Table 2

Session content for sleep hygiene education

Session numberContent
1. Sleep educationContent is the same as CBT-I.
2. Sleep hygiene (SH)Content is the same as CBT-I.
3. Insomnia and painParticipants are provided education on chronic/acute insomnia (Spielman’s 3 P’s model)53 and the Gate Control Theory54 of pain.
4. EnvironmentParticipants are provided with education on SH rules related to environmental factors (eg, noise, light).
5. LifestyleParticipants are provided with education on lifestyle factors that influence sleep (eg, use of stimulants and other substances).
6. DietParticipants are provided with education about diet and nutrition and their influence on sleep.
7. ExerciseParticipants are provided with education about exercise and its influence on sleep.
8. Review and maintenanceIn the final session, SH training reviewed and continued practice is encouraged. Problems are trouble-shooted. All education provided in previous sessions will be reviewed. Finally, continued engagement in education will be discussed.
Booster sessionsAs in CBT-I, all training and education covered in SH training will be reviewed in a brief (~20 min) telephone call. Continued SH practice and education engagement are encouraged. Problems are trouble-shooted.
  • CBT-I, cognitive behavioural treatment for insomnia.