insomnia Mental and Behavioural Disorders
Conditions
Interventions
After the initial opt-out period, eligible participants are randomized to one of three groups:
1) Active program: mailed information about sleeping pill risks and a free, anonymous onl
Sponsors
Department of Veterans Affairs Greater Los Angeles Healthcare
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 65 years or older 2. Obtain care from VA medical centers in VISN 19 (Colorado, Oklahoma, Utah, Montana, Wyoming, Idaho) 3. Have been prescribed a benzodiazepine or z-drug from a VA pharmacy within the past 18 months
Exclusion criteria
Exclusion criteria: 1. History of seizures based on problem list in VA electronic health record 2. History of bipolar disorder based on problem list in VA electronic health record 3. Deceased
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Active benzodiazepine and/or z-drug prescription listed in the electronic health record 6 months after randomization | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Insomnia severity (measured using the Insomnia Severity Index) 6 months and 12 months after randomization 2. Active benzodiazepines and/or z-drug prescriptions listed in the electronic health record 12 months after randomization 3. Hip fracture rate at 6 and 12 months after randomization measured using the electronic health record 4. Mortality rate 6 and 12 months after randomization measured using the electronic health record 5. Usability of mailed program materials and websites measured using a mailed survey at the end of the program 6. Acceptability of mailed program materials and websites measured using a mailed survey at the end of the program | — |
Countries
United States of America
Outcome results
None listed