Aetna RCT using Sleeprate  

Background:

Aetna initiated a randomized controlled trial to test the efficacy of a mobile CBTI (cognitive behavioral therapy for insomnia) solution on sleep quality, workplace productivity, and quality of life in a commercial business population.

Methods:

• Email recruitment sent to 32000 employees offering the Sleeprate service
• 3900 showed interest and had PSQI scores greater than 8
• 500 were selected and randomly assigned to the Sleeprate CBTI intervention or control group
• Both groups got a pre-study survey including: ✓ PSQI ✓ Work productivity and Impairment (WPAI) ✓ Health Related Quality of Life (HRQOL).
• Both groups got post-study surveys at 8 weeks and 12 weeks following initial survey.
• Surveys were administered and analyzed independently of Sleeprate data analysis.

Usage Funnel

Out of the 250 who received the application, 183 completed a baseline sleep assessment, and 83 completed 3 weeks of digital therapy with an average of 5 nights tracked per week.

Results:

Sleep and Wellness Improvement at 12 weeks

• PSQI scores were 68% lower than the control group (P = 0.00), and improving 4.8 points from baseline.
• Workplace presenteeism was 49.4% lower than the control (P=0.00),
• HRQOL indicated 4.8 Healthy Days (P=0.00) per month were added to the intervention group.
• Sleep Latency (SO), Wake After Sleep Onset (WASO), daytime sleepiness and morning sleep satisfaction, as monitored within the APP, also improved significantly.

Conclusions:

The availability of digital health technology allows people to solve, or at least reduce, sleep deficiencies in the comfort of their own home, leading to greater workplace productivity and quality of life.