01
Chronic Insomnia Programs
Full CBT-I programs for payer- and employer-sponsored insomnia care.
Healthcare / Sleep Therapy App Development
Sleep Therapy App Development
We build evidence-based sleep therapy apps centered on CBT-I — the first-line treatment for chronic insomnia — paired with wearable-tracked sleep, circadian coaching, and PAP-adherence support for sleep-apnea patients.
61%
Patients reach ISI remission at 8 weeks
CBT-I + CPAP
Full-stack sleep programs under one roof
HIPAA-Grade
Sleep-clinic and payer-ready deployments
Trusted by global innovators
Industry Overview
Sleep Therapy App Development: Engineered End-to-End
Sleep is the biggest underserved slice of behavioral health — 30% of adults report insomnia, and CBT-I is first-line care that still almost nobody has access to. We engineer sleep therapy apps that deliver structured CBT-I programs, integrate with wearables and CPAP devices, and plug into sleep clinics and telehealth providers.
Industry Challenges
What Stops Most Teams From Solving This Today
Common friction points we hear from healthcare teams scoping this kind of platform.
CBT-I Access: Fewer than 400 certified CBT-I therapists serve the US population — patients end up on chronic hypnotics instead.
Sleep Data Fragmentation: Oura, Whoop, Apple, Fitbit, and CPAP each model sleep differently, making cross-device analysis painful.
PAP Abandonment: Over 30% of CPAP patients abandon therapy within the first year without behavioral support.
Outcome Measurement: Without validated instruments (ISI, PSQI, ESS), payers and employers can't underwrite sleep programs.
Our Approach
Our Engineering Approach
We engineer for the operational reality — not the demo.
Structured CBT-I
Full 6- to 8-week CBT-I programs with sleep restriction, stimulus control, and cognitive restructuring.
Unified Sleep Model
Normalize Oura, Whoop, Apple, Fitbit, and CPAP data into a single sleep-architecture view.
Payer-Ready Outcomes
ISI, PSQI, and ESS scored longitudinally — the evidence payers and employers need to contract.
Capabilities
Capabilities
Production-grade features the platform ships with from day one.
CBT-I Program Engine
Sleep-restriction scheduling, stimulus-control rules, and thought-record tools for insomnia.
Sleep Diary & Actigraphy
Structured sleep diary fused with Apple/Oura/Whoop/Fitbit actigraphy data.
CPAP / PAP Adherence
ResMed AirView, Philips DreamMapper, and CPAP-data coaching for sleep-apnea patients.
Validated Instruments
ISI, PSQI, ESS, and STOP-BANG scored longitudinally with clinician and patient views.
Circadian Coaching
Light, caffeine, and exercise scheduling tuned to chronotype and shift patterns.
Clinician Co-Pilot
Sleep physician workspace with adherence trends, CBT-I homework, and documentation.
Telehealth Integration
Video visits with sleep physicians and CBT-I therapists over a HIPAA-compliant layer.
Medication De-prescribing
Structured, clinician-supervised taper journeys for patients on chronic hypnotics.
Shift-Worker Programs
Rotating-shift-specific programs for nurses, first responders, and industrial workforces.
How It Works
Reference Architecture
How data and decisions flow end-to-end.
Device & Diary Ingestion
Wearable SDKs, CPAP cloud APIs, and sleep-diary capture into a unified sleep model.
01
1
Sleep Analytics Core
Sleep-architecture normalization, adherence scoring, and chronotype inference.
02
2
CBT-I Program Engine
Program graphs, sleep-restriction scheduling, and clinician-adjustable parameters.
03
3
Clinician & Patient Apps
React Native patient app, Next.js clinician workspace, and SMS-backed nudges.
04
4
Payer & EHR Flows
FHIR write-backs, payer reporting, and SMART on FHIR launch for sleep clinics.
05
5
Engineering Stack
Technology Stack
A pragmatic stack chosen for reliability, speed, and ease of operation.
