None listed
Conditions
Brief summary
This project aims to compare the outcomes of two different formats of Cognitive Behavioural Therapy for insomnia (CBT-i) programmes implemented by our team in real life clinic populations. Key components of these education-based programmes include: - teaching about sleep mechanisms and factors contributing to the development and maintenance of insomnia - challenging current beliefs about sleep - structured behavior modification - strategies to cope with anxiety and mood disturbances CBT-i can be used in different formats, with individual sessions, group sessions or both. This study will compare two formats of CBT-i presented in a standardised slide presentation: - The CBT-i4 Programme which involves 4 group sessions - The CBT-i2-2 Programme which involves 2 group sessions with 2 subsequent individual follow-up sessions focussing on the participant’s implementation of the behavioural strategies learnt during the group session and allowing individual guidance and support. These two programmes will be conducted at the Woolcock Institute of Medical Research with individuals who have at least a one month history of insomnia symptoms (DSM-IV criteria). Voluntary participants will be recruited by sleep psychologists and sleep physicians at the Woolcock Insomnia Clinic after completing an assessment for sleep disorders. To quantify improvements in subjective sleep quality assessments, participants will be asked to complete questionnaires and sleep diaries between the assessment visit and the first CBT-i session, at the end of the programme (4th group session or 2nd individual session) and 6 months after the last session. The current study will also include data from a CBT-i4 Programme previously run at Royal Prince Alfred Hospital’s Sleep Unit through a project that has been approved by the SSWAHS Ethics Review Committee (RPAH ZONE). Results from the current study are likely to provide empiric evidence on ways to optimize cognitive-behaviour therapy for insomnia in real world clinical settings.
Interventions
Cognitive Behavioural Therapy (CBT) is mainly based on psychoeducation and structured behaviour modification for the long term treatment of insomnia. The methods used in our program include environment and lifestyle modifications, teaching of relaxation techniques and structured sleep schedule modifications aiming to improve sleep initiation and continuity.
Our program has two formats:
- 2 group sessions with a trained therapist followed by 2 individual sessions
or
- 4 group sessions with a
Cognitive Behavioural Therapy (CBT) is mainly based on psychoeducation and structured behaviour modification for the long term treatment of insomnia. The methods used in our program include environment and lifestyle modifications, teaching of relaxation techniques and structured sleep schedule modifications aiming to improve sleep initiation and continuity. Our program has two formats: - 2 group sessions with a trained therapist followed by 2 individual sessions or - 4 group sessions with a trained therapist In either cases, sessions last for one and half hours every fortnight.
Sponsors
Prof Delwyn Bartlett
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
any individual with insomnia symptoms for longer than 1 month (criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM IV))
Exclusion criteria
1. any individual who does not have a good command of oral and written English 2. any individual who has a diagnosed psychotic disorder 3. any individual who has severe depression/anxiety, any psychotic disorder and/or would be unlikely to benefit from a group educational program
Outcome results
None listed