well equipped to address sleep as a core occupation through interventions that target habits, routines, and environmental contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the feasibility and acceptability of a community-based, OT-led modified cognitive behavioral therapy for insomnia (CBT-I) program for veterans with self-reported sleep disturbances and to explore associated changes in sleep, occupational performance, and mental health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Single-arm, pre\u2013post pilot feasibility study with exploratory quantitative analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community-based veteran organization in Montana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Nine veterans enrolled; seven completed the 5-week program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>A 5-week OT-led modified CBT-I program consisting of weekly group education and individual OT sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures<\/jats:title>\n                    <jats:p>Sleep quality and disturbance (PROMIS-SD, PSQI), occupational performance and satisfaction (COPM), depression (PHQ-9), anxiety (GAD-7), and quality of life (SF-12). Feasibility outcomes included recruitment, attendance, retention, and acceptability as assessed via postintervention feedback survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants demonstrated improvements in sleep, occupational performance, and mental health, with no changes in health-related quality of life. Attendance and retention were high, and all participants who completed the intervention reported positive acceptability and willingness to recommend the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>OT-delivered, modified CBT-I appears feasible and acceptable in community-based settings and may be associated with improvements in sleep, occupational performance, and mental health among veterans. These findings highlight the potential role of OT in expanding access to sleep interventions, particularly in rural contexts where specialized sleep services are limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261485843","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T07:15:32Z","timestamp":1788678932000},"page":"1054-1061","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Benefit of an OT-Led Modified CBT-I Sleep Intervention for Montana Veterans: A Pilot Study"],"prefix":"10.1177","volume":"80","author":[{"given":"Amanda L.","family":"Carroll","sequence":"first","affiliation":[{"name":"College of Health, University of Montana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiana","family":"Benham","sequence":"additional","affiliation":[{"name":"Rocky Mountain College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Naughton","sequence":"additional","affiliation":[{"name":"Rocky Mountain College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Warren","sequence":"additional","affiliation":[{"name":"Rocky Mountain College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendra","family":"Weir","sequence":"additional","affiliation":[{"name":"Rocky Mountain College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Wollner","sequence":"additional","affiliation":[{"name":"Rocky Mountain College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"IV","given":"John P.","family":"Nordeck","sequence":"additional","affiliation":[{"name":"College of Health, University of Montana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2022.101646"},{"issue":"2","key":"e_1_3_3_3_1","first-page":"7412410010p1","article-title":"Occupational therapy practice framework: Domain and process (4th ed.)","volume":"74","author":"American Occupational Therapy Association.","year":"2020","unstructured":"American Occupational Therapy Association. 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