A Pilot Study to Identify Genetic Variations of Restless Legs Syndrome in Persons with Type 2 Diabetes

Norma Cuellar, DSN, RN

Professor
University of Alabama
Tuscaloosa, Alabama

There is overwhelming evidence of the benefits of cognitive behavior therapy for insomnia (CBT-I); however, there continues to be only a scarcity of providers of CBT-I. We developed a CBT-I program to be delivered in a group session by trained physicians and nurses in sleep and CBT. The purpose of this pilot program was to determine feasibility of a group approach, outcomes of CBT-I using physicians and nurses as providers, and payment mechanisms of CBT-I through insurance. Board-certified sleep physicians, nurses trained in CBT and nurse practitioners can effectively provide CBT-I. Limitations include a small, purposive sample and no objective measures of sleep (actigraphy). The group therapy approach was effective in improving insomnia. Participants’ evaluations were positive and identified the group format as very helpful. No reimbursement for the program was received through any of the insurance providers.

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