{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:59:09Z","timestamp":1785437949053,"version":"3.56.0"},"reference-count":46,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep is essential for health, yet a large proportion of the population reports sleep complaints. The ASLEEP (Preventing and Treating Insomnia Symptoms in Mid-Life and Older Adults) intervention is conceptualized as an eCBT-I (digitally delivered cognitive behavioral therapy for insomnia) intervention aiming to prevent and treat insomnia in individuals aged 50 years and over through a novel, tiered approach. The first step, a basic course delivered via iPad through a dedicated app, includes educational videos grounded in sleep education and sleep hygiene advice, a 7-day digital sleep diary, and a postcourse digital sleep report providing personalized feedback on sleep efficiency via email.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study was to assess the feasibility and acceptability of the ASLEEP basic course among adults aged 50 years and over, including participant engagement, acceptability of the course content, and delivery of study activities, through PROTECT Norge (Platform for Research Online to Investigate Genetics and Cognition in Ageing Norge), an online research infrastructure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single-arm multimethod feasibility and acceptability study was conducted as a nested study within PROTECT Norge. Data comprised preintervention questionnaires on sleep and mental health, intervention compliance tracking, and 2 postintervention focus group interviews. Questionnaire and compliance data were analyzed descriptively, and focus group data were analyzed using systematic text condensation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 150 invited individuals, 18 expressed interest. Ten participants were included in the study, all of whom completed the intervention and subsequently took part in 2 focus group interviews, with 5 participants in each group. Participants included 6 women and 4 men aged 54 to 78 years. Preintervention data showed that 7 participants reported subthreshold insomnia and 3 reported no insomnia. Sleep diary compliance during the ASLEEP basic course was 99.3%. The systematic text condensation analysis revealed three main categories: (1) motivation for participation in the ASLEEP study, (2) benefits of the ASLEEP intervention, and (3) promoting and hindering factors of delivering a fully digitalized intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ASLEEP basic course was well-received and provided participants with a new understanding of sleep through increased knowledge and awareness. Technological insecurity was experienced by some of the participants, but it was mitigated by technical support. Improving app stability and expanding device compatibility could enhance accessibility and optimize ASLEEP\u2019s future delivery. The PROTECT Norge platform demonstrated good feasibility in recruitment, participant management, and compliance monitoring, supporting the successful delivery of the study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/86591","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:13:02Z","timestamp":1785435182000},"page":"e86591-e86591","source":"Crossref","is-referenced-by-count":0,"title":["The ASLEEP Intervention for Insomnia Symptoms in Mid-Life and Older Adults supported by the PROTECT Norge Platform: Single-Arm, Multimethod Feasibility and Acceptability Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8459-6240","authenticated-orcid":false,"given":"Jon Arild","family":"Aakre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0534-6575","authenticated-orcid":false,"given":"Ingelin","family":"Testad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8762-3109","authenticated-orcid":false,"given":"Martha Therese","family":"Gjestsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2505-2574","authenticated-orcid":false,"given":"Lise Birgitte Holteng","family":"Austb\u00f8","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0022-5632","authenticated-orcid":false,"given":"Clive","family":"Ballard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7051-745X","authenticated-orcid":false,"given":"Bj\u00f8rn","family":"Bjorvatn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.sleh.2014.12.010","article-title":"National Sleep Foundation\u2019s sleep time duration recommendations: methodology and results summary","volume":"1","author":"Hirshkowitz","journal-title":"Sleep Health"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1038\/s41562-020-00964-y","article-title":"Macro and micro sleep architecture and cognitive performance in older adults","volume":"5","author":"Djonlagic","journal-title":"Nat Hum Behav"},{"issue":"6","key":"R3","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/j.smrv.2007.07.005","article-title":"Epidemiology of the human circadian clock","volume":"11","author":"Roenneberg","journal-title":"Sleep Med Rev"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.neuron.2017.02.004","article-title":"Sleep and human aging","volume":"94","author":"Mander","journal-title":"Neuron"},{"issue":"6","key":"R5","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.14035","article-title":"The European Insomnia Guideline: an update on the diagnosis and treatment of insomnia 2023","volume":"32","author":"Riemann","journal-title":"J Sleep