RESTORE™ CBT for Insomnia and sleep

Cobalt Therapeutics, LLC offers products that fit seamlessly into current clinical settings and enhance their therapeutic offerings to patients, decrease costs, and improve outcomes.

These programs have been evaluated in randomized, controlled trials
and published in leading peer-reviewed journals.

RESTORE™ CBT for Insomnia and sleep problems, developed by Dr. Norah Vincent, received
international attention when the data from its randomized, controlled
trial was published in the Journal SLEEP in 2009. It was reported
on in The New York Times, Time Magazine, US News, AOLHealth, and MSN. (The paper, by Dr. Vincent, was published in June 2009 and titled: “Logging
on for Better Sleep: RCT of the Effectiveness of Online Treatment for
Insomnia”). Cobalt is the sole provider of this
program which showed:

  • More than 80% improved
  • Nearly an hour in additional
    time asleep
  • Almost 40% decrease in time
    awake each night
  • A 36% improvement in time taken
    to fall asleep
  • A 20% improvement in
    work-related impairment due to insomnia


Awards and Press

Accreditation Canada “Leading Edge Practice Award 2010”


Treatment May Help Insomniacs

outcomes were very impressive, almost unbelievable,” said Jack
Edinger, a psychologist at Duke University Medical Center.

Canadian study tested a five-week program that also emphasized sleep
restriction, controlling negative thoughts and avoiding stimuli like
light and noise in the bedroom. It also included readings, and audio
and video clips to teach and reinforce its messages.

Led by
Norah Vincent, a psychologist at the University of Manitoba, the
study included 118 adults who were randomly assigned to complete the
program or remain on a waiting list.

“I liked that it was over the Internet,” said one participant, Kelly
Lawrence, 51, of Winnipeg, “because when you don’t get your sleep
you don’t want to have to get up and go to appointments. You don’t
want to be out there on the roads.”

online format made it easier to work around child care and other
responsibilities, and to “pause the program and go back to
something any time I needed to”, she added.



Study: Web Therapy Can
Help Ease Insomnia


Jun. 01, 2009

a decent night’s sleep shouldn’t be such a crapshoot. But for the
estimated 30% of American adults who suffer from at
least occasional insomnia,
nightfall is no guarantee of slumber.

combat wakefulness, Americans filled more than 50
million prescriptions
in 2008 for sleeping pills like Ambien and spent more than $600
million on over-the-counter sleep-inducing supplements such as
melatonin and valerian root. Others seek medical treatment or
psychological therapy to get to sleep, while the rest of us accept
our nocturnal tossing and turning as just another of life’s
unavoidable nuisances and gulp an extra cup of coffee the next
morning to compensate.

despite our best efforts, about 10% of Americans still suffer from
persistent insomnia
(defined as difficulty initiating or maintaining sleep) – namely,
falling asleep or being functionally impaired by sleepiness during
the day – and researchers continue to search for its causes and
cure. Now a new study in the journal Sleep
suggests a surprising
treatment for the sleepless: the Internet. Web-based treatments have
emerged for all kinds of bad habits and disorders, such as
overeating, smoking, depression – and insomnia.

there’s growing evidence that online therapy really works: in the new
study, 81% of participants who completed a five-week, online program
for insomnia reported improvement in sleep.

may be some unique things that you get from an Internet program, like
the feeling that you are really in the driver’s seat,” says the
study’s author, clinical psychologist Norah Vincent, who adds that
many of the 40 participants who completed her multimedia program
reported both better sleep quality and less daytime fatigue than did
a control group. “People like to have autonomy in solving
problems. I think it motivates them more,” she says.

on cognitive-behavioral-therapy techniques, Vincent’s virtual therapy
combines videos, text and audio clips to teach the sleepless
everything about good sleep hygiene, from how to relax the body
before getting into bed to how not to stress out when you fail to
doze off right away. (One of the worst things you can do when you
can’t fall asleep is lie there and dwell on the consequences of not
getting enough sleep.) Participants in her study were asked to keep
digital sleep diaries and practice the techniques that were
demonstrated onscreen. They were also allowed to download audio clips
of a sleep therapist and an actor in a staged one-on-one session and
listen to them on their iPods.




NYTimes piece

Time Magazine piece,8599,1902070,00.html