Consensus-based recommendations were developed for this
clinical guideline to address important areas of clinical practice
that had not been the subject of a previousAASMpractice parameter,
or where the available empirical data was limited or inconclusive.
Consensus-based recommendations reflect the shared
judgment of the committee members and reviewers, based on
the literature and common clinical practice of topic experts, and
were developed using a modified nominal group technique. An
expert insomnia panel was assembled by the AASM to author
this clinical guideline. In addition to using all AASM practice
parameters and AASM Sleep publications through July 2007,
the expert panel reviewed other relevant source articles from a
Medline search (1999 to October 2006; all adult ages including
seniors; “insomnia and” key words relating to evaluation, testing,
and treatments. Using a face-to-face meeting, voting