The Personalized Bedtime Story Nobody Has Tested: Why generic sleep stories may have failed their first active-controlled test — and how a theory-designed, personalized, screen-free reading intervention could be tested next

Narrated "sleep stories" are a flagship feature of consumer wellness apps, yet the first active-controlled randomized trial of app-delivered bedtime stories (USleep, 2026; N = 495) found no significant benefit over a digital control for sleep disturbance (Hedges' g = 0.12). This paper argues that the null result marks the limit of the generic format rather than of bedtime reading itself. Drawing on evidence on pre-sleep cognitive arousal, imagery-based distraction, worry concreteness, screen-light effects, and the psycholinguistics of arousal, it specifies an intervention that remains untested: a theory-designed, personalized, screen-free bedtime reading text, evaluated with multi-night sleep-onset latency as the prespecified primary endpoint. The paper operationalizes a low-arousal text specification, presents a sample stimulus with norm-based scoring, proposes a brief preference-based personalization intake derived from validated constructs, and outlines a preregistered three-arm randomized trial (personalized designed text vs. non-personalized designed text vs. expectancy-matched neutral text) with falsifiable predictions, prespecified safety outcomes, and open materials. The proposal is framed as an adjunct and access bridge to first-line cognitive behavioural therapy for insomnia, not a treatment substitute. This is a theoretical/methodological contribution (a research proposal and intervention specification). It does not report new empirical data; it synthesizes existing evidence and specifies a falsifiable trial design with open materials, intended for preregistration and testing by any research group.

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Publication Details

Journal
Zenodo (CERN European Organization for Nuclear Research)
Published
2026-06-13
DOI
https://doi.org/10.5281/zenodo.20676884
Primary Topic
Digital Mental Health Interventions
Type
preprint
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The Personalized Bedtime Story Nobody Has Tested: Why generic sleep stories may have failed their first active-controlled test — and how a theory-designed, personalized, screen-free reading intervention could be tested next

Tahir Belice
Zenodo (CERN European Organization for Nuclear Research)
Digital Mental Health Interventions
preprint

The Personalized Bedtime Story Nobody Has Tested: Why generic sleep stories may have failed their first active-controlled test — and how a theory-designed, personalized, screen-free reading intervention could be tested next

Tahir Belice
preprint en

Abstract

Narrated "sleep stories" are a flagship feature of consumer wellness apps, yet the first active-controlled randomized trial of app-delivered bedtime stories (USleep, 2026; N = 495) found no significant benefit over a digital control for sleep disturbance (Hedges' g = 0.12). This paper argues that the null result marks the limit of the generic format rather than of bedtime reading itself. Drawing on evidence on pre-sleep cognitive arousal, imagery-based distraction, worry concreteness, screen-light effects, and the psycholinguistics of arousal, it specifies an intervention that remains untested: a theory-designed, personalized, screen-free bedtime reading text, evaluated with multi-night sleep-onset latency as the prespecified primary endpoint. The paper operationalizes a low-arousal text specification, presents a sample stimulus with norm-based scoring, proposes a brief preference-based personalization intake derived from validated constructs, and outlines a preregistered three-arm randomized trial (personalized designed text vs. non-personalized designed text vs. expectancy-matched neutral text) with falsifiable predictions, prespecified safety outcomes, and open materials. The proposal is framed as an adjunct and access bridge to first-line cognitive behavioural therapy for insomnia, not a treatment substitute. This is a theoretical/methodological contribution (a research proposal and intervention specification). It does not report new empirical data; it synthesizes existing evidence and specifies a falsifiable trial design with open materials, intended for preregistration and testing by any research group.

Zenodo (CERN European Organization for Nuclear Research)
Izmir Tepecik Eğitim ve Araştırma Hastanesi (TR), İzmir Şehir Hastanesi (TR)
Quality Education
Digital Mental Health Interventions
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