OBJECTIVES: To evaluate the efficacy and applicability of a behavioural treatment for @entity22 that can be administered by family physicians in various clinical settings. DESIGN: Efficacy of the treatment was evaluated by single-case experimental designs (multiple baseline across subjects). Applicability was assessed through semistructured interviews with physicians. SETTING: Two private offices, two offices in community health centres, and one office in a family medicine unit. @entity1 : Six general practitioners and 24 chronic insomniac @entity1 recruited through media advertisements and from physicians' practices. Of an initial 38 subjects screened, six were excluded for sleep-onset latency less than 30 minutes, five for psychological conditions, one for physical handicaps, and two for other reasons. INTERVENTIONS: Physicians used stimulus-control treatment during individual therapeutic sessions. @entity1 using hypnotics were encouraged to taper off their medications after treatment was initiated. MAIN OUTCOME MEASURES: Time it took @entity1 to get to sleep (sleep-onset latency), amount of hypnotic use, and practitioners' evaluation of the treatment. RESULTS: Fifteen @entity1 completed the treatment; 80% of them reduced their sleep-onset latency. Six of the seven @entity1 using hypnotics at the beginning of the study reduced or stopped their medications. All therapeutic gains were maintained at 3 and 6 months. Physicians thought stimulus-control treatment could be used in medical practice, but specified that it was most useful for highly motivated @entity1 . CONCLUSION: Family physicians can use stimulus-control treatment effectively for @entity1 with @entity22 . This nonpharmacologic approach could help motivated @entity1 reduce their use of hypnotics.

Stimulus-control: nonpharmacologic treatment for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PARTICIPANTS'] @entity22 :: ('MESH:D007319', 'Disease') :: ['insomnia', 'chronic insomnia']
@entity22 :: (MESH:D007319,Disease) :: ['insomnia']
