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The Effectiveness of Digital Cognitive Behavioral Therapy to Treat Insomnia Disorder in US Adults: Nationwide Decentralized Randomized Controlled Trial

The Effectiveness of Digital Cognitive Behavioral Therapy to Treat Insomnia Disorder in US Adults: Nationwide Decentralized Randomized Controlled Trial

Allowing for 30% attrition, a minimum of 332 participants (166 per arm) were required to detect a between-group effect of d=0.3 with 90% power. As recommended, a correction for 5 multiple comparisons (3 coprimary outcomes [ISI, SOL, and WASO] and 2 secondary outcomes [ISI response and ISI remission]) using a conservative Bonferroni approach yielded an α of .01 [63]. Primary analyses followed intention-to-treat (ITT) principles.

Aric A Prather, Andrew D Krystal, Richard Emsley, Jenna Carl, Tali Ball, Kathryn Tarnai, Adrian Aguilera, Colin A Espie, Alasdair L Henry

JMIR Ment Health 2025;12:e84323


Evaluating R2Play, A Novel Multidomain Return-to-Play Assessment Tool for Concussion: Mixed Methods Feasibility and Face Validity Study

Evaluating R2Play, A Novel Multidomain Return-to-Play Assessment Tool for Concussion: Mixed Methods Feasibility and Face Validity Study

They noted it became easier with practice, and they felt more comfortable in their second session despite the time between sessions (3‐71 d). Confidence in using R2 Play was primarily limited by a lack of familiarity with the assessment protocol and level instructions. On-screen prompts and automation made it particularly easy for clinicians to navigate the interface: “I think the way it is set up… kind of just the next thing is automatic, I think makes sense from a usability standpoint” (C5).

Josh Shore, Pavreet Gill, Danielle DuPlessis, Emma Kyrinis, Andrew Lovell, Kylie D Mallory, Andrea Hickling, Michael Hutchison, Sarah Munce, Kathryn J Schneider, Elaine Biddiss, Shannon E Scratch

JMIR Rehabil Assist Technol 2025;12:e78486