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Clinical guidelines recommend cognitive behavioral therapy (CBT) as the first line of treatment for insomnia. Accessing CBT can be challenging due to limited providers, geographical constraints, and cost. Digital medicine, including telehealth CBT and digital CBT (dCBT), address these barriers by providing CBT through teleconference/telephone and digital formats. Evidence suggests that digital medicine is efficacious for insomnia symptoms across populations and can improve mental health and overall functioning. Despite technological advances and the efficacy of these treatments, implementation remains a challenge. This article provides definitions of different CBT formats, evidence and implications of digital medicine, current barriers to implementations, and recommendations for future directions.

Original publication





Book title

Encyclopedia of Sleep and Circadian Rhythms: Volume 1-6, Second Edition

Publication Date



280 - 289