Key Feature 3: In all patients with insomnia, provide advice about sleep hygiene (ex: limiting caffeine, limiting naps, restricting bedroom activities to sleep and sex, using an alarm clock to get up at the same time each day).
Skill: Clinical Reasoning, Patient Centered
The Foundation for Medical Practice Education (aka McMaster Module) on Insomnia provides a clear and succinct breakdown of the evidence-based approached to behavioural and cognitive strategies that can be used to decrease insomnia. They state, "Non-pharmacologic treatment is first-line therapy for insomnia. There is high evidence that behavioural and cognitive techniques are effective forms of therapy for long-term results, especially when used in combination with other therapies."
The Insomnia McMaster Module provides some background information on the utility of CBT-I
See attached files for a sleep diary format, a more detailed approach to CBT-I, a patient handout on strategies to improve sleep: