In western societies, about one in six employees works in shifts. Shiftwork is associated with a number of poor somatic and psychological health outcomes, especially sleep issues. Higher rates of absenteeism and accidents in the workplace are possible consequences. Still, prevention programs and treatment options that are specifically tailored to shift-workers’ needs are rare. We devised a 4-week online cognitive behavioral therapy for insomnia (CBT-I) intervention (n = 21) and compared sleep outcomes to a face-to-face outpatient treatment for shift-workers (n = 12) using a sleep diary and the Epworth Sleepiness Scale (ESS). In the online sample, measures also included the World Health Organization wellbeing questionnaire (WHO-5) and the Insomnia Severity Index (ISI). In the outpatient sample, the Beck Depression Inventory (BDI-II), the Montgomery–Åsberg Depression Rating Scale (MADRS), and the Pittsburgh Sleep Quality Index (PSQI) were administered. Results showed significant improvements in sleep efficiency by 7.2% in the online sample and 7.7% in the outpatient sample. However, no significant difference was found in the rate of improvement in sleep efficiency across four weeks of treatment between the samples. In the online sample, the wellbeing (WHO-5) and insomnia symptoms (ISI) scores were significantly improved following the CBT-I intervention (p < 0.004 and p < 0.002 respectively). In the outpatient sample, symptoms of depression (BDI-II and MADRS scores) and insomnia symptoms (PSQI scores) improved significantly following the CBT-I intervention. In summary, CBT-I significantly improved sleep efficiency in both the online and outpatient samples, in addition to wellbeing, symptoms of insomnia, and depression. The findings of this study demonstrate online CBT-I as a feasible approach for treating insomnia in shift-workers. Future randomized controlled trials are needed.

Zusammenfassung Das an der Technischen Hochschule Nürnberg Georg Simon Ohm angesiedelte Forschungsprojekt "SIWo-Smart Inklusion für Wohnungslose" widmet sich der Fragestellung, welche Informations-, Unterstützungs-und Beratungsbedarfe bei wohnungslosen Menschen vorliegen und in welcher Form sich die Teilhabechancen für die heterogene Zielgruppe wohnungsloser oder von Wohnungsnot betroffener Menschen mittels digitaler Hilfe und Beratungsangebote verbessern lassen. Hierfür werden zum einen mit Gruppendiskussionen und qualitativen Interviews Bedarfe identifiziert. Zum anderen sollen im Rahmen des Projekts prototypische Lösungsansätze in Form einer plattformübergreifenden Hilfe-App entwickelt, getestet und mit Evaluationsverfahren begleitet werden. Charakteristisch ist dabei die enge interdisziplinäre Zusammenarbeit zwischen Sozialwissenschaft, Informatik

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Zusammenfassung Jeder sechste deutsche Beschäftigte ist in Schichtarbeit tätig. Angebote für die spezifische Problematik von Schichtarbeitenden sind dennoch selten. Eine kompakte Online-Schlafberatung wurde daher entwickelt, durchgeführt und evaluiert. Es zeigen sich signifikante Verbesserungen bezüglich Insomniesymptomen und Wohlbefinden.

In western societies about one in six employees works in shifts. Shiftwork is associated with a number of poor somatic and psychological health outcomes, especially sleep issues. Higher rates of absenteeism and accidents in the workplace are possible consequences. Still, prevention programs and treatment options that are specifically tailored to shift workers&rsquo; needs are rare. We devised a 4-week online sleep intervention (n = 21) and compared treatment outcomes to our outpatient treatment for shift workers (n = 12). Measures included the WHO-5. ISI, and ESS scales as well as sleep protocols. Shift workers reported worse symptoms of insomnia than other participants. Results show significant average increases in sleep efficiency (+ 7%) and total sleep time (+ 25 min.), as well as significant improvements regarding insomnia symptoms and wellbeing in the online sample. Rates of improvement did not differ between the online and outpatient samples. Sleep disorders affect a relevant part of the working population, especially shift workers. Online approaches to treatment of these issues seem feasible and effective. Randomized controlled trials are needed.