Wearables & Devices
Apple HealthKitOuraWhoopFitbitGarminWithings
CPAP / PAP
ResMed AirViewPhilips DreamMapperFisher & Paykel Informetric
Apps
React NativeNext.jsTailwind
Backend
Node.jsPythonGraphQLPostgreSQLTimescaleDB
AI / ML
PyTorchscikit-learnSleep-staging models
Infra
AWS HIPAAAzure HIPAAKubernetesVault
Measured Impact
Measured Impact
Quantified outcomes from production deployments.
61%
ISI remission at 8 weeks
73%
Improvement in CPAP adherence
28%
Reduction in chronic-hypnotic use
4.7/5
Patient app rating
Sleep Clinic Network Digital Front Door
A national sleep-clinic network wanted a branded app that could scale CBT-I delivery without hiring hundreds more therapists — and improve CPAP adherence across its apnea patient base. We built a unified sleep platform integrating Oura, Apple Health, and ResMed AirView, with a structured CBT-I program engine and clinician workspace.
By month 9, CBT-I completion had reached 67% across 12,000 enrolled patients, CPAP 90-day adherence climbed from 52% to 74%, and the network opened payer contracts worth $11M ARR on the strength of the clinical outcome evidence.
Case Study
Use Cases
Where This Earns Its Keep
Common deployment patterns we see across customers.
02
Sleep Apnea & CPAP
PAP-adherence coaching and outcome tracking for sleep-apnea patients.
03
Shift Worker Wellness
Circadian alignment for nurses, first responders, and industrial shift crews.
04
Medication De-prescribing
Clinician-supervised taper support for chronic hypnotics and Z-drugs.
05
Employer Sleep Benefit
Sleep as a productivity and safety benefit — measurable at the population level.
06
Telehealth Sleep Clinics
Digital front door for sleep-clinic networks scaling CBT-I nationally.
Integrations
Integrates With Your Existing Stack
We connect to the systems your teams already know.
CPAP
ResMed AirViewPhilips DreamMapper
Wearables
Apple HealthKitOuraWhoopFitbit
EHR
EpicCerner
Comms
Twilio
Compliance-First Development Services Backed by Global Standards
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
General Data Protection Regulation
Implement lawful consent flows, data minimization, and secure processing for global data privacy.
Service Organization Control 2
Verified controls for security, availability, and confidentiality of enterprise data systems.
Health Information Trust Alliance
Healthcare-specific security controls and risk management practices trusted by global partners.
Fast Healthcare Interoperability Resources
Enabling standardized health data exchange through robust, modern API mappings.
Health Level Seven International
Supporting enterprise-grade interoperability for clinical messaging and record workflows.
Our Edge
Why Global Leaders Choose Us
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
Enterprise-Grade Security
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
High-Performance Scaling
Our architectures are built to handle massive data loads and user bases, ensuring seamless performance whether you're serving ten or ten million.
Accelerated Time-to-Market
Leveraging our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.
Embedded AI Integration
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
Engagement Model
Engagement Model
Predictable, structured delivery from kickoff through long-term ownership.
01
Discovery & Scoping
We map the existing systems, constraints, and stakeholders to scope a focused 8–12 week first delivery.
02
Architecture & Pilot
A working slice on a representative environment — proving the data flow end-to-end before scaling.
03
Production Engineering
Hardened services, observability, access controls, and audit logging go live behind your IAM.
04
Operate & Iterate
We stay on as the embedded engineering team — closing tickets, tuning models, and shipping new value.
Voices of Success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."
Aaron Phelan
Founder, Benchmark
"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."
Kim Smith
Founder, My Lauren
"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."
John Pasmore
Founder, Latimer
More in Healthcare
More Healthcare Solutions
Explore other production-grade engineering platforms we deliver across healthcare.
Cross-Industry Reach
The Same Engineering Patterns, Across Other Industries
The technical patterns behind this platform translate naturally into adjacent verticals.
Frequently Asked Questions
Yes. Programs are clinically reviewed and follow AASM clinical practice guidelines for CBT-I — sleep restriction, stimulus control, cognitive restructuring, relaxation, and sleep hygiene.
Industries
A Unified Vision that Caters to Diverse Industry Demands
Build your next healthcare platform with us
We engineer production-grade healthcare platforms end-to-end. Talk to us about scoping a focused 8-week pilot.