1. Determine the patient's average sleep time from a sleep diary. |
2. Use this average sleep time as the new time allowed in bed each night. |
3. Set a consistent wake time based upon the type of insomnia and patient need. |
4. Have patient avoid daytime naps. |
5. If sleep efficiency increases above 90 percent (85 percent for patients over 65 years of age), then increase time in bed by 15 to 30 minutes. |
6. If sleep efficiency decreases below 85 percent (80 percent for patients over 65 years of age), then decrease time in bed by 15 to 30 minutes. |
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