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2. Cheng P, Casement, M., Kalmbach D, *Cuamatzi Castelan, A., Drake CL. (2021). Digital Cognitive Behavioral Therapy for Insomnia Promotes Later Health Resilience During the Coronavirus Disease 19 (COVID-19) Pandemic. SLEEP, 44(4):zsaa258. PMID: 33249492, PMCID: PMC7798633
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| Insomnia and circadian misalignment are highly prevalent, yet standard interventions are typically delivered as one-size-fits-all protocols that overlook individual differences in symptom presentation, treatment response, and biological timing. This talk examines the impact of shifting from generalized and static approaches to individualized approaches in sleep and circadian medicine, drawing on research spanning digital behavioral interventions and wearable-based circadian assessment. Two organizing themes are addressed: first, how attention to multilevel factors that impact digital interventions, and evaluating effectiveness across various populations; and second, how individual-level circadian phase data can move interventions beyond fixed, schedule-based recommendations toward timing that reflects a person's actual physiology. Together, these themes point toward a broader model of precision sleep/circadian health — one in which personalization is built on both social determinants and biological measurement, rather than treated as an afterthought to standardized care. The influence of infrastructure, measurement, and implementation challenges will be discussed in the context of translating this model into scalable practice. |