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- 33 Journal of Medical Internet Research
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Insomnia affects up to 30% of the population with a total public health cost of US $107 billion annually in the United States [1-4].
JMIR Form Res 2025;9:e67366
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Among the most common challenges of cancer survivorship is insomnia, which limits recovery [4] and quality of life [5]. Cancer survivors are approximately 3 times more likely to experience insomnia than the general population, and this insomnia can persist for up to 10 years after diagnosis [6-9].
JMIR Cancer 2025;11:e74387
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To address these challenges, digital therapeutics for insomnia (DTx-Is), which represent a type of digitalized CBT-I, have been developed. Digital therapeutics are defined as evidence-based therapeutic interventions for patients, which are driven by high-quality software programs to prevent, manage, or treat a medical disorder or disease [20]. DTx-Is specifically deliver CBT-Is, which are standardized and effective treatments for insomnia.
J Med Internet Res 2025;27:e70722
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Sleepio is a digital therapeutic using digital cognitive behavioral therapy for insomnia (CBTi) and has been recommended by the United Kingdom’s National Institute for Health and Care Excellence (NICE) for treating patients with insomnia and insomnia symptoms [10]. The clinical evidence for Sleepio indicates that it is an effective treatment for insomnia and can improve insomnia symptoms and poor sleep [11]. NICE has concluded in-year cost savings over usual insomnia treatments in primary care [10].
JMIR Form Res 2025;9:e75359
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Insomnia, defined as difficulty with falling asleep or maintaining sleep throughout the night [1], is a prevalent public health issue across a variety of age groups worldwide. This condition is often unrecognized or underreported and is considered a disease with significant economic costs [2]. The prevalence of insomnia increases significantly with age, with studies reporting a chronic insomnia prevalence of 20% to 40% among individuals aged 65 years and older [3].
J Med Internet Res 2025;27:e67751
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Insomnia is a major health complaint, with a prevalence up to 50% in primary care patients undergoing current treatment for either independent insomnia or insomnia comorbid with another disease, posing a risk of worsening comorbid medical conditions without addressing insomnia [1].
JMIR Hum Factors 2025;12:e70193
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College students and young adults aged between 18 and 25 years frequently experience poor sleep quality and insufficient sleep duration [1,2] accompanied by a high prevalence of insomnia. Studies have reported that 18.5% of college students have insomnia, whereas 22.6% of young adults experience difficulty falling asleep; these rates are higher than those observed in the general population [3,4].
J Med Internet Res 2025;27:e69657
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We included university students who were (1) aged ≥18 years, (2) displaying heightened insomnia severity (Insomnia Severity Index [ISI] score ≥10 [42,43]), (3) German-speaking, (4) willing to give informed consent to participate in the study, and (5) had internet access.
J Med Internet Res 2025;27:e58024
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Insomnia, defined as difficulty initiating or maintaining sleep, is the most common sleep disorder, with 20% of adults reporting occasional insomnia symptoms and 10%-30% experiencing chronic insomnia [10,11]. In addition to its physical and mental health impacts, insomnia has significant societal and economic consequences, including reduced productivity, absenteeism, higher accident rates, increased health care costs, and an overall decline in quality of life [12].
JMIR Mhealth Uhealth 2025;13:e68665
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During the pandemic’s early stages, a marked increase in internet searches for “insomnia” was consistently observed, reflecting shifts in mental health dynamics across several countries [10-13]. Building on this foundation, our study explored the relationship between national COVID-19 death rates and search patterns for “insomnia” and “suicide” during the pandemic’s first year [11].
J Med Internet Res 2025;27:e67646
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