Clinical Spotlight #001
Turning the Waitlist Into a Head Start.
The Challenge
For many practices, the wait between a patient deciding to seek care and their first appointment can feel like time lost.
Dr. Brad Wolgast wanted to approach that time differently.
As he worked to reach more patients while maintaining personalized care in his private practice, he saw an opportunity to keep patients engaged and progressing even before they began in-person care.
Brad Wolgast, PhD, CBSM, DBSM
A different kind of waitlist
The goal wasn't simply to reduce the amount of time patients spent waiting. It was to make that waiting period more meaningful. By engaging patients before their first visit, Dr. Wolgast could give them a head start while also beginning to generate valuable sleep data that could be available when they arrived for in-person care.
Reduced waitlist attrition by 40%.
3–5 hours saved per patient.
Waitlisted patients completing treatment with COAST only.
“COAST® gives my waitlist clients a chance to engage with their sleep in a professional format and get weekly advice and suggestions from me through the app. It's a game-changer for me and these waitlist clients”
Publications
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Survey of Resources in Behavioral Sleep Medicine Across the Department of Defense, Defense Health Agency
The goal of this study was to assess CBTI/BBTI resources at MTFs, perceived facilitators and barriers for CBTI/BBTI, and gaps in these treatments across the Defense Health Agency.
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Digital CBTI hubs as a treatment augmentation strategy in military clinics: study protocol for a pragmatic randomized clinical trial
Read about our CICADA clinical trial designed to compare the effectiveness of digital CBTI hubs using COAST as an augmentation strategy for the management of insomnia in military sleep clinics relative to insomnia care as usual.
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Prototyping Apps for the Management of Sleep, Fatigue, and Behavioral Health in Austere Far-Forward Environments: Development Study
The objective of this study was to adapt a clinical decision support platform for use outside clinical settings, in garrison, and during field exercises by medics and soldiers to monitor and manage sleep and behavioral health in operational settings.
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Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline
This guideline establishes clinical practice recommendations for the use of behavioral and psychological treatments for chronic insomnia disorder in adults.
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The Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea
In September 2019, the U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) approved a new joint clinical practice guideline for assessing and managing patients with chronic insomnia disorder and obstructive sleep apnea (OSA).
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Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians
The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the management of chronic insomnia disorder in adults.
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We Snooze, Clients Lose: Time for Social Workers to Join Sleep Promotion Efforts
Sleep is a biological necessity—no different from nutrition or physical exercise—that can be readily modified to support health and well-being. Sleep is considered highly important to clients and is a behavior people are receptive to exploring and modifying (Grandner & Malhotra, 2015)…
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Development of a Just-in-Time Adaptive mHealth Intervention for Insomnia: Usability Study
This study aims to develop and assess the usability of a Just in Time Adaptive Intervention application platform called iREST (“interactive Resilience Enhancing Sleep Tactics”) for use in behavioral insomnia interventions. iREST can be used by both patients and clinicians.
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Clinical Feasibility of a Just-in-Time Adaptive Intervention App (iREST) as a Behavioral Sleep Treatment in a Military Population: Feasibility Comparative Effectiveness Study
Although evidence-based cognitive-behavioral sleep treatments have been shown to be safe and effective, these treatments have limited scalability. Mobile health tools can address this scalability challenge…