Res"},{"issue":"10","key":"R6","doi-asserted-by":"publisher","first-page":"e820","DOI":"10.1016\/S2468-2667(23)00182-2","article-title":"The need to promote sleep health in public health agendas across the globe","volume":"8","author":"Lim","journal-title":"Lancet Public Health"},{"issue":"2","key":"R7","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12967","article-title":"The European Academy for Cognitive Behavioural Therapy for Insomnia: an initiative of the European Insomnia Network to promote implementation and dissemination of treatment","volume":"29","author":"Baglioni","journal-title":"J Sleep Res"},{"issue":"2","key":"R8","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13763","article-title":"Do people use methods or tricks to fall asleep? A comparison between people with and without chronic insomnia","volume":"32","author":"Bjorvatn","journal-title":"J Sleep Res"},{"key":"R9","unstructured":"Thomas MJ T\u00f8mmer\u00e5s AM . Norway\u2019s 2024 national population projections: results, methods and assumptions. Statistics Norway; 2024. URL: https:\/\/tinyurl.com\/yeyucp5y [Accessed 08-07-2026]"},{"key":"R10","unstructured":"Ageing Europe: looking at the lives of older people in the EU. Eurostat; 2020. URL: https:\/\/ec.europa.eu\/eurostat\/documents\/3217494\/11478057\/KS-02-20-655-EN-N.pdf\/9b09606c-d4e8-4c33-63d2-3b20d5c19c91?t=1604055531000 [Accessed 08-07-2026]"},{"key":"R11","unstructured":"Perlis ML Aloia M Kuhn B . Behavioral Treatments for Sleep Disorders: A Comprehensive Primer of Behavioral Sleep Medicine Interventions. Academic Press; 2010. ISBN: 978-0123815231"},{"issue":"1","key":"R12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.17241\/smr.2011.2.1.1","article-title":"Epidemiological overview of sleep disorders in the general population","volume":"2","author":"Ohayon","journal-title":"Sleep Med Res"},{"key":"R13","unstructured":"Digitalisation in Europe\u20142024 edition. Eurostat. 2024. URL: https:\/\/ec.europa.eu\/eurostat\/web\/interactive-publications\/digitalisation-2024 [Accessed 11-07-2025]"},{"key":"R14","unstructured":"Fundamental rights of older people: ensuring access to public services in digital societies. European Union Agency for Fundamental Rights (FRA); 2024. URL: https:\/\/fra.europa.eu\/en\/publication\/2023\/older-people-digital-rights [Accessed 08-07-2026]"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2023.105124","article-title":"Sociodemographic determinants of digital health literacy: a systematic review and meta-analysis","volume":"177","author":"Estrela","journal-title":"Int J Med Inform"},{"issue":"12","key":"R16","doi-asserted-by":"publisher","DOI":"10.2196\/23804","article-title":"Learning and use of eHealth among older adults living at home in rural and nonrural settings: systematic review","volume":"23","author":"Airola","journal-title":"J Med Internet Res"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"van Gemert L . eHealth Research, Theory and Development: A Multi-Disciplinary Approach. Routledge; 2018. [doi: 10.4324\/9781315385907]","DOI":"10.4324\/9781315385907"},{"issue":"1","key":"R18","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1376","article-title":"Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy","volume":"12","author":"Webb","journal-title":"J Med Internet Res"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.2196\/39250","article-title":"eHealth-based psychosocial interventions for adults with insomnia: systematic review and meta-analysis of randomized controlled trials","volume":"25","author":"Deng","journal-title":"J Med Internet Res"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.10.001","article-title":"The role of sleep hygiene in promoting public health: a review of empirical evidence","volume":"22","author":"Irish","journal-title":"Sleep Med Rev"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2017.12.003","article-title":"A systematic review and meta-analysis of cognitive and behavioral interventions to improve sleep health in adults without sleep disorders","volume":"40","author":"Murawski","journal-title":"Sleep Med Rev"},{"issue":"6","key":"R22","doi-asserted-by":"publisher","first-page":"769","DOI":"10.5665\/sleep.1872","article-title":"A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application","volume":"35","author":"Espie","journal-title":"Sleep"},{"issue":"2","key":"R23","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1080\/15402002.2017.1301941","article-title":"The short-term efficacy of an unguided internet-based cognitive-behavioral therapy for insomnia: a randomized controlled trial with a six-month nonrandomized follow-up","volume":"17","author":"Hagatun","journal-title":"Behav Sleep Med"},{"issue":"6","key":"R24","doi-asserted-by":"publisher","first-page":"580","DOI":"10.1111\/j.1467-9450.2011.00902.x","article-title":"A self-help book is better than sleep hygiene advice for Insomnia: a randomized controlled comparative study","volume":"52","author":"Bjorvatn","journal-title":"Scand J Psychol"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.2196\/69867","article-title":"Web-based assessment of cognition and dementia risk factors in over 3000 Norwegian adults aged 50 years and older: cross-sectional PROTECT Norge study","volume":"8","author":"Testad","journal-title":"JMIR Aging"},{"issue":"57","key":"R26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta25570","article-title":"Framework for the development and evaluation of complex interventions: gap analysis, workshop and consultation-informed update","volume":"25","author":"Skivington","journal-title":"Health Technol Assess"},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Malterud K Siersma V Guassora AD . Information power: sample content and size in qualitative studies. In: Camic PM , editor. Qualitative Research in Psychology: Expanding Perspectives in Methodology and Design. 