Lessons Learned from the National Dissemination of Cognitive Behavioral Therapy for Insomnia in the Veterans Health Administration: Impact of Training on Therapists' Self-Efficacy and Attitudes

Chronic insomnia, common among veterans, is associated with negative physical health, and, if untreated, can impact the severity of comorbid medical and psychiatric conditions. Cognitive behavioral therapy for insomnia (CBT-I) is a highly effective and well-established treatment, but patient access is limited because few clinicians are trained to deliver the therapy. This article describes the training methods and the impact of training on therapists’ use of CBT-I and on their self-efficacy to deliver and attitudes toward CBT-I.