Insomnia
Conditions
Keywords
Cognitive therapy, Behavior therapy, Waiting lists, Therapy, computer-assisted, Internet
Brief summary
Background: Insomnia is a highly prevalent and disabling disorder where Cognitive Behavior Therapy for Insomnia (CBT-I) is established as the best available treatment. Still, only a negligible number of patients with insomnia receive this treatment. One potential way of improving the dissemination of CBT-I is by using online adaptations of CBT-I. This is a new method for delivering CBT-I and it is not known how effective online treatment is compared to face-to-face CBT-I. This trial's purpose is to compare face-to-face CBT-I with online CBT-I. Because of the great advantage of online treatment in both availability and cost, the trial is designed as a noninferiority trial. Aim: To test if online CBT-I is noninferior in reducing insomnia complaints compared with CBT-I as delivered face-to-face by a therapist.
Interventions
BEHAVIORALInternet CBT-i SHUTi
Computer program SHUTi is based on the same theoretical model of insomnia and involves the same interventions as ordinary CBT-I: a structured treatment focusing on education, behaviors and cognitions. Specifically, CBT-I usually consists of one or more of the following: psychoeducation about sleep, sleep restriction therapy, stimulus control, relaxation techniques, and challenging beliefs and perception of sleep.
BEHAVIORALface-to-face CBT-i
Sponsors
St. Olavs Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 diagnostic criteria for insomnia disorder
Exclusion criteria
* a condition that renders the patient incapable of understanding the treatment (e.g. actively psychotic, mental retardation, dementia or others * an ongoing substance abuse problem * other organic sleep disturbances or circadian sleep disturbance * an ongoing medical condition where treatment of insomnia is not indicated (e.g. an attack phase of multiple sclerosis) * working night shifts and being unable to discontinue this work pattern * not being sufficiently fluent in Norwegian to understand the assessments or treatment * not having the necessary computer skills needed to log on to the web based program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| insomnia severity | 6 months | as assessed by Insomnia Severity Index (Morin ea 2011 Sleep 34(5):601-8) |
Countries
Norway
Outcome results
None listed