2nd ed. American Psychological Association; 2021:67-81. [doi: 10.1037\/0000252-004]","DOI":"10.1037\/0000252-004"},{"issue":"9","key":"R28","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for Reporting Qualitative Research","volume":"89","author":"O\u2019Brien","journal-title":"Acad Med"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.2196\/81542","article-title":"Preventing and Treating Insomnia Symptoms in Midlife and Older Adults (ASLEEP): protocol for a randomized controlled trial using the PROTECT Norge infrastructure","volume":"15","author":"Aakre","journal-title":"JMIR Res Protoc"},{"issue":"4","key":"R30","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/s1389-9457(00)00065-4","article-title":"Validation of the Insomnia Severity Index as an outcome measure for insomnia research","volume":"2","author":"Bastien","journal-title":"Sleep Med"},{"issue":"9","key":"R31","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","journal-title":"J Gen Intern Med"},{"issue":"10","key":"R32","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","journal-title":"Arch Intern Med"},{"issue":"3","key":"R33","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1097\/MLR.0b013e318160d093","article-title":"Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population","volume":"46","author":"L\u00f6we","journal-title":"Med Care"},{"issue":"4","key":"R34","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1016\/j.genhosppsych.2010.03.006","article-title":"The Patient Health Questionnaire somatic, anxiety, and depressive symptom scales: a systematic review","volume":"32","author":"Kroenke","journal-title":"Gen Hosp Psychiatry"},{"issue":"8","key":"R35","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1177\/1403494812465030","article-title":"Systematic text condensation: a strategy for qualitative analysis","volume":"40","author":"Malterud","journal-title":"Scand J Public Health"},{"issue":"1","key":"R36","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-017-0062-2","article-title":"GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research","volume":"3","author":"Staniszewska","journal-title":"Res Involv Engagem"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.998302","article-title":"People\u2019s interest in brain health testing: findings from an international, online cross-sectional survey","volume":"10","author":"Carver","journal-title":"Front Public Health"},{"issue":"1","key":"R38","doi-asserted-by":"publisher","first-page":"38","DOI":"10.4278\/0890-1171-12.1.38","article-title":"The transtheoretical model of health behavior change","volume":"12","author":"Prochaska","journal-title":"Am J Health Promot"},{"issue":"1","key":"R39","doi-asserted-by":"publisher","first-page":"9","DOI":"10.5665\/sleep.3298","article-title":"Sleep health: can we define it? Does it matter?","volume":"37","author":"Buysse","journal-title":"Sleep"},{"key":"R40","unstructured":"Wills J . Foundations for Health Promotion-E-Book: Foundations for Health Promotion-E-Book. 5th ed. Elsevier Health Sciences; 2022. URL: https:\/\/tinyurl.com\/ytvt5nc9 [Accessed 08-07-2026]"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Goelema MS Willems MM Haakma R Markopoulos P . On the reactivity of sleep monitoring with diaries. In: Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2016). SCITEPRESS \u2013 Science and Technology Publications; 240-247. [doi: 10.5220\/0005662602400247]","DOI":"10.5220\/0005662602400247"},{"issue":"1","key":"R42","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/s41347-022-00287-x","article-title":"Veteran acceptance of sleep health information technology: a mixed-method study","volume":"8","author":"Kaitz","journal-title":"J Technol Behav Sci"},{"issue":"5","key":"R43","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s12529-015-9467-1","article-title":"Self-monitoring vs. implementation intentions: a comparison of behaviour change techniques to improve sleep hygiene and sleep outcomes in students","volume":"22","author":"Mairs","journal-title":"Int J Behav Med"},{"issue":"12","key":"R44","doi-asserted-by":"publisher","first-page":"2072","DOI":"10.1016\/j.socscimed.2008.09.050","article-title":"The evolving concept of health literacy","volume":"67","author":"Nutbeam","journal-title":"Soc Sci Med"},{"issue":"3","key":"R45","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1093\/heapro\/16.3.289","article-title":"Health literacy: addressing the health and education divide","volume":"16","author":"Kickbusch","journal-title":"Health Promot Int"},{"issue":"2","key":"R46","doi-asserted-by":"publisher","DOI":"10.2196\/med20.1741","article-title":"Web-based interventions for behavior change and self-management: potential, pitfalls, and progress","volume":"1","author":"Murray","journal-title":"Med 2 0"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:13:03Z","timestamp":1785435183000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2026\/1\/e86591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":46,"URL":"https:\/\/doi.org\/10.2196\/86591","relation":{},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"article-number":"v10i1e86591"}}