None listed
Conditions
Brief summary
Many people who have had a traumatic brain injury experience on-going sleep difficulties that can have a significant impact on their ability to function in everyday life. Online treatments to improve sleep have been found to be effective for people with insomnia, however people with brain injury have been excluded from previous clinical trials. This feasibility study will examine if two online treatments can help to improve sleep for people following a brain injury. 36 people who have experienced a brain injury in the last 2 months to 3 years will be randomised to receive one of two online programmes that last for 6 weeks. Participants sleep quality and other outcomes influenced by sleep (such as cognitive functioning, mood) will be assessed before and after the treatment so that we can compare the results between the two groups.
Interventions
The online sleep intervention is an adapted programme based on the Return2Sleep programme developed by Associate Professor Norah Vincent in Canada for people with insomnia. The programme contains interactive tasks and strategies to improve sleep. The programme has been adapted to facilitate its use for people with brain injury and the difficulties they experience. The programme contains 6 modules. Each module is completed once per week for 20 minutes for 6 weeks at the participant's home at a time convenient to them.
Sponsors
Study design
Eligibility
Inclusion criteria
Between 3 months and 3 years post-TBI Have self-reported difficulty initiating and/or maintaining sleep for more than 3 months with a score of 8 or more on the Pittsburgh Sleep Quality Index indicating presence of clinically significant sleep difficulties Access to high speed internet.
Exclusion criteria
Unable to give informed consent; Unable to read English (at level required to read a local newspaper); Present with symptoms indicative of an untreated sleep disorder with an underlying physical cause Harmful or hazardous drinking as assessed by a score of 8 or more on the Alcohol Use Disorders Identification Test Undertaking shift work Have a medically unstable condition that could impact on the results (e.g. experiencing severe psychosis, as assessed by Mini International Neuropsychiatric Interview Version 6 (MINI) Receiving current support from sleep services.